[Medication adherence of 65 patients in hemodialysis in Togo].
OBJECTIVE
The aim of this study was to assess adherence in people on hemodialysis and determine the factors of poor adherence.


METHODS
This cross-sectional study took place throughout the month of September, 2012, in the hemodialysis center of the Sylvanus Olympio University Hospital, the only such center in Togo.


RESULTS
The study included 65 patients, with a mean age of 49.5 years (range: 22 to 77 years), more often men (sex ratio: 1.82) and married (74 %). More than half (58%) had completed secondary education, while 73% belonged to the least advantaged socioeconomic class; 61 (94%) had health insurance, and 57% had been on dialysis for 1 to 4 years. The compliance rate was 11%. The main factors associated with good adherence were marital status (p = 0.0339) and the patient's general health status (p = 0.001). Treatment fatigue (p = 0.0347), forgetfulness (p = 0.0001), dosage forms and drug characteristics (p = 0.0198) were all factors of noncompliance. Therapeutic non-compliance was proportional to the number of drugs prescribed (p = 0.4263).


CONCLUSIONS
Adherence in hemodialysis patients in Togo is very poor.
Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio, BP 14148 Lomé, Togo.
K A
KA
Sabi
Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio, BP 14148 Lomé, Togo.
B
B
Noto-Kadou-Kaza
Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio, BP 14148 Lomé, Togo.
Y E
YE
Amekoudi
Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio, BP 14148 Lomé, Togo.
M C
MC
Tsevi
Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio, BP 14148 Lomé, Togo.
F
F
Sylla
Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio, BP 14148 Lomé, Togo.
K
K
Kossidze
Service de néphrologie et d'hémodialyse, CHU Yopougon, Abidjan, Côte d'Ivoire.
D A
DA
Gnionsahe
D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D006435:Renal Dialysis; D014037:Togo; D055815:Young Adult; D016903:Drug Monitoring
Togo; drug compliance; hemodialysis