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Journals NPJ Primary Care Respiratory M...

NPJ Primary Care Respiratory Medicine

https://read.qxmd.com/read/38461294/documentation-of-comorbidities-lifestyle-factors-and-asthma-management-during-primary-care-scheduled-asthma-contacts
#1
JOURNAL ARTICLE
Jaana Takala, Iida Vähätalo, Leena E Tuomisto, Onni Niemelä, Pinja Ilmarinen, Hannu Kankaanranta
Systematically assessing asthma during follow-up contacts is important to accomplish comprehensive treatment. No previous long-term studies exist on how comorbidities, lifestyle factors, and asthma management details are documented in scheduled asthma contacts in primary health care (PHC). We showed comorbidities and lifestyle factors were poorly documented in PHC in this real-life, 12-year, follow-up study. Documented information on rhinitis was found in 8.9% and BMI, overweight, or obesity in ≤1.5% of the 542 scheduled asthma contacts...
March 9, 2024: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/38453930/medication-adherence-halves-copd-patients-hospitalization-risk-evidence-from-swiss-health-insurance-data
#2
JOURNAL ARTICLE
Anja Y Bischof, Johannes Cordier, Justus Vogel, Alexander Geissler
Medication adherence is vital for patients suffering from Chronic Obstructive Pulmonary Disease (COPD) to mitigate long-term consequences. The impact of poor medication adherence on inferior outcomes like exacerbations leading to hospital admissions is yet to be studied using real-world data. Using Swiss claims data from 2015-2020, we group patients into five categories according to their medication possession ratio. By employing a logistic regression, we quantify each category's average treatment effect of the medication possession ratio on hospitalized exacerbations...
March 7, 2024: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37925475/innovation-workshop-using-design-thinking-framework-and-involving-stakeholders-to-co-create-ideas-for-management-of-asthma
#3
JOURNAL ARTICLE
Mabel Qi He Leow, Aminath Shiwaza Moosa, Hani Salim, Adina Abdullah, Yew Kong Lee, Chirk Jenn Ng, Ngiap Chuan Tan
No abstract text is available yet for this article.
November 4, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37880342/implementing-psychological-interventions-delivered-by-respiratory-professionals-for-people-with-copd-a-stakeholder-interview-study
#4
JOURNAL ARTICLE
V Wileman, V Rowland, M Kelly, L Steed, R Sohanpal, H Pinnock, S J C Taylor
Implementing psychological interventions in healthcare services requires an understanding of the organisational context. We conducted an interview study with UK National Health Service stakeholders to understand the barriers and facilitators for implementing psychological interventions for people with chronic obstructive pulmonary disorder (COPD). We used TANDEM as an exemplar intervention; a psychological intervention recently evaluated in a randomised controlled trial. Twenty participants providing care and/or services to people with COPD were purposively sampled from NHS primary/secondary care, and commissioning organisations...
October 25, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37838773/clinical-inertia-in-asthma
#5
REVIEW
Yosuke Fukuda, Tetsuya Homma, Hironori Sagara
Despite advances in pharmaceutical treatment in recent years, a relatively high proportion of patients with asthma do not have adequate asthma control, causing chronic disability, poor quality of life, and multiple emergency department visits and hospitalizations. A multifaceted approach is needed to overcome the problems with managing asthma, and clinical inertia (CI) is a crucial concept to assist with this approach. It divides clinical inertia into three main categories, which include healthcare provider-related, patient-related, and healthcare system-related CI...
October 14, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37777534/spirometry-practice-by-french-general-practitioners-between-2010-and-2018-in-adults-aged-40-to-75-years
#6
JOURNAL ARTICLE
A Chapron, T Lemée, G Pau, S Jouneau, S Kerbrat, F Balusson, E Oger
In France, most spirometries are performed by pneumologists. Spirometry is difficult to access due to the distance to medical office and long delays for appointments. This lack of accessibility contributes to the underdiagnosis of chronic obstructive pulmonary disease (COPD) among patients aged between 40 and 75 years. In recent years, general practitioners (GPs) have been performing spirometry in private practice. However, the extent of this practice is unknown. A French retrospective, repetitive transversal study analysed data from the "Système National des Données de Santé" (SNDS) database...
September 30, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37777509/improving-primary-healthcare-education-through-lessons-from-a-flock-of-birds
#7
EDITORIAL
Ioanna Tsiligianni, Antonios Christodoulakis, Siân Williams
No abstract text is available yet for this article.
September 30, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37741822/a-cross-country-qualitative-analysis-of-teachers-perceptions-of-asthma-care-in-sub-saharan-africa
#8
JOURNAL ARTICLE
Kimesh Loganathan Naidoo, Sindisiwa Dladla, Reratilwe Ephenia Mphahlele, Gioia Mosler, Sophie Muyemayema, Andrew Sentoogo Ssemata, Elizabeth Mkutumula, Olayinka Olufunke Adeyeye, Olayinka Goodman, Yetunde Kuyinu, Rebecca Nantanda, Emmanuel Addo-Yobo, Sandra Kwarteng Owusu, Bernhard Arhin, Ismail Ticklay, Hilda Angela Mujuru, Jonathan Grigg, Refiloe Masekela
Asthma is the most common chronic respiratory disease among school-going adolescents worldwide. However, the burden of severe asthma is highest in Sub-Saharan Africa. This study aimed to explore teachers' perceptions of asthma care across six African countries. We conducted focus group discussions (FGDs) using a semi-structured interview guide. Interviews were audio-recorded, transcribed verbatim and analysed thematically. FGDs were conducted in Kumasi(Ghana), Blantyre (Malawi), Lagos (Nigeria), Durban (South Africa), Kampala (Uganda), and Harare (Zimbabwe) between 01 November 2020 and 30 June 2021...
