Adherence to pharmacological treatment in non-communicable chronic diseases in the Colombian population: Systematic review and meta-analysis

Catalina Cáceres, Álvaro José Lora, Silvia Juliana Villabona, María Catalina Rocha, Paul Anthony Camacho

Research output: Articles / NotesScientific Articlepeer-review

1 Scopus citations

Abstract

Introduction. Non-communicable chronic diseases represent the leading cause of death worldwide, and their prevalence is increasing due to the epidemiological transition. Despite the advances in their management, control rates are deficient, attributed to multiple factors like adherence to pharmacological treatment, one of the most significant and least studied in the Colombian population. Objective. To calculate adherence to treatment in Colombian patients with arterial hypertension, cerebrovascular disease, diabetes mellitus, asthma, chronic obstructive pulmonary disease, and dyslipidemia between 2005 and 2022. Materials and methods. We performed a systematic literature review and a meta-analysis of studies identified through the Medline and LILACS databases to quantitatively synthesize treatment adherence percentage. Results. Fourteen studies met the inclusion criteria, and 5,658 patients were analyzed. The treatment adherence was 59%, with significant heterogeneity among the included studies (95% CI= 46- 71%; I2 = 98.8%, p< 0.001). Higher adherence rates were observed for diabetes mellitus (79%; 95% CI = 65- 90%) and dyslipidemia (70%; 95% CI = 66- 74%). Adherence to arterial hypertension treatment was 51% (95 %; CI = 31- 72%). Conclusions. This systematic review showed low adherence to recommendations regarding pharmacological management in non-communicable chronic diseases, which can have implications for long-term clinical outcomes and disease burden.

Translated title of the contributionCumplimiento del tratamiento farmacológico en enfermedades crónicas no transmisibles en la población colombiana: revisión sistemática y metaanálisis
Original languageEnglish
Pages (from-to)51-65
Number of pages15
JournalBiomedica
Volume43
Issue numberSp 3
DOIs
StatePublished - 29 Dec 2023
Externally publishedYes

Keywords

  • Chronic disease
  • chronic obstructive
  • diabetes mellitus
  • dyslipidemias
  • hypertension
  • noncommunicable diseases
  • pulmonary disease
  • stroke
  • treatment adherence and compliance

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