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  1. 20 医学系研究科・医学部
  2. 20A 学術誌論文
  3. 20A1 雑誌掲載論文

Risk factors for low adherence to methylphenidate treatment in pediatric patients with attention-deficit/hyperactivity disorder

http://hdl.handle.net/10295/00005725
http://hdl.handle.net/10295/00005725
526da9ab-5771-4e47-8abc-64749b526649
名前 / ファイル ライセンス アクション
iA_2021_8.pdf iA_2021_8 (1.1 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2021-06-04
タイトル
タイトル Risk factors for low adherence to methylphenidate treatment in pediatric patients with attention-deficit/hyperactivity disorder
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
作成者 Ishizuya, Asami

× Ishizuya, Asami

en Ishizuya, Asami

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Enomoto, Minori

× Enomoto, Minori

en Enomoto, Minori

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Tachimori, Hisateru

× Tachimori, Hisateru

en Tachimori, Hisateru

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Takahashi, Hidehiko

× Takahashi, Hidehiko

en Takahashi, Hidehiko

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Sugihara, Genichi

× Sugihara, Genichi

en Sugihara, Genichi

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Kitamura, Shingo

× Kitamura, Shingo

en Kitamura, Shingo

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Mishima, Kazuo

× Mishima, Kazuo

en Mishima, Kazuo

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内容記述
内容記述タイプ Abstract
内容記述 Poor adherence is a major concern in the treatment of attention-deficit/hyperactivity disorder (ADHD). The objective of this study was to evaluate factors linked to early interruption of and low adherence to treatment with osmotic-release oral system methylphenidate hydrochloride (OROS-MPH) in pediatric patients with ADHD. A total of 1353 young people (age 6–17 years) with a diagnosis of ADHD who newly started OROS-MPH were extracted from the pharmacoepidemiological data of 3 million people in Japan. The cohort was retrospectively surveyed every month for 12 months. Ten possible risk factors were extracted from the data and analyzed by multivariable logistic regression. Sensitivity analysis was conducted to ensure the robustness of the analysis. The results revealed that treatment adherence was generally poor, with a tendency for discontinuation in the early stage. Multivariable logistic regression results showed that adherence is reduced by female sex, lower starting dose, and concomitant atomoxetine or hypnotics. These findings may help clinicians to predict the risk of poor adherence in the early stage of treatment and improve not only patients’ symptoms, but also their quality of life.
言語 en
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
書誌情報 en : scientific reports

巻 11, 号 1707(2021), 発行日 2021-01-18
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 2045-2322
出版者
出版者 Springer Nature
言語 en
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1038/s41598-021-81416-z
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