Sensitivity Analysis Confirms Association of Patient Experience With Care and Adherence to Hypertension Medications

Dear Editor,

In 2018 we published “Patient Experience with Care and Its Association with Adherence to Hypertension Medications” in the American Journal of Hypertension, which demonstrated that better patient-reported experiences with care were associated with higher adherence to hypertension regimens.¹ Since that time, the article “Predictive Validity of a Medication Adherence Measure in an Outpatient Setting” was retracted based on concerns raised regarding the sensitivity and specificity of their published instrument.^2,3

In our study, “Patient Experience with Care and Its Association with Adherence to Hypertension Medications,” we examined the association between patient experience and the primary outcome of medium-to-high adherence (MMAS ≥ 6) vs. low adherence to hypertension medications.¹ Within our manuscript, we also published a sensitivity analysis around the definition of the adherence outcome and examined high adherence (MMAS = 8) vs. medium to low adherence.¹ This analysis, originally published in the supplemental file, yielded very similar findings and identical conclusions. Overall, changing the cut-points did not affect the interpretation of the findings or the conclusions of our study.

ACKNOWLEDGMENTS

The original project was supported by a grant from the Greater Rochester Health Foundation. No funding was associated with this letter to the editor.

Conflict of Interest

The authors report no conflict of interest.

DATA AVAILABILITY

There is not additional data associated with this letter to the editor. All data and supplemental materials are available through the original publication.

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