Assessment of Prescription Practices According to International COPD Guidelines on Egyptian Patients
Alaa Ezz Eldin Mostafa Farrag;
Abstract
Background:
Chronic obstructive pulmonary disease (COPD) is currently defined as “a preventable and treatable disease with some significant extra pulmonary effects that may contribute to the severity in individual patients. Its pulmonary component is characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lung to noxious particles or gases” (GOLD, 2013).
The general view of this disease is that it will become one of the major health challenges of the next few decades. Prevalence surveys suggest that up to almost a quarter of adults aged 40 years and older have mild airflow obstruction (Buist et al., 2007; Mannino and Buist, 2007; Menezes et al., 2005).
Mortality owing to cardiac diseases and stroke decreased over the period 1970–2002, but that of COPD doubled over the same period (Jemal et al., 2005).
The US National Heart, Lung, and Blood Institute and the World Health Organization established the Global Initiative for Chronic Obstructive Lung Disease (GOLD) to prepare a standard guideline for the management of COPD (GOLD, 2001).
Despite the existence of guidelines for the diagnosis and management of the condition for more than 10 years, there is a wide variation in physicians’ management of the condition and this may be ascribed to non-adherence to the guidelines. Adherence to COPD guidelines in clinical practice in most countries is not satisfactory (Yawn and Wollan, 2008; Harvey et al., 2005; Chavez and Shokar, 2009; Bourbeau et al., 2008).
Aim of the work:
The aim of this work is to assess prescription pattern and clinical practice attitudes towards Egyptian COPD patients managed by chest physicians and internal medicine physicians in Abbassia Chest Hospital and Ain Shams University Hospitals during period from February 2013 to January 2014.
Subjects and methods:
This study included 104 COPD patients and 116 doctors.
All participated doctors were subjected to a questionnaire to evaluate their clinical practice according to GOLD 2013 recommendations for COPD patient management.
COPD patients included in the present study were either selected from the outpatient chest clinics, inpatient departments or intensive care unit from both selected hospitals.
Chronic obstructive pulmonary disease (COPD) is currently defined as “a preventable and treatable disease with some significant extra pulmonary effects that may contribute to the severity in individual patients. Its pulmonary component is characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lung to noxious particles or gases” (GOLD, 2013).
The general view of this disease is that it will become one of the major health challenges of the next few decades. Prevalence surveys suggest that up to almost a quarter of adults aged 40 years and older have mild airflow obstruction (Buist et al., 2007; Mannino and Buist, 2007; Menezes et al., 2005).
Mortality owing to cardiac diseases and stroke decreased over the period 1970–2002, but that of COPD doubled over the same period (Jemal et al., 2005).
The US National Heart, Lung, and Blood Institute and the World Health Organization established the Global Initiative for Chronic Obstructive Lung Disease (GOLD) to prepare a standard guideline for the management of COPD (GOLD, 2001).
Despite the existence of guidelines for the diagnosis and management of the condition for more than 10 years, there is a wide variation in physicians’ management of the condition and this may be ascribed to non-adherence to the guidelines. Adherence to COPD guidelines in clinical practice in most countries is not satisfactory (Yawn and Wollan, 2008; Harvey et al., 2005; Chavez and Shokar, 2009; Bourbeau et al., 2008).
Aim of the work:
The aim of this work is to assess prescription pattern and clinical practice attitudes towards Egyptian COPD patients managed by chest physicians and internal medicine physicians in Abbassia Chest Hospital and Ain Shams University Hospitals during period from February 2013 to January 2014.
Subjects and methods:
This study included 104 COPD patients and 116 doctors.
All participated doctors were subjected to a questionnaire to evaluate their clinical practice according to GOLD 2013 recommendations for COPD patient management.
COPD patients included in the present study were either selected from the outpatient chest clinics, inpatient departments or intensive care unit from both selected hospitals.
Other data
| Title | Assessment of Prescription Practices According to International COPD Guidelines on Egyptian Patients | Other Titles | تقييم مدى تطبيق الإرشادات الدولية لمرضى إنسداد الشعب الهوائية المزمـن على المرضـى المصرييـن | Authors | Alaa Ezz Eldin Mostafa Farrag | Issue Date | 2015 |
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