OBJECTIVE: The aim of this study was to identify determinants of nonadherence to
medication in outpatients with established inflammatory bowel disease (IBD). METHODS:
Ten gastroenterologists and 153 of their IBD patients participated in this prospective study.
Demographic, clinical, and psychosocial characteristics, as well as patient-physician
discordance, were assessed at an office visit. Nonadherence to medication was assessed 2
wk later. Separate generalized estimating equations were used to identify determinants of …

Dr Sewitch and colleagues at the University of Montreal and McGill University undertook a
prospective study that provided evidence for the important relationship between patient‐
physician discordance and patient nonadherence with medication for inflammatory bowel
disease (IBD).