Adherence to medication during pregnancy in systemic autoimmune diseases: results from a prospective study

Clin Exp RheumatolPublished Prospective cohort study

Authors' conclusion

In our cohort we recorded a good adherence to prescribed medication, although adequate adherence was not achieved in about 30% of patients, confirming that non-adherence is an important issue in SAD.

Study context

Population
Patients with systemic autoimmune diseases (SAD)
Participants
200 patients
Exposure
Pregnant vs non-pregnant women with SAD
  • Pregnantn = 100
  • Non-pregnantn = 100reference
Outcome
Medication adherence (MMAS-8), for HCQ and for other treatments for rheumatic disease
Methodological detailsconsecutive enrolment
  • Consecutive enrolment

Main finding

As reported in the abstract

Good medication adherence (MMAS-8)

Good medication adherence (MMAS-8)

Good adherence, other therapies

Observational data: associations, not effects.

Further findings

Very poor medication adherence

Eight patients had very poor adherence, all non-pregnant women
8

Anxiety and low medication adherence (drugs other than hydroxychloroquine (HCQ))

Anxiety (15% of patients) associated with low adherence for drugs other than HCQ
P = 0.02
Depression (4% of patients) did not seem to impact adherence

Original publication

Adherence to medication during pregnancy in systemic autoimmune diseases: results from a prospective study. Clin Exp Rheumatol. Published 7 July 2023. doi:10.55563/clinexprheumatol/st5fl0

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