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Results of a Pulmonologist Survey Regarding Knowledge and Practices With Inhalation Devices for COPD
Sidney S Braman1, Brian W Carlin2, Nicola A Hanania3
1Icahn School of Medicine at Mount Sinai, New York, New York. sidney.braman@mssm.edu.
Respiratory Care
|May 3, 2018
Summary
Pulmonologists feel knowledgeable about COPD treatment but lack confidence in inhaled device use and patient education. Most desire more training on inhaler devices for better COPD management.
Area of Science:
- Pulmonology
- Respiratory Medicine
- Medical Device Technology
Background:
- Current COPD guidelines lack specific advice on inhaled medication delivery device selection and patient use.
- Pulmonologists' perceptions of their knowledge and practices regarding COPD management devices remain unclear.
Purpose of the Study:
- To investigate pulmonologists' self-assessed knowledge and current practices concerning inhalation devices for COPD management.
- To identify gaps in pulmonologists' understanding and application of device-based COPD therapy.
Main Methods:
- An online survey was administered to 205 pulmonologists between January 7-29, 2016.
- The survey, designed by American Thoracic Society clinicians, assessed knowledge, perceived effectiveness of devices, patient counseling, and teaching practices.
Main Results:
- 98% of pulmonologists felt knowledgeable about devices, yet only 54% discussed device options with patients.
- 70% believed small-volume nebulizers were more effective for COPD exacerbations and severe COPD compared to other inhalers.
- Physician screening for impairments affecting device use was low (53% physical, 16% cognitive), and teaching device use/maintenance was limited.
Conclusions:
- Pulmonologists express high confidence in COPD treatment but lower confidence in inhalation device knowledge and patient education.
- A significant need exists for enhanced training and resources for healthcare providers on the optimal use and patient instruction for COPD inhalation devices.
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