Adherence to GOLD guideline treatment recommendations among pulmonologists in Turkey
Yükleniyor...
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dove Medical Press Ltd.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: Low adherence to Global initiative for chronic Obstructive Lung Disease (GOLD) guideline recommendations has been reported worldwide. There has been no study on the adherence to GOLD guidelines for COPD treatment in Turkey. Objectives: To investigate the rates of adherence to GOLD 2010 guidelines for COPD treatment among pulmonologists. Design: A multi-center, cross-sectional, observational study was carried out in eleven pulmonary outpatient clinics across Turkey. Adherence to GOLD was evaluated through hospital records. Demographic and clinical data were recorded. Results: Study included 719 patients (mean age: 62.9±9.7 years; males 85.4%) of whom 16 was classified as GOLD Stage I, 238 as II, 346 as III, and 119 as IV, and only 59.5% received appropriate treatment. Rates of guideline adherence varied across GOLD stages (I, 6.3%; II, 14.7%; III, 84.4%; and IV, 84%). Causes of inappropriate therapies were overtreatment (Stage I, 100% and Stage II, 91.1%), undertreatment (Stage III, 3.3% and Stage IV, 10.9%) and lack of treatment (Stage II, 3.8%; Stage III, 2.3%; and Stage IV, 5.9%). The most preferred regimen (43.4%) was long-acting β2-agonist-inhaled corticosteroid-long-acting muscarinic antagonist. Overall, 614 patients (89%) received treatment containing inhaled corticosteroid. Conclusion: Pulmonologists in Turkey have low rates of adherence to GOLD guidelines in COPD treatment. Inappropriateness of therapies was due to overtreatment in early stages and excessive use of inhaled corticosteroid (ICS) in all disease stages.
Açıklama
Anahtar Kelimeler
Adherence, COPD, Global initiative for chronic obstructive lung disease guidelines, Inhaled corticosteroid, Overtreatment, Treatment approach, Turkey
Kaynak
International Journal of COPD
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
10
Sayı
1
Künye
Şen, E., Güçlü, S. Z., Kibar, I., Öcal, Ü., Yılmaz, V., Çelik, O., ve diğerleri. (2015). Adherence to GOLD guideline treatment recommendations among pulmonologists in Turkey. International Journal of COPD, 10(1), 2657-2663.
