patient involvement in selection of immunosuppressive regimen following transplantation

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ID: 225923
2014
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Abstract
Joyce Popoola,1,3 Helen Greene,2 Margaret Kyegombe,2 Iain A MacPhee1,3 1Department of Nephrology and Transplantation, 2Department of Pharmacy, St George’s Healthcare NHS Trust, 3St George’s University of London, London, UK Abstract: Transplantation has made a considerable difference to the lives of many patients. However, feedback from patients indicates that although having a transplant is a hugely positive experience, having to take medications indefinitely is one of the biggest challenges. An ideal scenario would be no medications following a transplant. A compromise would be a minimal number of medications, with minimal restrictions and as simple a regimen as possible. Although there is considerable research going into fine-tuning the management of the immune response to a transplant, to date there is no universal regimen that enables patients to remain free of immunosuppressant medications, making adherence paramount to maintain long-term allograft survival. This paper reviews the available immunosuppressant regimens and factors influencing choice from both the clinician’s and the patient’s perspective. Factors influencing the decision-making process, such as quality of life for patients, their satisfaction, acceptability, and adherence uptake are reviewed. We conclude with a further assessment of patient choice as a factor in regimen selection, its impact on adherence, and its implications. Keywords: adherence, transplant, allograft, immunosuppressants, patient involvement, satisfaction, decision-making
Reference Key
j2014patientpatient Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Popoola J, Greene H, Kyegombe M, MacPhee IA
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Journal the journal of craniofacial surgery
Year 2014
DOI
DOI not found
URL
http://www.dovepress.com/patient-involvement-in-selection-of-immunosuppressive-regimen-followin-peer-reviewed-article-PPA
Keywords
Medicine (General)

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