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Table 1 Summary of characteristics, study outcomes and details of addressing and reporting adherence in the randomized controlled trials included in the study

From: Medication adherence in randomized controlled trials evaluating cardiovascular or mortality outcomes in dialysis patients: A systematic review

Reference

Year of publication

Population

Total N (Intervention/Control)

Therapy (Intervention/Control)

Trial outcome

Reported Adherence

Addressing Adherence

Drug discontinuation: Intervention/Control arms

Baigent et al. [9]

2011

HD & PDa

3023 (1533/1490)b

Simvastain + Ezetimibe/Placebo

Negativeb,c

65%b in the Inter-vention group

Run-in phase to identify non-compliers

33%/36%e,f

Block et al. [26]

2007

HD

127 (60/67)

Sevalamer/Ca based binders

Positive

Not reported

Specified as not checked

Not reported

Chertow et al. [17]

2012

HD

3883 (1948/1935)

Cinacalcet/Placebo

Negative

Not reported

TNA reported as cause of therapy discontinuation. Reports lag censored analysis after therapy cessation

67%/71%f,g,h

Cice et al. [24]

2010

HD

332 (165/167)

Add-on Telmisartan (to ACEI)/Placebo

Positive

Not reported

Not addressed

16/11%f,i

Di Iorio et al. [27]

2013

HD

466 (232/234)

Sevalamer/Ca based binders

Positive

Not reported

Not addressed

14%/15%i

Dixon et al. [28]

2009

HD

649 (321/328)

Dipyridamole + Aspirin/Placebo

Negatived

83%/83%

Assessed by pill count & reported

30%/26%f,i

Fellstrom et al. [10]

2009

HD

2773 (1389/1384)

Rosuvastatin/Placebo

Negative

92%/86%

Assessed by pill count & reported

73%/74%f,g,h,i,j

Iseki et al. [25]

2013

HD

469 (235/234)

Olmesartan/Usual care but No ARB or ACEI

Negative

Not reported

Not addressed

49% in interventionf,h

Jamison et al. [19]

2007

HD & PDa

751 (372/379)b

Folic acid + B6 + B12/Placebo

Negative

85%/87%

Assessed by pill count & reported

27%/26%i

Lok et al. [32]

2012

HD

196 (99/97)

Fish oil/Placebo

Positived

Not reported

Blood tests supporting drug effect reported, but not at patient level

16%/16%i,j

Matsumoto et al. [30]

2014

HD

309 (157/152)

Spironolactone/Usual care

Positive

Not reported

Non-adherent patients excluded from participation

29%/16%f

Nishimura et al. [29]

2009

HD

129 (64 + 65)

Nicorandil/Usual care but no Nicorandil

Positive

Not reported

Not addressed

0%/0%

Righetti et al. [31]

2006

HD

88 (37/51)

Folic acid/Usual care

Positive

Not reported

Reported as measured, but not reported

72% e,f,h,I,j

Stegmayr et al. [11]

2005

HD & PDa

110 (53/57)b

Atorvastatin/Placebo

Negative

Not reported

Non-adherent patients excluded from participation

33%/6%f

Suki et al. [15]

2007

HD

2103 (1053/1050)

Sevalamer/Ca based binders

Negative

Not reported

TNA reported as cause of therapy discontinuation

48%/51%f,g,h

Suzuki et al. [22]

2008

HD

366 (183/183)

Any ARB/Usual care but no ARB

Positive

Not reported

Not addressed

2%/2%f

Svensson et al. [14]

2006

HD

206 (103/103)

Omacor (3-PUFA)/Placebo

Negative

Not reported

Non-adherent patients excluded, Blood tests supporting drug effect reported, but patient level adherence not reported

27%/22%f,g

Takahashi et al. [21]

2006

HD

80 (43/37)

Candesartan/Usual care

Positive

Not reported

Non-adherent patients excluded from participation

0%/0%

Tepel et al. [23]

2008

HD

251 (123/128)

Amlodipine/Placebo

Negative

Not reported

TNA reported as cause of therapy discontinuation

63%/65%f,g,h,i,j

Wanner et al. [8]

2005

HD

1255 (619/636)

Atorvastatin/Placebo

Negative

80%/82%

Assessed by pill count & reported

23%/24%f

Wilson et al. [16]

2009

HD

1354 (680/674)

Lanthanum/Usual care

Negative

Not reported

Not addressed

72%/53%f,g,h,i,j

Zannad et al. [20]

2006

HD

397 (196/201)

Fosinopril/Placebo

Negative

Not reported

Not addressed

4%/5%h

  1. aThe trial also included patient not on dialysis. bThe data given pertains to dialysis patients only. cThe trial was positive for the overall cohort. dCardiovascular or mortality outcome was a secondary outcome. eThe result is for the overall cohort. fIncludes adverse events as a cause of drug discontinuation. gIncludes non-adherence as a cause of drug discontinuation. hIncludes kidney transplantation as a cause of drug discontinuation. iIncludes drop-out or loss to follow up as a cause of drug discontinuation. jIncludes death as a cause of drug discontinuation. HD Haemodialysis. PD Peritoneal dialysis. TNA Treatment non-adherence