A study in the journal called Heart found that urine testing of patients with hypertension revealed that 25% were partially or totally nonadherent to treatment. Wow. How did they find this number? Well, they used a urine test available to commercial labs and tested 208 patients for 40 of the most common antihypertensive medications and their metabolites by performing high-performance liquid chromatography–tandem mass spectrometry of spot urine samples. So, once again, another study shows that at least 25% patients can be noncompliant. This is pretty consistent with others studies on the matter. So now what? Will there be a future where patients get blood work to see if they are taking their meds? Will we be firing those who fail that test? It is highly possible. I can see a time where docs, so blinded by the pay-for-performance numbers and quality indicators, fall victim to their hospital/insurance employers and start culling the herd of these noncompliant patients.
527400cookie-checkOne in Four Don’t Take Their Blood Pressure Medications