Noncompliance: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Noncompliance

Status Epilepticus

[…] in favor of using a first-line AEM such as valproate or carbamazepine, or preferably the AEM that previously proved efficacious in a patient with known epilepsy who was noncompliant [ncbi.nlm.nih.gov]

Principal causes of GCSE are antiepileptic drug withdrawal or noncompliance, metabolic disturbances, drug toxicity, CNS infections, CNS tumors, refractory epilepsy, and head [accessmedicine.mhmedical.com]

Bronchial Asthma

A meta-analysis by DiMatteo et al [ 50 ] revealed that patients with a chronic disease and depression were three times more likely to be noncompliant with medical treatment [doi.org]

Depression is a risk factor for noncompliance with medical treatment: meta analysis of the effects of anxiety and depression on patient adherence. [ncbi.nlm.nih.gov]

View Article Google Scholar DiMatteo MR, Lepper HS, Croghan TW: Depression is a risk factor for noncompliance with medical treatment: meta analysis of the effects of anxiety [doi.org]

Schizophrenia

Long-term use can develop dependence and put the patient at risk if they are noncompliant. [emedicine.medscape.com]

Neuroleptic noncompliance in schizophrenia. In: C.A. Tamminga & S.C. Schulz (red.). [directievetherapie.nl]

If a patient is noncompliant with his/her medication, you might be able to give them their regularly prescribed doses of antipsychotics. [emedicine.medscape.com]

Chronic Alcoholism

Clients must occasionally be discharged as noncompliant, which reinforces to the chronic relapser that he/she can no longer successfully live on self will. [addictionpro.com]

While treatment requires constantly challenging this resistance, noncompliant behavior that persists beyond a reasonable amount of time or begins to interfere with others' [addictionpro.com]

Acne Vulgaris

TABLE 1 Patient demographics and disposition ENROLLED, N 97 COMPLETED STUDY, N 91 (4 noncompliant, 1 lost to follow-up, 1 protocol violation) MEAN AGE, YEARS 18.4 years (SD [ncbi.nlm.nih.gov]

Rosenberg M, Waugh MS: Causes and consequences of oral contraceptive noncompliance. Am J Obstet Gynecol 1999; 180: 276–9. MEDLINE 5. [doi.org]

Obesity

Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg 2005 ;15: 546 - 551 Citing Articles (1519) Letters Article Figures/Media [dx.doi.org]

Correcting for noncompliance and dependent censoring in an AIDS clinical trial with inverse probability of censoring weighted (IPCW) log-rank tests. [dx.doi.org]

Hyperlipidemia

Overestimation of the actual ingested dosage may occur due to some degree of noncompliance. [journals.plos.org]

Morbid Obesity

Morbid obesity is associated with liver pathology, most commonly non-alcoholic steatohepatitis (NASH) leading to cirrhosis. However, the morbid obesity impedes qualification for organ transplantation. We present a case report of a 56-year-old woman who underwent bariatric procedure followed by liver transplantation[…] [ncbi.nlm.nih.gov]

Adjustment Reaction of Adolescence

الصفحة 224 - Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following: ( 1 ) Efforts to avoid thoughts, feelings, or conversations associated with the trauma. ‏ الصفحة 290 - ... an amount of[…] [books.google.com]

Drug Dependence

Addict Behav. 2016 Dec;63:72-3. doi: 10.1016/j.addbeh.2016.07.004. Epub 2016 Jul 8. Author information 1 University of Maryland, College Park, Department of Psychology, 2103 Cole Student Activities Building, College Park, MD 20742-4411, USA. Electronic address: aninn@umd.edu. 2 Center for Alcohol and Addiction Studies, Brown[…] [ncbi.nlm.nih.gov]

Addictive Behavior

The ventral striatum has been assigned a major role in addictive behavior. In addition, clinical lesion studies have described involvement of the insula and globus pallidus. To the best of our knowledge, this is the first report of alleviation of alcohol and nicotine addiction after a cerebrovascular incident in the[…] [ncbi.nlm.nih.gov]

Long QT Syndrome 5

Data from 2 large studies64,65 indicate that mortality is 0.5% and sudden death combined with cardiac arrest reaches 1%. β-Blocker noncompliance and use of QT-prolonging drugs [ahajournals.org]

High efficacy of beta-blockers in long-QT syndrome type 1: contribution of noncompliance and QT-prolonging drugs to the occurrence of beta-blocker treatment “failures”.Circulation [ahajournals.org]

Chronic Pulmonary Edema

CPE can occur in patients with hemodialysis-dependent renal failure, often as a result of noncompliance with dietary restrictions or noncompliance with hemodialysis sessions [emedicine.medscape.com]

[…] pressures due to poor forward flow due to: a) No atrial contribution to ventricular filling, and b) A rate too rapid for ventricular filling, this patient who has a stiff and noncompliant [hqmeded-ecg.blogspot.com]

Stage 3 In stage 3, as fluid filtration continues to increase and the filling of loose interstitial space occurs, fluid accumulates in the relatively noncompliant interstitial [emedicine.medscape.com]

Long QT Syndrome 15

Beta blockers need to be taken daily and the failure to do so (noncompliance) by affected individuals can lead to the development of symptoms including sudden death. [rarediseases.org]

Restrictive Cardiomyopathy

Restrictive cardiomyopathy is characterized by noncompliant ventricular walls that resist diastolic filling; one (most commonly the left) or both ventricles may be affected [merckmanuals.com]

Circ Res 121:819–837, 2017. doi: 10.1161/CIRCRESAHA.117.310982 In restrictive cardiomyopathy, endocardial thickening or myocardial infiltration leads to a rigid, noncompliant [msdmanuals.com]

