title: Improving adherence to endocrine therapies: the role of advanced practice nurses.
abstract: With the trend toward the use of oral rather than intravenous therapies for cancer, nonadherence to treatment has become an increasing concern. Advanced practice nurses are in a good position to assess and monitor adherence to oral endocrine therapies. Research on adherence has been limited; to date there are no specific published guidelines for ensuring adherence to endocrine regimens. However, studies have identified many factors that may lead to nonadherence, including demographic, social, and psychological characteristics of the patient; characteristics of the disease and the treatment regimen; and the nature and quality of the patient/clinician relationship. These factors provide a framework that advanced practice nurses can use to identify potential problems and to work collaboratively with patients.
authors.affiliation: Department of Adult Oncology, Gillette Center for Women's Cancers, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA. akelly@partners.org
authors.forename: Anne
authors.initials: A
authors.lastname: Kelly
authors.forename: Christine R
authors.initials: CR
authors.lastname: Agius
mesh_terms: D000284:Administration, Oral; D018931:Antineoplastic Agents, Hormonal / Q000008:administration & dosage*; D001943:Breast Neoplasms / Q000188:drug therapy / Q000451:nursing*; D005260:Female; D006801:Humans; D009723:Nurse-Patient Relations; D010349:Patient Compliance; D018570:Risk Assessment
chemical_list: D018931:Antineoplastic Agents, Hormonal