<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2254-2884</journal-id>
<journal-title><![CDATA[Enfermería Nefrológica]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm Nefrol]]></abbrev-journal-title>
<issn>2254-2884</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Nefrológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2254-28842023000400006</article-id>
<article-id pub-id-type="doi">10.37551/s2254-28842023033</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adherencia al tratamiento en pacientes con trasplante renal y su relación con los niveles plasmáticos de inmunosupresores]]></article-title>
<article-title xml:lang="en"><![CDATA[Adherence to treatment in renal transplant patients and its relationship with plasma levels of immunosuppressants]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Argüeso-Gómez]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigo-Calabia]]></surname>
<given-names><![CDATA[Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pelayo-Alonso]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Cos-Cossío]]></surname>
<given-names><![CDATA[Mª Ángeles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Marqués de Valdecilla-IDIVAL  ]]></institution>
<addr-line><![CDATA[Santander ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>26</volume>
<numero>4</numero>
<fpage>344</fpage>
<lpage>350</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842023000400006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842023000400006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842023000400006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La adherencia al tratamiento inmunosupresor en los pacientes trasplantados renales es un factor clave para la supervivencia del injerto, así como para la calidad de vida de estos pacientes.  Objetivo: Analizar la adherencia terapéutica de los pacientes con trasplante renal y su relación con el nivel plasmático de inmunosupresores.  Material y Método: Se realizó un estudio observacional, descriptivo, transversal, en una población de trasplantados renales entre diciembre 2021 y enero 2022, del Servicio de Nefrología del Hospital Universitario Marqués de Valdecilla. Para determinar la adherencia al tratamiento inmunosupresor se utilizó el cuestionario simplificado de adherencia a la medicación (SMAQ). Se recogieron otras variables socio-clínicas: edad, sexo, tiempo transcurrido desde el último trasplante, trasplantes renales previos, tipo de trasplante (renal o combinado), nefropatía de base, niveles de inmunosupresores en sangre, inmunosupresor pautado y número total de medicamentos prescritos. En los pacientes con tacrolimus e ImTOR se recogieron niveles de las últimas 5 analíticas, y se calculó la desviación estándar y el coeficiente de variabilidad.  Resultados: Se estudiaron 100 pacientes: 7% trasplante combinado riñón-páncreas, 92% tacrolimus como inmunosupresor principal, no adherentes el 29% (sin diferencias por sexo). No se encontraron diferencias estadísticamente significativas entre los niveles de inmunosupresores en sangre y la adherencia al tratamiento inmunosupresor, ni para la totalidad, ni por subgrupos.  Conclusiones: La tasa de no adherentes en nuestra muestra es del 29%. No hemos encontrado una asociación estadísticamente significativa entre los niveles de inmunosupresores en sangre y la adherencia al tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Adherence to immunosuppressive treatment in renal transplant patients is a crucial factor for graft survival and the quality of life of these patients.  Objective: To analyze the therapeutic adherence of renal transplant patients and its relationship with the plasma level of immunosuppressants.  Material and Method: An observational, descriptive, cross-sectional study was conducted on a population of renal transplant recipients between December 2021 and January 2022 at the Nephrology Department of Marqués de Valdecilla University Hospital. The simplified medication adherence questionnaire (SMAQ) was used to determine adherence to immunosuppressive treatment. Other socio-clinical variables were collected, including age, gender, time since the last transplant, previous renal transplants, type of transplant (renal or combined), underlying nephropathy, blood levels of immunosuppressants, prescribed immunosuppressant, and the total number of prescribed medications. For patients on tacrolimus and mTOR inhibitors, the levels of the last five laboratory tests were recorded, and the standard deviation and coefficient of variability were calculated.  Results: A total of 100 patients were studied: 7% had combined kidney-pancreas transplants, 92% used tacrolimus as the main immunosuppressant, and 29% were non-adherent (with no gender differences). No statistically significant differences were found between blood levels of immunosuppressants and adherence to immunosuppressive treatment, either overall or in subgroups.  Conclusions: The non-adherence rate in our sample is 29%. We did not find a statistically significant association between blood levels of immunosuppressants and treatment adherence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trasplante de riñón]]></kwd>
<kwd lng="es"><![CDATA[agentes inmunosupresores]]></kwd>
<kwd lng="es"><![CDATA[adherencia a los medicamentos]]></kwd>
<kwd lng="es"><![CDATA[estudio observacional]]></kwd>
<kwd lng="en"><![CDATA[kidney transplant]]></kwd>
<kwd lng="en"><![CDATA[immunosuppressive agents]]></kwd>
<kwd lng="en"><![CDATA[medication adherence]]></kwd>
<kwd lng="en"><![CDATA[observational study]]></kwd>
</kwd-group>
</article-meta>
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