Evidence map›Paper›PMID 41850618›Full record

ReviewClinical medicine (London, England)2026

Medication non-adherence and apparent treatment-resistant hypertension.

Sian Jenkins, Thejashwini Mahadevaswamy, Hanad Osman, Pankaj Gupta

Abstract readReview
In one paragraph

Review in Clinical medicine (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sian JenkinsSchool of Psychology and Vision Sciences, University of Leicester, Leicester, England, United Kingdom.
Thejashwini MahadevaswamyChemical Pathology and Metabolic Medicine, University Hospitals of Leicester, Leicester, England, United Kingdom. Electronic address: thejashwini.mahadevaswamy@nhs.net.
Hanad OsmanPopulation Health Sciences, University of Leicester, Leicester, England, United Kingdom.
Pankaj GuptaCardiovascular Sciences, University of Leicester, Leicester, England, United Kingdom. Electronic address: pg118@leicester.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication adherence refers to the extent to which a person's medication-taking behaviour corresponds with agreed recommendations from their clinician. Research shows that more than one-third of patients are non-adherent to their prescribed medications. Non-adherence is particularly significant in hypertension, as it complicates chronic disease management and may result in apparent treatment-resistant hypertension (aTRH), in which blood pressure remains uncontrolled despite appropriate pharmacological therapy and lifestyle measures. It is therefore important to assess adherence routinely, as non-adherence is one of the leading causes of aTRH. This article outlines a practical approach to recognising and assessing non-adherence using objective chemical adherence testing, and to managing medication non-adherence through non-judgemental, patient-centred discussion. Identifying non-adherence is vital, as failure to do so may lead to unnecessary treatment escalation, inappropriate investigations and avoidable healthcare costs, while addressing it can support and improve patient-centred outcomes.

Indexed as

Antihypertensive AgentsHypertensionMedication AdherenceAdherence InterventionsDrug ResistanceHumansAntihypertensive AgentsApparent treatment-resistant hypertensionChemical adherence testingLearning objectivesMedication adherence

Identifiers

PMID41850618
PMCPMC13096958

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.