The main hemodynamic consequence is diastolic dysfunction with a rigid, noncompliant ventricle, impaired diastolic filling, and high filling pressure, leading to pulmonary [merckmanuals.com]

Functional Encopresis

Coexisting behavior problems are a predictor of poor outcome in toilet-training protocols. 19 Disruptive behavior and childhood noncompliance across multiple settings (e.g [aafp.org]

*If the child is noncompliant with adult instructions, the physician may refer the family to a pediatric psychologist familiar with compliance training techniques. [freeprintablebehaviorcharts.com]

Disruptive behavior and childhood noncompliance across multiple settings (e.g., dressing, bath time, bedtime) require direct attention before toilet training is attempted. [cpcwecare.com]

Hypertensive Crisis

Med noncompliance in baseline hypertensive pts - probably the most common cause, especially if pts are on drugs like clonidine, metoprolol that can have rebound effect when [errolozdalga.com]

[…] damage to organs Emergency —extremely high blood pressure which has caused damage to organs There are many causes for hypertensive crisis and they can include: Medication noncompliance [hiacode.com]

Medication nonadherence — Use of monoamine oxidase inhibitor — Recreational drug use — Acute postoperative hypertension Risk factors Ineffective outpatient BP control Patient noncompliance [clinicaladvisor.com]

Angiokeratoma Corporis Diffusum with Arteriovenous Fistulas

Pulmonary arteriovenous fistula: diagnosis and prognosis in noncompliant patient. Am Rev Respir Dis, 100 (1969), pp. 177-188 [9.] J.R. Gossage, G. Kang. [archbronconeumol.org]

Compliance Problem

[…] the significance placed on obtaining jurisdiction over the North Pole, and given recent violations of the norms of the Law of the Sea Convention, some experts see risks of noncompliance [unclosdebate.org]

Boards and executives must guard against unintentional noncompliance. Ensure that regulatory compliance functions are internally challenged and regularly updated. [corporatecomplianceinsights.com]

These incentives are for regulated entities that voluntarily discover, promptly disclose and expeditiously correct noncompliance, making formal EPA investigations and enforcement [epa.gov]

Amelogenesis Imperfecta Type 2A1

Along with poor oral hygiene, factors such as patient noncompliance affect the prognosis of prosthetic treatment.4 Esthetic crowns are sometimes used to compensate for soft [aegisdentalnetwork.com]

Deprivation Amblyopia

One RCT including five patients with SDA was found, but it had investigated the effectiveness of an educational program on the predictors of noncompliance to occlusion therapy [cochranelibrary.com]

Pectus Carinatum

Expert opinion suggests that the noncompliant chest wall deformity or significant asymmetry of the pectus carinatum deformity caused by a concomitant excavatum-type deformity [physio-pedia.com]

Ultrasonography

[…] flushing pressure tubing and arterial catheter Nonabsorbable nylon or silk suture (eg, 3-0 or 4-0) Chlorhexidine patch, transparent occlusive dressing Arterial line tubing (noncompliant [merckmanuals.com]

Amelogenesis Imperfecta Type 1H

Along with poor oral hygiene, factors such as patient noncompliance affect the prognosis of prosthetic treatment.4 Esthetic crowns are sometimes used to compensate for soft [aegisdentalnetwork.com]

Accommodative Esotropia

Due to behavior problems there was poor adaptation to the glasses thus noncompliance with full-time wear. [aaopt.org]

Deterioration of control of esotropia is greater in patients with a high AC/A ratio, earlier age of onset, and amblyopia. [3] Delay in treatment and noncompliance with treatment [eyewiki.aao.org]

LASIK as an alternative line to treat noncompliant esotropic children. Clin Ophthalmol 2011 ; 5: 1795 – 801. [journals.sagepub.com]

Diabetic Ketotic Coma

growth hormone, catecholamine) results in hyperglycemia and ketonemia Most common in type I diabetes Precipitated by infections MI drugs (steroids, thiazide diuretics) noncompliance [medbullets.com]

The most common precipitating factor is infection, followed by noncompliance with insulin therapy. 3 While insulin pump therapy has been implicated as a risk factor for DKA [aafp.org]

Recent studies have emphasized the importance of noncompliance and psychological factors in the incidence of DKA. [spectrum.diabetesjournals.org]

Auricular Hematoma

Conventional pressure dressings applied over the auricle make it impossible for the athlete to continue to train and to compete, resulting in a high degree of noncompliance [ncbi.nlm.nih.gov]

Drug Fever

[…] had been stable under an immunosuppressive regimen of tacrolimus and mycophenolate mofetil, but developed acute cellular rejection at 5 years after transplantation due to noncompliance [ncbi.nlm.nih.gov]

Isoniazid Hepatitis

For high-risk individuals who are likely to be noncompliant and whose prophylactic therapy needs to be directly observed, a dose of 15 mg/kg twice weekly, to a maximum of [rxmed.com]

Of the 146 participants, 24 (16%) were noncompliant. [academic.oup.com]

Furthermore, none of the studies formally accounted for medication noncompliance, which is prevalent in patients with TB. [journals.plos.org]

Mauriac Syndrome

Improved insulin therapy in the last decades has led to the near disappearance of this syndrome, but poor metabolic control is still frequently observed due to continued noncompliance [ntvg.nl]

[…] had a history of type I diabetes mellitus (T1DM) diagnosed since 5 years of age with the patient having multiple hospital admissions for diabetic ketoacidosis secondary to noncompliance [hindawi.com]

Although the prevalence of poor glycemic control from noncompliance with insulin administration among patients with type 1 diabetes is common, chronic severe hepatomegaly [diabetes.diabetesjournals.org]