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“…any organ that is rejected because of noncompliance is an organ that could have been given to someone else who may have died on the waiting list.”
–Laederach-Hofmann et al. (2000)
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FORMS AND FEATURES OF NONCOMPLIANCE
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RISK FACTORS FOR NONCOMPLIANT BEHAVIOR
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See Table 31-1 for a list of risk factors that can lead to noncompliant behavior.
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AREAS OF POSTOPERATIVE NONCOMPLIANCE
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Medication Noncompliance
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Major cause of late acute rejection
Approximately 30.8% of patients were noncompliant with immunosuppressive therapy.
Fifteen percent to 25% in adult transplant recipients
Approximately 50% in adolescent transplant recipients
Reported 15.7% in pediatric transplant recipients
Young and from a lower socioeconomic group are more likely to be noncompliant
Measurement of medical compliance (Table 31-2)
Measurement of noncompliance variables (Table 31-3)
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“…even the most clever immunosuppressive ...