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Table 4 Influence of factors on adherence for factors that were analyzed in more than one study

From: Factors influencing adherence in Hepatitis-C infected patients: a systematic review

Factor

Study

Effect on adherence (effect direction or compared categories; effect size; p-value)

Age

Marcellin 2011 [8]*

NR ; NR; > 0.05

Sola [24]*

NR; NE; 0.01#

Sylvestre [25]*# (years)

< 55 vs. ≥ 55; RR = 2.38; 1.49 to 3.80

Tanioka [26]

NR; NR; 0.59

Wagner [27]*#

NR; NR; 0.59

Alcohol consumption

Marcellin 2011 [8]* ≥20 g/day (baseline and follow-up)

NR; NR; > 0.05

Sola [24]*

NR; NR; > 0.05

Depression

Lo Re [4] (bipolar/depression)

Yes vs. no; OR = 1.00; 0.945

Martín-Santos 2008 [22] (depression and anxiety)# [Patient Health Questionnaire]

Yes vs. no; MD = -13%; 0.02

Rodis [23]

Positive associated with adherence indicators

Wagner [27]*#

Yes vs. no; OR = 0.48; 0.16 to 1.40

Drug use

Marcellin 2011 [8]*

Yes vs. No; OR = 0.42; 0.23 to 0.77

Sola [24]*

NR; NR; > 0.05

Sylvestre [25]*# (regular cocaine/methamphetamin)

Yes vs. no; MD = -1%; > 0.05

Yes vs. no; MD = -20%; 0.10

Regular vs. none, rarely, intermittent; MD = -48%; 0.03

Wagner [27]*#

Yes vs. no; OR = 1.42; 0.27 to 7.52

Education

Marcellin 2011 [8]* (not specified)

Low vs. high; OR# = 0.99; 0.80 to 1.23

Wagner [27]*#

Any college vs. others; OR = 1.75; 0.60 to 5.11

Employment status

Marcellin 2011* [8]

Unemployed vs. others; OR# = 1.01; 0.75 to 1.37

Wagner [27]*#

Yes vs. no; OR = 0.61; 0.20 to 1.81

Ethnic group

Sylvestre [25]*#

NR; NR; 0.2

Wagner [27]*#

African American vs. others; OR = 0.50; 0.16 to 1.51

Gender

Giannelli [21]

Male vs. female; OR# = 2.44; 1.41 to 4.22

Marcellin 2011* [8]

NR; NR; > 0.05

Sola [24]*

NR; NR; > 0.05

Sylvestre [25]*#

NR; NR; 0.4

Tanioka [26]

Male vs. female; RR = 2.01; 1.07 to 3.79

Wagner [27]*#

Male vs. female; OR = 0.85; 0.08 to 8.74

Genotype

Marcellin 2011* [8]

3 vs. 1; OR = 1.55; 1.20 to 2.01

Sola [24]*

1 or 4 vs. 2 or 3; OR = 2.6; 1.1 to 6.7

Sylvestre [25]*#

2 or 3 (24 weeks treatment) vs. 1 (48 weeks treatment); MD = 23%; 0.07

Tanioka [26]

2 vs. 1; RR = 1.84; 1.10 to 3.09

Wagner [27]*#

1 or 4 vs. other; OR = 0.81; 0.25 to 2.66

Haemoglobin level

Sola [24]*

>14.9 g/dl vs. < 14.9 g/dl; OR = 3.3; 1.4 to 8.1

Tanioka [26]

≥ 14 vs. < 14; RR = 1.50; 0.85 to 2.64

Hepatitis-C virus RNA

Marcellin 2011* [8]

NR; NR; > 0.05

Sola [24]*

NR; NR; > 0.05

Tanioka [26]

< 100 vs. ≥100; RR# = 0.49; 0.18 to 1.34

Wagner [27]*#

<800,000 vs. other; OR = 1.03; 0.35 to 3.01

HIV co-infection

Marcellin 2011* [8]

Yes vs. no; OR = 2.52; 1.36 to 4.67

Sola [24]*

NR; NR; > 0.05

Medication dose interferon

Marcellin 201* [8] (Peg-Interferon)

Positive; NE; 0.003#

Tanioka [26] (million units/kg)

< 0.13 vs. ≥ 0.13; RR = 2.42; 1.52 to 3.85

Medication dose ribavirin

Giannelli [21]

Negative; NR; < 0.05

Marcellin 201* [8]

Negative; NE; 0.097#

Tanioka [26] (mg/kg)

< 11 vs. ≥11; RR# = 1.12; 0.75 to 1.81

Metavir activity

Marcellin 2011* [8]

NR; NR; > 0.05

Sola [24]* (Score)

NR; NR; > 0.05

Psychiatric disorder

Lo Re [4]

Yes vs. no; OR = 0.99; 0.226

Marcellin 2011 [8]* (baseline and follow up)

NR; NR; > 0.05

Sylvestre [25]*#

Yes vs. no; MD = to -8%; > 0.05

Wagner [27]*#

Yes vs. no; OR = 0.25; 0.08 to 0.76

Treatment experience

Lo Re [4] (duration)

Decline per 12 weeks; mean = 0.001

Marcellin 2011 [8]* (intended duration)

Negative; NE; <0.001#

Tanioka [26]

Retreatment vs. naive; RR = 1.86; 1.15 to 3.01

Weight

Marcellin 2011 [8]*

NR; NR; > 0.05

Sola [24]*

NR; NR; > 0.05

Tanioka [26] (kg/BMI)

≥ 60 vs. < 60; RR = 1.09; 0.63 to 1.89

NR; RR# = 1.11; 0.73 to 1.69

  1. NE: not reported and not estimable (e.g. continuous variable); NR: not reported; OR: odds ratio; RR: relative risk; *Analysis based on combined adherence rates for interferon and ribavirin; #univariate; wording according to publication.