Doctors as well as patients need education to ensure adherence to treatment regimens

BMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7082.755 (Published 08 March 1997) Cite this as: BMJ 1997;314:755
  1. R J Postlethwaite, Consultant paediatric nephrologista,
  2. M A Lewis, Consultant paediatric nephrologista,
  3. N J A Webb, Consultant paediatric nephrologista,
  4. D M Eminson, Consultant child and adolescent psychiatristb
  1. a Royal Manchester Children's Hospital, Manchester M27 4HA
  2. b Bolton General Hospital, Farnworth BL4 0JR

    Editor—J S Lilleyman and L Lennard highlight the problem of non-adherence to chemotherapy in childhood leukaemia.1 They refer to similar problems in several other childhood conditions. Renal failure could well have been added to this list, because throughout the history of paediatric transplantation non-adherence to immunosuppressive regimens has been a major problem.2 3 We were reminded of this recently when three adolescents attending our weekly transplant clinic had unrecordable cyclosporin concentrations. This is 7% …

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