Noncompliance after kidney transplantation: a systematic review.
We performed a systematic review of the literature on medical noncompliance after kidney transplantation in the cyclosporine era. We wished to define commonalities that may help the clinician identify patients for early intervention. We found that patients who were at a higher risk of noncompliance after kidney transplants were younger, female, unmarried, and non-Caucasians. Patients who were recipients of living donor transplants and had been transplanted for a longer time with a history of a previous transplant were also at risk of noncompliance. We also found that patients displaying emotional problems, such as anxiety, hostility, depression, distress, lack of coping, and avoidant behaviors, were also at risk for noncompliance after kidney transplantation.
Jindal
R M
RM
Department of Transplant Surgery, South Dakota Transplant Institute, Avera McKennan Hospital and University Medical Center, 1001 East 21st Street, Suite 301, Sioux Falls, SD 57105, USA. rahul.jindal@mckennan.org
Jindel
R M
RM
Joseph
J T
JT
Morris
M C
MC
Santella
R N
RN
Baines
L S
LS
D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000523:psychology*; D016239:MEDLINE; D008297:Male; D010349:Patient Compliance; D015203:Reproducibility of Results; D012727:Sex Characteristics; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D016312:Treatment Refusal