Title: Medication adherence in patients with chronic non-malignant pain: Is there a problem?
Authors: Broekmans, Susan ×
Dobbels, Fabienne
Milisen, Koen
Morlion, Bart
Vanderschueren, Steven #
Issue Date: Feb-2009
Publisher: European Federation of Chapters of the International Association for the Study of Pain
Series Title: European Journal of Pain vol:13 issue:2 pages:115-123
Abstract: Health care providers, treating patients with chronic non-malignant pain, often experience that medication is not as effective as expected. It is important to realize that the effectiveness of a pharmacological treatment can be influenced by the way the medication is taken. Medication adherence is a topic that gains more attention, especially in chronic conditions, because it affects treatment outcome. A systematic review of studies on medication adherence in patients with chronic non-malignant pain was performed to gain insight in the prevalence of the problem, the impact on treatment outcome, influencing variables and interventions. Searching several electronic databases (Medline, CINAHL, Psychinfo and Cochrane), 14 relevant articles were found. The results indicate that medication non-adherence is common in patients with chronic non-malignant pain. Both overuse and underuse of medication occurs. However, due to the scarce literature and important methodological limitations, it is not possible to make firm conclusions concerning the impact on outcome, influencing variables and optimal intervention strategies. This review highlights some important gaps in the adherence literature in a chronic non-malignant pain population and sets the stage for future research.
ISSN: 1090-3801
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Academic Centre for Nursing and Midwifery
Faculty of Medicine - miscellaneous
Laboratory for Clinical Infectious and Inflammatory Disorders
Anesthesiology and Algology
Interfaculty Centre for Biomedial Ethics and Law
× corresponding author
# (joint) last author

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