Why the study?
The study was conducted to characterize self-reported adherence of cardiovascular disease patients to new oral anticoagulants and identify factors related to adherence.
Patients with cardiovascular diseases showed high self-reported adherence to NOACs, which was positively associated with inactive employment status, higher family income, female sex, and follow-up at a public clinic.
High adherence associations should not yet change practice; leaves open causality and outcome impact in prospective cardiovascular cohorts.
OBJECTIVE: To characterize the self-reported adherence of patients with cardiovascular diseases to the use of new oral anticoagulants and to identify factors related to adherence to these drugs. METHOD: This is a descriptive, correlational, and cross-sectional study, carried out with outpatients. The collection of sociodemographic, clinical, and adherence data, through the Measurement of Adherence to Treatments, was made through telephone calls. Descriptive, correlation, and multiple linear regression analyses were used. RESULTS: A total of 120 patients using new anticoagulants for 32.3 months, on average, participated in the study. More than half of the sample consisted of women, who were professionally inactive, with a mean age of 70.1 years and a mean family income of 6.7 minimum wages. The mean adherence score was 5.7, in a possible range between 1 and 6, indicating medication adherence. Inactive employment status, female sex, higher family income, and follow-up at a public outpatient clinic were related to greater adherence to these medications. CONCLUSION: The patients showed high adherence to new anticoagulants. Employment status, sex, family income, and type of outpatient follow-up were related to medication adherence, and should be considered in the design of interventions for this public.
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Lima et al. (2021) studied this question.
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