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Tytuł pozycji:

Factors Associated With Nonreceipt of Recommended COPD Medications: A Population Study.

Tytuł:
Factors Associated With Nonreceipt of Recommended COPD Medications: A Population Study.
Autorzy:
Gershon AS; Department of Medicine and Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; ICES, Toronto and Ottawa, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; The Hospital for Sick Children Research Institute, Toronto, ON, Canada. Electronic address: .
Pequeno P; ICES, Toronto and Ottawa, ON, Canada.
Alberga Machado A; ICES, Toronto and Ottawa, ON, Canada.
Aaron SD; The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Kendzerska T; ICES, Toronto and Ottawa, ON, Canada; The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Luo J; ICES, Toronto and Ottawa, ON, Canada.
Stanbrook MB; ICES, Toronto and Ottawa, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada; University Health Network, Toronto, ON, Canada.
Tan WC; UBC James Hogg Research Laboratories, Providence Heart and Lung Institute, University of British Columbia, Vancouver, BC, Canada.
Porter J; ICES, Toronto and Ottawa, ON, Canada.
To T; ICES, Toronto and Ottawa, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; The Hospital for Sick Children Research Institute, Toronto, ON, Canada.
Źródło:
Chest [Chest] 2021 Nov; Vol. 160 (5), pp. 1670-1680. Date of Electronic Publication: 2021 Jun 16.
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Publication: 2016- : New York : Elsevier
Original Publication: Chicago : American College of Chest Physicians
MeSH Terms:
Practice Guidelines as Topic*
Practice Patterns, Physicians'*/standards
Practice Patterns, Physicians'*/statistics & numerical data
Pulmonary Disease, Chronic Obstructive*/diagnosis
Pulmonary Disease, Chronic Obstructive*/drug therapy
Pulmonary Disease, Chronic Obstructive*/epidemiology
Pulmonary Disease, Chronic Obstructive*/psychology
Quality of Life*
Risk Adjustment/*methods
Age Factors ; Aged ; Cohort Studies ; Comorbidity ; Female ; Guideline Adherence/statistics & numerical data ; Humans ; Male ; Needs Assessment ; Ontario/epidemiology ; Spirometry/methods ; Spirometry/statistics & numerical data ; Symptom Flare Up
References:
Lancet. 2007 Sep 1;370(9589):765-73. (PMID: 17765526)
Curr Med Res Opin. 2011 Jul;27(7):1425-9. (PMID: 21599554)
NPJ Prim Care Respir Med. 2014 Jul 03;24:14015. (PMID: 24990313)
Med Care. 1977 Apr;15(4):347-9. (PMID: 859364)
CMAJ Open. 2015 Jan 13;3(1):E15-22. (PMID: 25844366)
Am J Respir Crit Care Med. 2021 Mar 15;203(6):689-698. (PMID: 32966751)
Lancet. 2011 Sep 10;378(9795):991-6. (PMID: 21907862)
J Gen Intern Med. 2015 Jan;30(1):51-9. (PMID: 25245885)
Int J Chron Obstruct Pulmon Dis. 2012;7:1-9. (PMID: 22315517)
Chron Respir Dis. 2012 May;9(2):93-8. (PMID: 22399574)
Chest. 2006 Dec;130(6):1844-50. (PMID: 17167007)
COPD. 2015;12(6):668-79. (PMID: 26244774)
COPD. 2009 Oct;6(5):388-94. (PMID: 19863368)
N Engl J Med. 2010 Sep 16;363(12):1128-38. (PMID: 20843247)
Drugs Aging. 2013 Mar;30(3):183-92. (PMID: 23371396)
Am J Respir Crit Care Med. 2021 Mar 1;203(5):553-564. (PMID: 33252985)
Eur Phys J C Part Fields. 2014;74(11):3157. (PMID: 25814877)
Can J Cardiol. 2009 Oct;25(10):567-79. (PMID: 19812802)
Am J Respir Crit Care Med. 2020 Jun 15;201(12):1508-1516. (PMID: 32162970)
Ann Am Thorac Soc. 2019 Feb;16(2):200-208. (PMID: 30216731)
COPD. 2014 Aug;11(4):414-23. (PMID: 24090036)
Am J Respir Crit Care Med. 2013 Mar 15;187(6):596-601. (PMID: 23328526)
Lancet. 2012 Dec 15;380(9859):2095-128. (PMID: 23245604)
Chest. 2013 Dec;144(6):1811-1818. (PMID: 23989916)
Can J Public Health. 2012 Sep 05;103(8 Suppl 2):S4-6. (PMID: 23618070)
Chest. 2014 Feb;145(2):272-281. (PMID: 24008897)
JAMA. 2014 Sep 17;312(11):1114-21. (PMID: 25226477)
COPD. 2012 Feb;9(1):73-80. (PMID: 22292599)
Stat Med. 2007 Feb 20;26(4):734-53. (PMID: 16708349)
PLoS One. 2012;7(8):e43617. (PMID: 22928004)
Chest. 2015 Apr;147(4):894-942. (PMID: 25321320)
Med Care. 2001 Jan;39(1):86-99. (PMID: 11176546)
Grant Information:
154319 Canada CIHR
Contributed Indexing:
Keywords: COPD; medications; quality of care
Entry Date(s):
Date Created: 20210618 Date Completed: 20220111 Latest Revision: 20221102
Update Code:
20240104
PubMed Central ID:
PMC8628171
DOI:
10.1016/j.chest.2021.05.067
PMID:
34144022
Czasopismo naukowe
Background: COPD medications reduce exacerbations and improve quality of life. Despite this, some individuals do not receive medications recommended by practice guidelines.
Research Question: How common is nonreceipt of recommended medications among people with COPD, and what factors are associated with nonreceipt?
Study Design and Methods: This population cohort study was conducted in Ontario, Canada, a province with universal health care insurance and medication coverage for those aged ≥ 65 years. Health administrative data were used to identify people aged ≥ 66 years with physician-diagnosed COPD as of 2018 and group them into cohorts of lower or higher risk for future COPD exacerbations. Proportions of patients in each group who did not receive medications recommended by COPD guidelines were determined. Generalized estimating equation modeling was used to determine associations between patient and physician factors and nonreceipt of recommended medications.
Results: About 54% and 88% of people with COPD received sufficient recommended medications in the low and high risk of exacerbation groups, respectively. Longer duration of COPD, higher comorbidity, dementia, and older physician age were associated with nonreceipt of recommended medications in both groups. People who had a co-diagnosis of asthma, who received care by a pulmonologist and who received spirometry were more likely to receive recommended medication.
Interpretation: COPD medications seem underused by the COPD population, and various factors are associated with suboptimal receipt. Targeting these factors would help improve the care and health of people with COPD.
(Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.)

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