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Related Experiment Videos

Prescribing practice for intermittent oxygen therapy: a GP survey.

B O'Neill1, J M Bradley, A M McKevitt

  • 1School of Rehabilitation Sciences, University of Ulster and Regional Respiratory Centre, Belfast City Hospital, Belfast, UK.

Chronic Respiratory Disease
|November 12, 2005
PubMed
Summary

Most general practitioners prescribe home oxygen for chronic obstructive pulmonary disease (COPD) without objective assessment, relying on specialist advice. Implementing evidence-based guidelines can rationalize oxygen therapy use.

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Area of Science:

  • Respiratory Medicine
  • General Practice
  • Health Services Research

Background:

  • Substantial prescription rates for home oxygen cylinders for intermittent use are observed in the UK.
  • Intermittent oxygen therapy is a significant treatment modality for patients with chronic obstructive pulmonary disease (COPD).

Purpose of the Study:

  • To investigate the assessment criteria and prescribing practices of general practitioners (GPs) for intermittent oxygen therapy in COPD patients in Northern Ireland.
  • To evaluate the current approach to prescribing intermittent oxygen therapy in primary care.

Main Methods:

  • A postal questionnaire survey was distributed to 534 GPs in two Northern Ireland health boards who had prescribed cylinder oxygen within six months prior to the study.
  • The questionnaire underwent piloting to ensure reliability and validity of the data collected.

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Main Results:

  • A 52% response rate (280/534 GPs) was achieved.
  • The majority of GPs (82%) relied on advice from hospital specialists to determine the need for intermittent oxygen.
  • Objective assessment methods like breathlessness scores (e.g., BORG), exercise oximetry, and adherence to local or national guidelines were infrequently or never utilized.

Conclusions:

  • A significant proportion of intermittent oxygen prescriptions for COPD patients may lack objective assessment.
  • There is a need for the implementation of evidence-based guidelines for oxygen therapy assessment.
  • Establishing a formal oxygen assessment service could rationalize the use of this costly resource and improve patient targeting.