This book provides a critical and comprehensive review of the methodologies available for measuring drug adherence in clinical practice, including those relying on emerging technologies. The authors discuss the risk factors of non-adherence and shed light on how to identify patients at risk of poor adherence. Drug therapies in chronic diseases rely heavily on the patient's adherence, since drugs that are not taken are ineffective and leave the patient at high risk of developing clinical complications. Given the absence of new drugs for the treatment of hypertension, drug adherence is particularly important in these patients to improve blood pressure control. The book further investigates a new aspect, namely the importance of drug adherence in clinical trials and studies and draws attention to the limits of developing drugs without significant information on drug adherence. Several chapters are dedicated to the importance of adherence in specific forms of hypertension, such as resistant hypertension, dyslipidemia and hypertension associated with cardiovascular risk. As experts confronted with drug adherence in their daily practice, the authors analyse the real effectiveness of several interventions aimed at improving drug adherence and put particular emphasis on the importance of an interdisciplinary approach involving nurses and pharmacists. The volume also includes a careful analysis of the health and economic impact of poor adherence. The book is aimed at physicians, pharmacists, students and all health professionals dealing not only with hypertension or dyslipidemia, but also with chronic asymptomatic diseases such as diabetes, HIV or chronic respiratory diseases.
• Illustrates how to apply new technologies in assessing and monitoring drug adherence.
• Sheds light on the importance of adherence monitoring in clinical trials.
• Highlights the role of a multidisciplinary approach involving nurses and pharmacists in supporting adherence.
Michel Burnier is Professor of Medicine and head of the Nephrology and Hypertension Consultation division at the University Hospital of Lausanne, Switzerland. He trained in internal medicine and nephrology in Lausanne, Switzerland and at the University of Colorado Health Science Centre in Denver, Colorado. He is a member of the Scientific Council of the European Society of Hypertension and member of the Committee of the Swiss Society of Hypertension. He was president of the Swiss Society of Nephrology and of the Swiss Society of Hypertension. Burnier is a member of the editorial board of several international journals in the field of hypertension and nephrology.
His research interests are the renal mechanisms of hypertension and the pathogenesis of disease progression in chronic kidney diseases with an emphasis on the role of sodium. He has also worked on the clinical pharmacology of new antihypertensive drugs in humans with a focus on drugs affecting the renin-angiotensin system and on drug adherence. In 2010, he received the JM Métry Compliance Award of the ESPACOMP, the European Society of Drug Adherence.