IMPACT OF PILL BURDEN AND SOCIO-ECONOMIC STATUS OF PATIENTS ON ADHERENCE TO PHARMACOLOGIC THERAPY IN ELDERLY

Anil Kumar, Jeetendra Kumar, Balakrisnan Iyer, Sanjeev Kumar, Punith Kempegowda

Abstract


Background: Noncompliance is especially significant in elderly population due to a multitude of problems. Polypharmacy and socio-economic status have been reported as major factors influencing compliance and further the disease progression

Aim: We studied the impact of pill burden and socio-economic status on drug compliance in our elderly population

Methodology: Patients aged over 65 years with non-insulin dependent diabetes mellitus and hypertension attending our Geriatric clinic over a period of two months was assessed for drug compliance based on pill burden and socio-economic status.

Results: Pill burden was a significant factor influencing compliance in patients with uncontrolled diabetes mellitus (p<.01) and uncontrolled hypertension (p<.05). However, the effect of pill burden on compliance in patients with both uncontrolled hypertension and uncontrolled diabetes was not statistically significant (p>.05).  Socio-economic status of the patients had no influence on compliance in any other compared groups.

Conclusion: While we found that pill burden was a major factor influencing patient drug compliance, socio-economic status did not seem to have a significant influence on the same.


Keywords


Compliance; socio-economic status; polypharmacy

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References


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