Article (Scientific journals)
Overuse of inhaled corticosteroids in COPD: five questions for withdrawal in daily practice
Cataldo, Didier; Derom, Eric; Liistro, Guiseppe et al.
2018In International Journal of Chronic Obstructive Pulmonary Disease, 13, p. 2089-2099
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Keywords :
COPD; exacerbation; withdrawal,; inhaled steroids; systematic review; education
Abstract :
[en] Evidence and guidelines are becoming increasingly clear about imbalance between the risks and benefits of inhaled corticosteroids (ICSs) in patients with COPD. While selected patients may benefit from ICS-containing regimens, ICSs are often inappropriately prescribed with – according to Belgian market research data – up to 70% of patients in current practice receiving ICSs, usually as a fixed combination with a long-acting β2-adrenoreceptor agonist. Studies and recommendations support withdrawal of ICSs in a large group of patients with COPD. However, historical habits appear difficult to change even in the light of recent scientific evidence. We have built a collaborative educational platform with chest physicians and primary care physicians to increase awareness and provide guidance and support in this matter
Disciplines :
General & internal medicine
Author, co-author :
Cataldo, Didier  ;  Université de Liège - ULiège > Département des sciences cliniques > Labo de biologie des tumeurs et du développement
Derom, Eric
Liistro, Guiseppe
Marchand, Eric
Peché, Rudi
Slabbynck, Hans
Vincken, Walter
Janssens, Wim
Language :
English
Title :
Overuse of inhaled corticosteroids in COPD: five questions for withdrawal in daily practice
Publication date :
2018
Journal title :
International Journal of Chronic Obstructive Pulmonary Disease
ISSN :
1176-9106
eISSN :
1178-2005
Publisher :
Dove Medical Press Ltd, New Zealand
Volume :
13
Pages :
2089-2099
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 24 April 2019

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