Table 3.
Quantitative analysis | Qualitative analysis | ||||
---|---|---|---|---|---|
WHO complex | Factor | Association found | No association found | Non-adherent patients | All patients |
Condition | Comorbidity | Westborg et al. [55] | McGrath et al. [52]1, Polat et al. [15] | Droege et al. [14], Gillies et al. [49], Heimes et al. [50], Krüger Falk et al. [51], Nunes et al. [53], Polat et al. [15], Weiss et al. [16] | Polat et al. [15]2 |
Fellow eye | Ehlken et al. [48]3 | Polat et al. [15] | |||
Lower VA at baseline | Ehlken et al. [17], Oishi et al. [54], Polat et al. [15], Westborg et al. [55] | Baxter et al. [57] | |||
VA change (subj. or obj.) | Oishi et al. [54], Polat et al. [15], Weiss et al. [16], Ziemssen et al. [56] | Boulanger-Scemama et al. [13], Gillies et al. [49], McGrath et al. [52]4, Nunes et al. [53], Polat et al. [15], Weiss et al. [16], Westborg et al. [55] | Boyle et al. [2], Sii et al. [58], Kostadinov et al. [59], Mueller et al. [20] | ||
Health system | Center-dependent | Ehlken et al. [17], Heimes et al. [50], Westborg et al. [55], Ehlken et al. [48] | Krüger Falk et al. [51], Nunes et al. [53], Polat et al. [15], Weiss et al. [16] | ||
Patient | Anxiety, fear | Droege et al. [14]5 | Polat et al. [15] | Boyle et al. [2], Droege et al. [60], Müller et al. [61], Senra et al. [62], Sii et al. [58], Kostadinov et al. [59] | |
Motivation, knowledge, expectations | Droege et al. [14], Krüger Falk et al. [51], Weiss et al. [16], Westborg et al. [55] | Boyle et al. [2], Müller et al. [61], Sii et al. [58] | |||
Socio-economic | Education | Polat et al. [15] | |||
Age | Boulanger-Scemama et al. [13], Ehlken et al. [17], Oishi et al. [54]6, Polat et al. [15], Ehlken et al. [48] | ||||
Travel, distance to treatment | Boulanger-Scemama et al. [13], McGrath et al. [52], Polat et al. [15] | Boulanger-Scemama et al. [13], Heimes et al. [50], Nunes et al. [53], Polat et al. [15], Weiss et al. [16] | Droege et al. [60] | ||
Financial burden, reimbursement | Boulanger-Scemama et al. [13], McGrath et al. [52], Polat et al. [15], Weiss et al. [16], Ziemssen et al. [56] | Kostadinov et al. [59] | |||
Therapy | Type of drug | Westborg et al. [55]7 | Curtis et al. [47]7, Gillies et al. [49]7 | ||
Fear of adverse events | Atchison et al. [46], Krüger Falk et al. [51], Weiss et al. [16], Westborg et al. [55], Ziemssen et al. [56] | Boyle et al. [2], Droege et al. [60], Kostadinov et al. [59], Mueller et al. [20] | |||
Treatment regimen, follow-up burden | Ehlken et al. [48] | Boulanger-Scemama et al. [13], Krüger Falk et al. [51] | Droege et al. [60], Müller et al. [61], Senra et al. [62] |
1Comorbidity was associated with less non-adherence in this study from Australia
2Comorbidity identified as relevant in interviews, but not identified as factor in statistical analysis
3Treatment-dependent AMD in fellow eye associated with higher risk for NA
4Patients with a subjective good vision had a higher risk of stating that IVT is not needed despite recommendation from their attending ophthalmologist
5No correlation with number of injections was found in this study
6In this study, lower age was associated with non-adherence, although this was not true in bivariate analysis
7[55]: More NA in patients treated with ranibizumab than aflibercept. [47, 49]: No difference between ranibizumab and bevacizumab or aflibercept and ranibizumab