Inhaler Adherence in COPD: A Crucial Step Towards the Correct Treatment.

IF 2.7 3区 医学 Q2 RESPIRATORY SYSTEM
Miguel Turégano-Yedro, Eva Trillo-Calvo, Fernando Navarro I Ros, José David Maya-Viejo, Cruz González Villaescusa, Jose Maria Echave Sustaeta, Esperanza Doña, Bernardino Alcázar Navarrete
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引用次数: 0

Abstract

COPD is a typical example of chronic disease. As such, treatment adherence tends to be as low as between 30% and 50%, with specific issues in COPD due to the use of inhaled therapies. Decreased adherence in COPD is associated with worse outcomes, with increased risk for exacerbations and long-term mortality. Factors that impact adherence are multiple, some related to patient, some related to clinicians and finally some related to healthcare system. Among clinician factors, prescription of simplified treatment regimens delivered by an inhaler adapted to the patient's characteristics is crucial. Although it has been observed a huge improvement in the design and usability of inhaler devices for COPD in the last two centuries, there is still a clear gap in this field. Smart inhalers as well as simplified treatment regimens could improve adherence and therefore improve long-term outcomes in COPD.

COPD患者坚持使用吸入器:迈向正确治疗的关键一步。
慢性阻塞性肺病是一种典型的慢性疾病。因此,治疗依从性往往低至30%至50%之间,由于使用吸入疗法,COPD存在特定问题。慢性阻塞性肺病患者依从性的降低与较差的结果、加重和长期死亡的风险增加有关。影响依从性的因素是多方面的,一些与患者有关,一些与临床医生有关,最后一些与医疗保健系统有关。在临床因素中,使用适合患者特点的吸入器简化治疗方案的处方是至关重要的。尽管在过去的两个世纪里,人们观察到COPD吸入器装置的设计和可用性有了巨大的改进,但在这一领域仍然存在明显的差距。智能吸入器以及简化的治疗方案可以提高依从性,从而改善慢性阻塞性肺病的长期预后。
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来源期刊
CiteScore
4.80
自引率
10.70%
发文量
372
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals
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