Treatment adherence in pediatric eosinophilic gastrointestinal disorders

Abstract

ObjectiveExamine treatment adherence rates in pediatric eosinophilic gastrointestinal disorders (EGID).MethodsParticipants were children aged 2.5-18 years with eosinophilic esophagitis or eosinophilic gastroenteritis (EGE) and their caregivers. A multimethod, multi-informant assessment including parent report and electronic monitoring was utilized, with a 90 cut point for nonadherence.ResultsMedication nonadherence prevalence was 30. Adherence frequency was 91±14 (0-100) per parent report and 100±69 (0-194) per electronic monitors. Tube-feeding adherence was 99±3. Food allergen exposures were less than 1 per 2 weeks, with 33 nonadherence prevalence. Patients with EGE and toddlers with both conditions demonstrated poorer medication adherence (p's