title: Importance of adherence in the outcome of juvenile idiopathic arthritis.
abstract: Medical treatment of juvenile idiopathic arthritis (JIA) has advanced in the last decade, and improved prognosis is a reality in daily clinical practice. Despite this improvement in the quality of treatment, the outcome can still be compromised by modifiable factors, including delayed referral to a specialist, delayed drug treatment, poor adherence to treatment, and early interruption of drug treatment. In this review we discuss the most relevant aspects related to adherence to treatment in JIA, with emphasis on: factors that affect adherence to treatment; effect of poor adherence to treatment on JIA prognosis; when to suspect and how to assess poor adherence to treatment; and strategies to promote adherence to treatment, with an emphasis on information-reinforcement education. Besides presenting the findings of other authors, we also try to report our experience of this subject, which is still a challenge for health professionals.
authors: Pediatric Rheumatology Unit, Allergy, Immunology and Rheumatology Division, Department of Pediatrics, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), São Paulo, Brazil, claudiolen@gmail.com.
authors: Claudio A
authors: CA
authors: Len
authors: Vanessa B
authors: VB
authors: Miotto e Silva
authors: Maria Teresa R A
authors: MT
authors: Terreri
mesh_terms: D018501:Antirheumatic Agents / Q000627:therapeutic use*; D001171:Arthritis, Juvenile / Q000188:drug therapy* / Q000523:psychology; D017028:Caregivers / Q000523:psychology; D006801:Humans; D055118:Medication Adherence / Q000523:psychology*; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic / Q000592:standards; D011379:Prognosis; D012959:Socioeconomic Factors; D016896:Treatment Outcome
chemical_list: D018501:Antirheumatic Agents