Nonadherence to immunosuppressive therapy in kidney transplant recipients: can technology help?

Franco Citterio, Erika Nerini, Fulvio Bruno, Francesco P. Schena

Risultato della ricerca: Contributo in rivistaArticolo in rivista

13 Citazioni (Scopus)

Abstract

End-stage kidney disease is a life-threatening condition that compels patients to accept either dialysis or transplant. Kidney transplantation is the best choice for patients with end-stage kidney disease because it ensures higher quality of life and longer survival rates than other choices, with less cost for the healthcare system. However, in order for renal recipients to maintain the functioning graft they must take lifelong immunosuppressive medications, with possible side effects and low medication adherence. It is known that low medication adherence in kidney transplant recipients may cause poor outcomes, chronic graft rejection, and graft failure. In this review, the authors give an overview of nonadherence in the transplant setting. In addition, they analyze the role of different technologies as an aid to improve adherence, with a focus on mobile-phone based solutions to monitor and enhance kidney transplant recipient compliance.
Lingua originaleEnglish
pagine (da-a)627-636
Numero di pagine10
RivistaJN. JOURNAL OF NEPHROLOGY
Volume29
DOI
Stato di pubblicazionePubblicato - 2016

Keywords

  • Immunosuppressive therapy
  • Interactive voice response system
  • Kidney transplantation
  • Nephrology
  • Nonadherence

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