Clinical Benefits of an Adherence Monitoring Program in the Management of Secondary Hyperparathyroidism with Cinacalcet: Results of a Prospective Randomized Controlled Study
Joint Authors
Forni Ogna, Valentina
Pruijm, Menno
Zweiacker, Carole
Wuerzner, Grégoire
Tousset, Eric
Burnier, Michel
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-18
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background/Aims.
One of the causes of uncontrolled secondary hyperparathyroidism (sHPT) is patient’s poor drug adherence.
We evaluated the clinical benefits of an integrated care approach on the control of sHPT by cinacalcet.
Methods.
Prospective, randomized, controlled, multicenter, open-label study.
Fifty hemodialysis patients on a stable dose of cinacalcet were randomized to an integrated care approach (IC) or usual care approach (UC).
In the IC group, cinacalcet adherence was monitored using an electronic system.
Results were discussed with the patients in motivational interviews, and drug prescription adapted accordingly.
In the UC group, drug adherence was monitored, but results were not available.
Results.
At six months, 84% of patients in the IC group achieved recommended iPTH targets versus 55% in the UC group (P=0.04).
The mean cinacalcet taking adherence improved by 10.8% in the IC group and declined by 5.3% in the UC group (P=0.02).
Concomitantly, the mean dose of cinacalcet was reduced by 7.2 mg/day in the IC group and increased by 6.4 mg/day in the UC group (P=0.03).
Conclusions.
The use of a drug adherence monitoring program in the management of sHPT in hemodialysis patients receiving cinacalcet improves drug adherence and iPTH control and allows a reduction in the dose of cinacalcet.
American Psychological Association (APA)
Forni Ogna, Valentina& Pruijm, Menno& Zweiacker, Carole& Wuerzner, Grégoire& Tousset, Eric& Burnier, Michel. 2013. Clinical Benefits of an Adherence Monitoring Program in the Management of Secondary Hyperparathyroidism with Cinacalcet: Results of a Prospective Randomized Controlled Study. BioMed Research International،Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-1003256
Modern Language Association (MLA)
Forni Ogna, Valentina…[et al.]. Clinical Benefits of an Adherence Monitoring Program in the Management of Secondary Hyperparathyroidism with Cinacalcet: Results of a Prospective Randomized Controlled Study. BioMed Research International No. 2013 (2013), pp.1-8.
https://search.emarefa.net/detail/BIM-1003256
American Medical Association (AMA)
Forni Ogna, Valentina& Pruijm, Menno& Zweiacker, Carole& Wuerzner, Grégoire& Tousset, Eric& Burnier, Michel. Clinical Benefits of an Adherence Monitoring Program in the Management of Secondary Hyperparathyroidism with Cinacalcet: Results of a Prospective Randomized Controlled Study. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-1003256
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1003256