[Adherence in patients with chronic treatment: data of "adherence day 2013"].

: Objetivo: Conocer el nivel de adherencia en pacientes en tratamiento cronico que acudieron al hospital el 15 de noviembre del 2013 en el marco del “dia de la adherencia” Metodos: Estudio trasversal, observacional, multicentrico, realizado en 43 hospitales nacionales, para conocer el nivel de adherencia utilizando los cuestionarios de Haynes- Sackett y Morisky- Green, ademas de una escala analogica visual y preguntas relacionadas con la complejidad del tratamiento y la adherencia selectiva. Se realizo un analisis descriptivo y se calculo la concordancia entre los distintos metodos. Resultados: Se recogieron 723 encuestas principalmente en el area de pacientes externos, siendo el 43% de las encuestadas mujeres, con una mediana de edad de 51 anos y tomando 3 medicamentos al dia. Segun el test de Haynes- Sackett, el 10,8% de los pacientes refirieron tener dificultades para tomar su tratamiento. En cambio, un 56,4% de los pacientes fueron cumplidores totales segun el cuestionario de Morisky- Green, aunque al considerar unicamente la pregunta relacionada con la omision de la toma, eran adherentes un 77% de los pacientes. Al aplicar la escala analogica visual, el 71% de los pacientes considero su adherencia como buena, superior al 80%. Y un 11% de los pacientes presentaron una adherencia selectiva, refiriendo no tomar por igual todos los farmacos. El test de concordancia entre los distintos cuestionarios, considerando el cuestionario de Morisky- Green como Gold estandar, fue debil. Conclusion: En nuestro estudio solamente un 56% de los pacientes en tratamiento cronico presentaron un nivel de adherencia total o perfecto. METHODS: We performed a transversal, observational and multicenter study at 43 Spanish hospitals, in order to estimate adherence in chronic treatments. We used the validated questionnaires Haynes- Sackett and Morisky- Green to measure medication adherence; but also a visual analogue scale and questions related with treatment complexity and selective adherence were applied. We performed a descriptive analysis and the closeness of agreement between questionnaires results. RESULTS: A total of 723 surveys were collected especially among outpatients. 43% of the participants were women, with a median age of 51 and taking 3 drugs per day. 10.8% of the patients reported to have difficulty taking their pills according to Haynes- Sackett test. However, depending on Morisky- Green questionnaire, 56.4% of the participants were totally compliant; but considering only the question about forgetfulness, more were adherents (77%). 71% of the patients considered their compliance level as good (more than 8) according to visual analogue scale. And 11% presented a selective adherence, no taking equally well all the medications. The closeness of agreement between questionnaires and Morisky- Green test, as gold standard, was poor for Haynes- Sackett and weak for visual analogue scale. CONCLUSIONS: In our study only 56% of the patients with chronic treatment had a perfect adherence.