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Quantifying the impact of non-adherence to drug therapy: a technical note concerning an application of a branch and bound algorithm

Smith, D.; Pagel, C.; Utley, M.; Gallivan, S.; (2008) Quantifying the impact of non-adherence to drug therapy: a technical note concerning an application of a branch and bound algorithm. Health Care Management Science , 11 (3) pp. 302-305. 10.1007/s10729-007-9047-2. Green open access

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Abstract

Pharmacokinetic models typically rely on a key assumption that patients take their medication as prescribed, whereas this is often not the case. We present a branch and bound algorithm that can be used to estimate the time-varying probability that, given a specified pattern of non-adherence to a prescribed regimen, a patient receives no therapeutic benefit from treatment. Use of this algorithm is a much faster method for obtaining this probability than exhaustive computation of the relevant probability distribution. The use of this algorithm to assess, in quantitative terms, the impact of non-adherence on the effectiveness of treatment provides a rational basis for evaluating the potential harm to patients.

Type: Article
Title: Quantifying the impact of non-adherence to drug therapy: a technical note concerning an application of a branch and bound algorithm
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10729-007-9047-2
Publisher version: http://dx.doi.org/10.1007/s10729-007-9047-2
Language: English
Additional information: The original publication is available at www.springerlink.com
Keywords: Pharmacy, stochastic modelling, computational algorithms, branch and bound methods
UCL classification: UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Dept of Mathematics > Clinical Operational Research Unit
URI: https://discovery.ucl.ac.uk/id/eprint/4960
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