Drinking and Drugs: When Is Enough Too Much?
Authors: Carol Golin
Journal: Annals of Internal Medicine (2008)

Editorials2 December 2008Drinking and Drugs: When Is Enough Too Much?Carol Golin, MDCarol Golin, MDFrom the University of North Carolina at Chapel Hill, Chapel Hill, NC 27599.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-11-200812020-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Studies have consistently shown that patients with chronic, often asymptomatic diseases, such as diabetes and hypertension, frequently do not adhere to their medication regimens. One meta-analysis demonstrated that only 40% of chronically ill patients take all of their prescribed doses (1). Not only is poor adherence common in treatment of chronic illness, but several studies have shown that it leads to a broad range of important adverse health outcomes in patients with coronary artery disease, HIV, diabetes, and hypertension (2–6). Thus, effective interventions to help patients achieve and maintain optimal adherence are crucial to providing high-quality, cost-effective medical care.A ...References1. Roter DL, Hall JA, Merisca R, Nordstrom B, Cretin D, Svarstad B. Effectiveness of interventions to improve patient compliance: a meta-analysis. Med Care. 1998;36:1138-61. [PMID: 9708588] CrossrefMedlineGoogle Scholar2. Paterson DL, Swindells S, Mohr J, Brester M, Vergis EN, Squier C, et al. Adherence to protease inhibitor therapy and outcomes in patients with HIV infection. Ann Intern Med. 2000;133:21-30. [PMID: 10877736] LinkGoogle Scholar3. Fogarty L, Roter D, Larson S, Burke J, Gillespie J, Levy R. Patient adherence to HIV medication regimens: a review of published and abstract reports. Patient Educ Couns. 2002;46:93-108. [PMID: 11867239] CrossrefMedlineGoogle Scholar4. Cramer JA, Benedict A, Muszbek N, Keskinaslan A, Khan ZM. 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[PMID: 16963247] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From the University of North Carolina at Chapel Hill, Chapel Hill, NC 27599.Acknowledgment: The author thanks Catherine Grodensky for administrative and editorial assistance.Disclosures: None disclosed.Corresponding Author: Carol Golin, MD, University of North Carolina at Chapel Hill, 725 Airport Road, Campus Box 7590, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599; e-mail, [email protected]unc.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAlcohol Screening Scores and Medication Nonadherence Chris L. Bryson , David H. Au , Haili Sun , Emily C. Williams , Daniel R. Kivlahan , and Katharine A. Bradley Metrics 2 December 2008Volume 149, Issue 11Page: 830-832KeywordsAlcohol consumptionAlcoholsAntihypertensivesAntiretroviral therapyHIVHypoglycemicsProspective studiesStatinsSubstance abuseTreatment guidelines ePublished: 2 December 2008 Issue Published: 2 December 2008 CopyrightCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...