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FOR US RESIDENTS ONLY
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Factors Leading to
Low Adherence
Low Adherence
who treat Ph+ CML
Factors Leading to Low
Adherence/Persistence
Recognize and watch for the warning signs of poor adherence in patients
Predictors of poor adherence/persistence include1
- Psychological problems, particularly depression
- Cognitive impairment
- Treatment of asymptomatic disease
- Inadequate follow-up or discharge planning
- Side effects of medication
- Patient's lack of belief in benefit of treatment
- Patient's lack of insight into the illness
- Poor provider-patient relationship
- Presence of barriers to care or medications
- Missed appointments
- Complexity of treatment
- Cost of medication, copayment, or both
- Osterberg L, Blaschke T. Adherence to medication. N Engl J Med. 2005;353(5):487-497.
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