Non-Cochrane · prevalence · PM42063222

Adherence to oral antineoplastic agents, an overview and meta-analysis.

Mourath David, Fohlin Helena · The oncologist · 2026 · PubMed · doi:10.1093/oncolo/oyag168

Findings

Population Adult patients treated with non-endocrine oral antineoplastic agents (traditional chemotherapy and targeted therapy)

2 findings

Adherence measured objectively (MEMS, MPR or PDC)NoneCumulative adherence
Study durations varied (<6 months and >=6 months) · Real-world oral anticancer therapy
Pooled proportion (random-effects, logit) 0.84 [0.78, 0.89]
GRADE not reported
17 studies · 7262 participants
Adherence measured objectively (MEMS, MPR or PDC)NoneLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)
Study durations varied · Real-world oral anticancer therapy
Pooled proportion (random-effects, logit) 0.71 [0.63, 0.78]
GRADE not reported
20 studies · 31230 participants

Included primary studies 25

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Jiang 2019
matched by author and year (probable)
NR1 other reviewCumulative adherencenot extracted yet
Morgan 2018
matched by author and year (probable)
NR1 other reviewCumulative adherencenot extracted yet
Anderson 2015
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Darkow 2007
matched by author and year (probable)
NRthis review onlyCumulative adherence; Lower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Dinan 2022
matched by author and year (probable)
NRthis review onlyCumulative adherence; Lower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Engel-Nitz 2023
matched by author and year (probable)
NRthis review onlyCumulative adherence; Lower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Feiten 2016
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Feiten 2016
Calorimeters for pulsed lasers: calibration.
PMID:20165270
1976this review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Feral 2022
matched by author and year (probable)
NRthis review onlyCumulative adherencenot extracted yet
Gatwood 2022
matched by author and year (probable)
NRthis review onlyCumulative adherence; Lower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Guerin 2012
matched by author and year (probable)
NRthis review onlyCumulative adherencenot extracted yet
Hess 2017
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Jacobs 2017
matched by author and year (probable)
NRthis review onlyCumulative adherence; Lower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Jacobs 2019
matched by author and year (probable)
NRthis review onlyCumulative adherence; Lower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Komatsu 2020
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Krikorian 2019
matched by author and year (probable)
NRthis review onlyCumulative adherencenot extracted yet
Mallick 2013
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Melis 2023
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Middendorff 2018
matched by author and year (probable)
NRthis review onlyCumulative adherence; Lower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Moss 2021
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Partridge 2010
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Skrabal Ross 2022
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Spoelstra 2013
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Stokes 2017
matched by author and year (probable)
NRthis review onlyLower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet
Trivedi 2014
matched by author and year (probable)
NRthis review onlyCumulative adherence; Lower-bound adherence (proportion of patients above an 80%, 85% or 90% adherence threshold)not extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationAdult patients treated with non-endocrine oral antineoplastic agentsAdults on oral antineoplastic agents: meta-analysis cumulative 7262 patients (17 studies, 21 cohorts); lower-bound 31230 patients (20 studies, 22 cohorts)
InterventionAny adherence measuring techniqueMEMS, MPR or PDC adherence measurement (n=28 studies in meta-analysis); 75 original studies and 8 reviews overall
ComparisonOmitted (no relevant comparison)None
OutcomesQuantitative adherence outcomesCumulative adherence 84% (95% CI 78-89); lower-bound adherence 71% (95% CI 63-78)
Study designsClinical studies in humans; meta-analysis restricted to objective measures (MEMS, MPR, PDC) reporting cumulative or lower-bound adherence75 original studies (1987 to 2023) and 8 reviews; 28 studies pooled
TimingNot specifiedNot specified