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ASN leads the fight to prevent, treat, and cure kidney diseases throughout the world by educating health professionals and scientists, advancing research and innovation, communicating new knowledge, and advocating for the highest quality care for patients.

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Kidney Week

Clinical Practice Session

Adherence and Hypertension: Can Antihypertensives Work in Patients Who Don't Take Them?

November 09, 2019 | 02:00 PM - 04:00 PM

Location: 202, Walter E. Washington Convention Center

Session Description

Nonadherence is a huge issue, especially in hypertension. Research suggests there is unintentional nonadherence (e.g., forgetfulness) that can be detected by calling the pharmacy or counting pills, but intentional nonadherence is a different phenotype. Direct measures of adherence, such as therapeutic drug monitoring or directly observed therapy, are being used more commonly. Patient viewpoint is also important; this is not a “blame the patient” area. Clinicians need to understand and develop effective strategies.

Learning Objective(s)

  • Explain the importance of nonadherence in the diagnosis and management of hypertension
  • Describe the accuracy and logistics of different measures of nonadherence
  • Discuss the patient viewpoint on why nonadherence occurs
  • Develop strategies to address nonadherence

Learning Pathway(s)

  • Hypertension and CVD
  • Chronic Kidney Disease


  • Vimal K. Derebail, MD, MPH, FASN
  • James M. Luther, MD, FASN


  • The Spectrum of Nonadherence in Hypertension
    02:00 PM - 02:30 PM
    Sandra J. Taler, MD 
  • The Phenotype of Intentional Nonadherence and the Role of Direct Measurement
    02:30 PM - 03:00 PM
    Marcel Ruzicka, MD, PhD 
  • Nonadherence: A Patient Viewpoint
    03:00 PM - 03:30 PM
    Gabi Morales 
  • Self-Monitoring and Adherence
    03:30 PM - 04:00 PM
    Richard James Magnus McManus, MA, MBBS, PhD