Transplant Coordinators' Perceived Impact of Availability of Multiple Generic Immunosuppression Therapies on Patients, Workload, and Posttransplant Maintenance Therapy
Background. No studies have evaluated the impact of multiple generic immunosuppression medications on transplant coordinators (TCs) and patients. Methods. A cross-sectional, multicenter online survey of TCs managing transplant recipients' outpatient immunosuppression was undertaken to assess T...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Journal of Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2013/897434 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850161272807489536 |
|---|---|
| author | K. Parker E. A. Zagadailov A. S. Bruno A. M. Wiland |
| author_facet | K. Parker E. A. Zagadailov A. S. Bruno A. M. Wiland |
| author_sort | K. Parker |
| collection | DOAJ |
| description | Background. No studies have evaluated the impact of multiple generic immunosuppression medications on transplant coordinators (TCs) and patients.
Methods. A cross-sectional, multicenter online survey of TCs managing transplant recipients' outpatient immunosuppression was undertaken to assess TCs' perceptions of the impact of multiple generic immunosuppression therapies on patients and workload.
Results. Forty-six of 106 transplant centers contacted (43%) completed the survey, with usable information from 34 TCs (53% in centers performing >100 solid organ transplants annually, 82% registered nurses, and 68% with >5-year experience working with transplant patients). TCs indicated that “change in strength,” “switching from branded to generics,” “heavy pill burden,” and “switching from one generic to another” were the four most frequent reasons for patient confusion regarding immunosuppression. TCs reported increased patient confusion over the previous year for patients on generic immunosuppression therapy: 44% answered ≥3 patient calls/day regarding confusion over immunosuppression therapy. Most TCs indicated increased workload since the introduction of generic immunosuppression therapy. TCs perceived “acute rejection rates,” “rate of graft loss,” and “poor patient adherence” as the three most likely consequences of multiple generic immunosuppression therapy. Conclusion. TCs associated availability of multiple generic immunosuppression therapy with increased patient confusion and time spent addressing patient concerns. |
| format | Article |
| id | doaj-art-f7f4533cf35c43babc7d2f917367d15d |
| institution | OA Journals |
| issn | 2090-0007 2090-0015 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Transplantation |
| spelling | doaj-art-f7f4533cf35c43babc7d2f917367d15d2025-08-20T02:22:55ZengWileyJournal of Transplantation2090-00072090-00152013-01-01201310.1155/2013/897434897434Transplant Coordinators' Perceived Impact of Availability of Multiple Generic Immunosuppression Therapies on Patients, Workload, and Posttransplant Maintenance TherapyK. Parker0E. A. Zagadailov1A. S. Bruno2A. M. Wiland3Division of Nephrology and Hypertension, Department of Internal Medicine, East Carolina University, Greenville, NC 27858, USADepartment of Global Health Economics and Outcomes Research, Xcenda, LLC, Palm Harbor, FL 34685, USADepartment of Global Health Economics and Outcomes Research, Xcenda, LLC, Palm Harbor, FL 34685, USADepartment of Medical Affairs, Novartis Pharmaceuticals Corporation, East Hanover NJ 07936, USABackground. No studies have evaluated the impact of multiple generic immunosuppression medications on transplant coordinators (TCs) and patients. Methods. A cross-sectional, multicenter online survey of TCs managing transplant recipients' outpatient immunosuppression was undertaken to assess TCs' perceptions of the impact of multiple generic immunosuppression therapies on patients and workload. Results. Forty-six of 106 transplant centers contacted (43%) completed the survey, with usable information from 34 TCs (53% in centers performing >100 solid organ transplants annually, 82% registered nurses, and 68% with >5-year experience working with transplant patients). TCs indicated that “change in strength,” “switching from branded to generics,” “heavy pill burden,” and “switching from one generic to another” were the four most frequent reasons for patient confusion regarding immunosuppression. TCs reported increased patient confusion over the previous year for patients on generic immunosuppression therapy: 44% answered ≥3 patient calls/day regarding confusion over immunosuppression therapy. Most TCs indicated increased workload since the introduction of generic immunosuppression therapy. TCs perceived “acute rejection rates,” “rate of graft loss,” and “poor patient adherence” as the three most likely consequences of multiple generic immunosuppression therapy. Conclusion. TCs associated availability of multiple generic immunosuppression therapy with increased patient confusion and time spent addressing patient concerns.http://dx.doi.org/10.1155/2013/897434 |
| spellingShingle | K. Parker E. A. Zagadailov A. S. Bruno A. M. Wiland Transplant Coordinators' Perceived Impact of Availability of Multiple Generic Immunosuppression Therapies on Patients, Workload, and Posttransplant Maintenance Therapy Journal of Transplantation |
| title | Transplant Coordinators' Perceived Impact of Availability of Multiple Generic Immunosuppression Therapies on Patients, Workload, and Posttransplant Maintenance Therapy |
| title_full | Transplant Coordinators' Perceived Impact of Availability of Multiple Generic Immunosuppression Therapies on Patients, Workload, and Posttransplant Maintenance Therapy |
| title_fullStr | Transplant Coordinators' Perceived Impact of Availability of Multiple Generic Immunosuppression Therapies on Patients, Workload, and Posttransplant Maintenance Therapy |
| title_full_unstemmed | Transplant Coordinators' Perceived Impact of Availability of Multiple Generic Immunosuppression Therapies on Patients, Workload, and Posttransplant Maintenance Therapy |
| title_short | Transplant Coordinators' Perceived Impact of Availability of Multiple Generic Immunosuppression Therapies on Patients, Workload, and Posttransplant Maintenance Therapy |
| title_sort | transplant coordinators perceived impact of availability of multiple generic immunosuppression therapies on patients workload and posttransplant maintenance therapy |
| url | http://dx.doi.org/10.1155/2013/897434 |
| work_keys_str_mv | AT kparker transplantcoordinatorsperceivedimpactofavailabilityofmultiplegenericimmunosuppressiontherapiesonpatientsworkloadandposttransplantmaintenancetherapy AT eazagadailov transplantcoordinatorsperceivedimpactofavailabilityofmultiplegenericimmunosuppressiontherapiesonpatientsworkloadandposttransplantmaintenancetherapy AT asbruno transplantcoordinatorsperceivedimpactofavailabilityofmultiplegenericimmunosuppressiontherapiesonpatientsworkloadandposttransplantmaintenancetherapy AT amwiland transplantcoordinatorsperceivedimpactofavailabilityofmultiplegenericimmunosuppressiontherapiesonpatientsworkloadandposttransplantmaintenancetherapy |