Title |
Overuse of inhaled corticosteroids in COPD: five questions for withdrawal in daily practice
|
---|---|
Published in |
International Journal of Chronic Obstructive Pulmonary Disease, July 2018
|
DOI | 10.2147/copd.s164259 |
Pubmed ID | |
Authors |
Didier Cataldo, Eric Derom, Giuseppe Liistro, Eric Marchand, Vincent Ninane, Rudi Peché, Hans Slabbynck, Walter Vincken, Wim Janssens |
Abstract |
Evidence and guidelines are becoming increasingly clear about imbalance between the risks and benefits of inhaled corticosteroids (ICSs) in patients with COPD. While selected patients may benefit from ICS-containing regimens, ICSs are often inappropriately prescribed with - according to Belgian market research data - up to 70% of patients in current practice receiving ICSs, usually as a fixed combination with a long-acting β2-adrenoreceptor agonist. Studies and recommendations support withdrawal of ICSs in a large group of patients with COPD. However, historical habits appear difficult to change even in the light of recent scientific evidence. We have built a collaborative educational platform with chest physicians and primary care physicians to increase awareness and provide guidance and support in this matter. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
France | 2 | 50% |
Belgium | 1 | 25% |
United Kingdom | 1 | 25% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 50% |
Scientists | 2 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 49 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 9 | 18% |
Student > Ph. D. Student | 6 | 12% |
Student > Doctoral Student | 4 | 8% |
Student > Postgraduate | 4 | 8% |
Student > Master | 4 | 8% |
Other | 9 | 18% |
Unknown | 13 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 21 | 43% |
Pharmacology, Toxicology and Pharmaceutical Science | 6 | 12% |
Business, Management and Accounting | 2 | 4% |
Biochemistry, Genetics and Molecular Biology | 2 | 4% |
Economics, Econometrics and Finance | 1 | 2% |
Other | 1 | 2% |
Unknown | 16 | 33% |