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Adherence was assessed using collateral reports \u2013 a combination of patients' self\u2010evaluation and an estimate by their nephrologist. The patients provided sociodemographic and medical data and completed the End\u2010Stage Renal Disease Symptom Checklist and Multidimensional scale of perceived social support. At follow\u2010up (average 7\u00b71\u00a0years), data on patients and graft survival were obtained. All data were collected from 2002\u20132013. Multinomial regression analysis and Cox regression were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 297 patients (48\u00b71 (12\u00b78)\u00a0years, 61\u00b76% men) agreed to participate (response rate 91\u00b74%); 67\u00b74% were considered as fully adherent. Poor adherence was associated with higher risk of graft loss and mortality over 12\u00a0years. Female sex, higher education, higher perceived side effects of corticosteroids, better perceived cardiac and renal function and higher perceived family social support in the first year posttransplantation were associated with full adherence to immunosuppressive treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with poor adherence to the immunosuppressive medication in the first year after kidney transplantation showed increased likelihood of graft loss and death over 12\u00a0years compared with the adherent patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12447","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T01:07:05Z","timestamp":1400807225000},"page":"2871-2883","source":"Crossref","is-referenced-by-count":82,"title":["Adherence in patients in the first year after kidney transplantation and its impact on graft loss and mortality: a cross\u2010sectional and prospective study"],"prefix":"10.1111","volume":"70","author":[{"given":"Lucia","family":"Prihodova","sequence":"first","affiliation":[{"name":"Graduate School Kosice Institute for Society and Health Medical Faculty Safarik University Kosice Slovak Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iveta","family":"Nagyova","sequence":"additional","affiliation":[{"name":"Graduate School Kosice Institute for Society and Health Medical Faculty Safarik University Kosice Slovak Republic"},{"name":"Institute of Public Health \u2013 Department of Social Medicine Medical Faculty Safarik University Kosice Slovak Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaroslav","family":"Rosenberger","sequence":"additional","affiliation":[{"name":"Graduate School Kosice Institute for Society and Health Medical Faculty Safarik University Kosice Slovak Republic"},{"name":"Nephrology and Dialysis Center Fresenius Kosice Slovak Republic"},{"name":"Transplantation Department University Hospital L. 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