Nephrologists' management of patient medications in kidney transplantation: results of an online survey

Crawford, Kimberley, Low, Jac Kee, Manias, Elizabeth, Walker, Rowan, Toussaint, Nigel D., Mulley, William, Dooley, Michael, Ierino, Francesco L., Hughes, Peter, Goodman, David J. and Williams, Allison 2015, Nephrologists' management of patient medications in kidney transplantation: results of an online survey, Journal of evaluation in clinical practice, vol. 21, no. 5, pp. 879-885.

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Title Nephrologists' management of patient medications in kidney transplantation: results of an online survey
Author(s) Crawford, Kimberley
Low, Jac Kee
Manias, ElizabethORCID iD for Manias, Elizabeth
Walker, Rowan
Toussaint, Nigel D.
Mulley, William
Dooley, Michael
Ierino, Francesco L.
Hughes, Peter
Goodman, David J.
Williams, Allison
Journal name Journal of evaluation in clinical practice
Volume number 21
Issue number 5
Start page 879
End page 885
Total pages 7
Publisher Wiley
Place of publication London, Eng.
Publication date 2015-10
ISSN 1356-1294
Keyword(s) Health care
Kidney transplantation
Medication adherence
Person-centred medicine
Summary Rationale, aims and objectives: Medication adherence is essential in kidney transplant recipients to reduce the risk of rejection and subsequent allograft loss. The aim of this study was to delineate what 'usual care' entails, in relation to medication management, for adult kidney transplant recipients. Methods: An online survey was developed to explore how nephrologists promote and assess medication adherence, the management of prescriptions, the frequency of clinic appointments and the frequency of clinical screening tests. Nephrologists from all acute kidney transplant units in Victoria, Australia, were invited to participate. Data were collected between May and June 2014. Results: Of 60 nephrologists invited to participate, 22 completed the survey (response rate of 36.6%). Respondents had a mean age of 49.1±10.1 years, with a mean of 20.1±9.9 years working in nephrology and 14 were men. Descriptive analysis of responses showed that nephrologists performed frequent screening for kidney graft dysfunction that may indicate medication non-adherence, maintained regular transplant clinic visits with patients and emphasized the importance of medication education. However, time constraints during consultations impacted on extensive patient education and the long-term medication follow-up support was often delivered by the renal transplant nurse coordinator or pharmacist. Conclusions: This study highlighted that nephrologists took an active approach in the medication management of kidney transplant recipients, which may assist with facilitating long-term graft survival. Ultimately, promoting medication adherence needs to be patient centred, involving an interdisciplinary team of nephrologists, pharmacists and renal transplant nurse coordinators, working together with the patient to establish optimal adherence.
Language eng
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
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