التفاصيل البيبلوغرافية
| العنوان: |
Change in asthma and COPD prescribing by Italian general practitioners between 2006 and 2008. |
| المؤلفون: |
Cazzola, Mario, Segretia, Andrea, Bettoncelli, Germano, Calzetta, Luigino, Cricelli, Claudio, Pasqua, Franco, Rogliani, Paola |
| المصدر: |
Primary Care Respiratory Journal; Sep2011, Vol. 20 Issue 3, p291-298, 8p |
| مصطلحات موضوعية: |
ASTHMA, AIRWAY (Anatomy), BRONCHODILATOR agents, MUSCARINIC antagonists, ADRENOCORTICAL hormones |
| مستخلص: |
Aims: To explore the trend in prescribing of drugs classified within the R03 therapeutic pharmacological subgroup (drugs for obstructive airway diseases) of the Anatomical Therapeutic Chemical (ATC) classification. Methods: Comparison of GP-collected data on physician-patient contacts and drug prescriptions for asthma and COPD in 2006 and 2008. Results: Compared to 2006, in 2008 patients with COPD were prescribed more long-acting bronchodilators; use of tiotropium increased, whilst use of long-acting â2-agonists (LABAs) and short-acting antimuscarinic agents decreased. However, 55.9% of patients in 2006, and 47.8% in 2008, received an inhaled corticosteroid (ICS), mainly as a LABA/ICS fixed combination inhaler. Compared to 2006, in 2008 there were increased prescriptions of LABA/ICS fixed combination inhalers for asthma, but only 54.5% of all prescriptions included an ICS. This could explain the large use of short-acting â2-agonists, a marker of poor asthma control. Remarkably, LABA/ICS fixed combination inhalers were prescribed more frequently in COPD than in asthma. Conclusions: Our data indicate that adherence to guidelines is still low. Patients with asthma and COPD are undertreated by Italian GPs, with a trend to a change in COPD prescribing likely driven by new scientific information. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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