在一般实践中,停止在COPD患者中不适当地使用吸入性皮质类固醇,混合方法研究的结果
Lisette van den Bemt1, Bert van Bremen2, Janet de Boer3
1Department of Primary and Community Care, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Lisette.vandenbemt@radboudumc.nl.
NPJ primary care respiratory medicine
|October 14, 2025
概括
一项新的策略有效地减少了COPD患者不适当的吸入性皮质类固醇 (ICS) 的使用. 这种多方面的方法导致一般实践中ICS处方的显著下降.
科学领域:
- 肺部医学 肺部医学
- 一般的做法一般的做法
- 医疗保健管理的管理
背景情况:
- 吸入性皮质类固醇 (ICS) 经常被过度处方给慢性阻塞性肺病 (COPD) 患者,没有明确的迹象.
- 不适当的ICS使用可能会导致不良影响和增加医疗保健成本.
研究的目的:
- 开发和评估一个多方面的,量身定制的撤销实施策略,以减少在COPD患者的一般实践中不适当使用ICS.
- 评估该战略在15个月内减少ICS使用的有效性.
主要方法:
- 创建了一个撤销实施策略,包括一个工具箱,沟通计划和培训.
- 该战略在15个月内在荷兰德伦特的一般实践中实施和评估.
- 通过使用ICS的COPD患者的百分比下降来衡量有效性,与对照组进行比较.
主要成果:
- 观察到ICS使用率的统计显著下降,随访时使用ICS的患者减少了4.7%.
- 在完全参与的实践中,ICS用户的总百分比下降了8.2%.
- 与对照组相比,干预组的ICS用户百分比随着时间的推移下降得更明显 (p < 0.01).
结论:
- 开发的取消实施策略表明,在一般实践中减少COPD患者不适当的ICS使用具有前途.
- 需要进一步的研究来评估该战略的更广泛的透,长期可持续性和在其他地区的适用性.
相关概念视频
COPD: Management Using Bronchodilators and Corticosteroids
726
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
726
Chronic Obstructive Pulmonary Disease-V: Management
3.1K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
3.1K
Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids
1.5K
Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
1.5K
Inhaled Medications
746
Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
746
Chronic Obstructive Pulmonary Disease-I: Introduction
3.6K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
3.6K
Drugs Used in Lower Respiratory Disorders: Overview
1.0K
Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
1.0K


