Management of adherence-based treatment. Consensus document – Clinical guidelines. English version [упРАВЛЕНИЕ ЛЕЧЕНИЕМ НА ОСНОВЕ пРИВЕРЖЕННОСТИ. КОНСЕНСуСНЫй ДОКуМЕНТ – КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ. АНГЛОЯзЫЧНАЯ ВЕРСИЯ]

Consensus Document «Management of adherence-based treatment» developed based on clinical guidelines of Russian Scientific Medical Society of Internal Medicine approved by the XIV National Congress of physicians (Moscow, 20 November 2019). The document is intended primarily to assess adherence to drug therapy, adherence to lifestyle modification, and adherence to medical support for patients who need long-term or permanent treatment. The document’s authors considered the treatment adherence unanimously as the compliance of the patient’s behavior with the recommendations received from the Doctor regarding medication, dieting, and other measures of lifestyle modifications. Insufficient adherence to treatment is a global problem. Assessing adherence as a basis for making medical decisions is an essential element of improving the quality of the healthcare system. Predictions of treatment outcomes cannot be considered effective if individualized levels of adherence are not used to justify project planning and evaluation. In medical practice, quantitative assessment of adherence is preferred, suitable for patients with various diseases, and with the possibility of automated data entry and processing. Therefore, sections on medical interventions based on the assessment of treatment adherence should be reflected in national clinical guidelines. These Joint Recommendations are based on these provisions. © Group of authors, 2021

Nikolaev N.A.1 , Martynov A.I. 2 , Skirdenko Yu.P.1 , Anisimov V.N. 3 , Vasilieva I.A.4 , Vinogradov O.I.5 , Lazebnik L.B.2 , Poddubnaya I.V.6 , Roitman E.V.7, 8 , Ageev F.T.9 , Andreev K.A.1 , Babicheva L.G.6 , Bunova S.S.10 , Viktorova I.A.1 , Volchegorskiy I.A.11 , Galyavich A.S. 12 , Gaus O.V.1 , Gomberg V.G.13 , Gorbenko A.V.1 , Drapkina O.M. 14 , Ershov A.V.15, 16 , Zyryanov S.K. 17 , Karpov R.S. 18, 19 , Kobalava Zh.D. 17 , Kolbasnikov S.V.20 , Kondratyeva K.O.3 , Konradi A.O. 21 , Livzan M.A.1 , Malyavin A.G. 2 , Mareev V.Yu.22 , Medvedeva I.V.23 , Mikhaylova N.B.24 , Moiseev S.V. 15 , Morozova O.L.15 , Napalkov D.A.15 , Nedoshivin A.O. 21 , Nelidova A.V.1, 25 , Nechaeva G.I.1 , Nikiforov V.S.26 , Pisklakov A.V.1 , Popov S.V. 18 , Ptushkin V.V.27, 28 , Rebrov A.P.29 , Sayfutdinov R.I.30 , Semiglazova T.Yu.3 , Sovalkin V.I.1 , Sovetkina N.V.13 , Terentiev V.P.31 , Totchiev G.F. 17 , Tumyan G.S.6, 32 , Fedorin M.M.1 , Fofanova T.V.9 , Shepel R.N.14 , Yagoda A.V.33 , Yakushin S.S.34
Stavropol State Medical University
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  • 1 Omsk State Medical University, Russian Federation
  • 2 A. I. Yevdokimov Moscow State University of Medicine and Dentistry, Russian Federation
  • 3 N. N. Petrov National Medical Research Center of Oncology, Saint Petersburg, Russian Federation
  • 4 National Medical Research Center of Tuberculosis and Infectious Diseases, Moscow, Russian Federation
  • 5 N. I. Pirogov National Medical and Surgical Center, Moscow, Russian Federation
  • 6 Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation
  • 7 N. I. Pirogov Russian National Research Medical University (Pirogov Medical University), Moscow, Russian Federation
  • 8 Research Center of Neurology, Moscow, Russian Federation
  • 9 National Medical Research Center of Cardiology, Moscow, Russian Federation
  • 10 Belgorod National Research University, Russian Federation
  • 11 South-Ural State Medical University, Chelyabinsk, Russian Federation
  • 12 Kazan State Medical University, Russian Federation
  • 13 Medical-Social Geriatric Center, Saint Petersburg, Russian Federation
  • 14 National Research Center for Preventive Medicine, Moscow, Russian Federation
  • 15 I. M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation
  • 16 V. A. Negovsky Research Institute of General Reanimatology, Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russian Federation
  • 17 Peoples’ Friendship University of Russian, Moscow, Russian Federation
  • 18 Tomsk National Research Medical Center, Russian Academy of Sciences, Russian Federation
  • 19 Siberian State Medical University, Tomsk, Russian Federation
  • 20 Tver State Medical University, Russian Federation
  • 21 V. A. Almazov National Medical Research Centre, Saint Petersburg, Russian Federation
  • 22 M. V. Lomonosov Moscow State University, Russian Federation
  • 23 Tyumen State Medical University, Russian Federation
  • 24 I. P. Pavlov First State Medical University, Saint Petersburg, Russian Federation
  • 25 City Clinical Cardiology Hospital, Omsk, Russian Federation
  • 26 I. I. Mechnikov, North-Western State Medical University, Saint Petersburg, Russian Federation
  • 27 S. P. Botkin City Clinical Hospital, Moscow, Russian Federation
  • 28 Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russian Federation
  • 29 V. I. Razumovsky Saratov State Medical University, Russian Federation
  • 30 Orenburg State Medical University, Russian Federation
  • 31 Rostov State Medical University, Rostov-on-Done, Russian Federation
  • 32 N. N. Blokhin National Medical Research Center of Oncology, Moscow, Russian Federation
  • 33 Stavropol State Medical University, Russian Federation
  • 34 I. P. Pavlov Ryazan State Medical University, Russian Federation
Adherence; Drug therapy; Lifestyle modification; Medical support; Quantitative assessment; Treatment management
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