September 23, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37582926/interaction-of-bmi-and-respiratory-status-in-obstructive-sleep-apnea-a-cross-sectional-copd-study
#9
JOURNAL ARTICLE
Mizuha Haraguchi Hashiguchi, Shotaro Chubachi, Wakako Yamasawa, Kengo Otsuka, Naoko Harada, Naoki Miyao, Hidetoshi Nakamura, Koichiro Asano, Kazuhiro Yamaguchi, Koichi Fukunaga
This cross-sectional study of 136 patients with chronic obstructive pulmonary disease (COPD) investigated the mechanism underlying overlap syndrome, defined as coexisting COPD and obstructive sleep apnea (OSA). OSA was defined as a respiratory event index (REI) ≥ 5 events/h, determined using type-3 portable monitors. The mean REI was 12.8 events/h. Most participants (60.1%) had mild OSA (REI: 5-15 events/h). The REI was positively correlated with forced expiratory volume in one second (%FEV1 ) (r = 0...
August 15, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37567896/chronic-comorbid-conditions-and-asthma-exacerbation-occurrence-in-a-general-population-sample
#10
JOURNAL ARTICLE
Emma Baljet, Hilde Luijks, Lisette van den Bemt, Tjard R Schermer
Chronic comorbid conditions are common in adults with asthma, and some may influence a patient's asthma exacerbation risk. We explored associations between eighteen chronic comorbid conditions and asthma exacerbation occurrence in adults with asthma in a cross-sectional study nested within a cohort study using data from the two-yearly US National Health and Nutrition Examination Survey (NHANES) program. Data of 2387 adults with self-reported doctor-diagnosed current asthma from the 2007 to 2018 NHANES surveys were selected...
August 11, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37524724/gold-2023-highlights-for-primary-care
#11
JOURNAL ARTICLE
Alvar Agustí, Antoni Sisó-Almirall, Miguel Roman, Claus F Vogelmeier
No abstract text is available yet for this article.
July 31, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37488104/rational-use-of-inhaled-corticosteroids-for-the-treatment-of-copd
#12
REVIEW
Jennifer K Quint, Amnon Ariel, Peter J Barnes
Inhaled corticosteroids (ICS) are the mainstay of treatment for asthma, but their role in chronic obstructive pulmonary disease (COPD) is debated. Recent randomised controlled trials (RCTs) conducted in patients with COPD and frequent or severe exacerbations demonstrated a significant reduction (~25%) in exacerbations with ICS in combination with dual bronchodilator therapy (triple therapy). However, the suggestion of a mortality benefit associated with ICS in these trials has since been rejected by the European Medicines Agency and US Food and Drug Administration...
July 24, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37438388/our-contribution-to-systematic-review-and-meta-analysis-in-primary-care-respiratory-medicine
#13
EDITORIAL
Tiago Maricoto, Ioanna Tsiligianni
No abstract text is available yet for this article.
July 12, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37433825/a-systematic-review-of-questionnaires-measuring-asthma-control-in-children-in-a-primary-care-population
#14
REVIEW
Sara Bousema, Arthur M Bohnen, Patrick J E Bindels, Gijs Elshout
Several questionnaires are used to measure asthma control in children. The most appropriate tool for use in primary care is not defined. In this systematic review, we evaluated questionnaires used to measure asthma control in children in primary care and determined their usefulness in asthma management. Searches were performed in the MEDLINE, Embase, Web of Science, Google Scholar and Cochrane databases with end date 24 June 2022. The study population comprised children aged 5-18 years with asthma. Three reviewers independently screened studies and extracted data...
July 11, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37393273/effective-respiratory-management-of-asthma-and-copd-and-the-environmental-impacts-of-inhalers
#15
JOURNAL ARTICLE
Omar S Usmani, Mark L Levy
No abstract text is available yet for this article.
July 1, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37264017/diagnostic-spirometry-in-copd-is-increasing-a-comparison-of-two-swedish-cohorts
#16
JOURNAL ARTICLE
Åsa Athlin, Karin Lisspers, Mikael Hasselgren, Björn Ställberg, Christer Janson, Scott Montgomery, Maaike Giezeman, Marta Kisiel, Anna Nager, Hanna Sandelowsky, Mats Arne, Josefin Sundh
Spirometry should be used to confirm a diagnosis of chronic obstructive pulmonary disease (COPD). This test is not always performed, leading to possible misdiagnosis. We investigated whether the proportion of patients with diagnostic spirometry has increased over time as well as factors associated with omitted or incorrectly interpreted spirometry. Data from medical reviews and a questionnaire from primary and secondary care patients with a doctors' diagnosis of COPD between 2004 and 2010 were collected. Data were compared with a COPD cohort diagnosed between 2000 and 2003...
June 2, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37208358/anticipated-barriers-and-facilitators-for-implementing-smart-inhalers-in-asthma-medication-adherence-management
#17
JOURNAL ARTICLE
Susanne J van de Hei, Nilouq Stoker, Bertine M J Flokstra-de Blok, Charlotte C Poot, Eline Meijer, Maarten J Postma, Niels H Chavannes, Janwillem W H Kocks, Job F M van Boven
Smart inhalers are electronic monitoring devices which are promising in increasing medication adherence and maintaining asthma control. A multi-stakeholder capacity and needs assessment is recommended prior to implementation in healthcare systems. This study aimed to explore perceptions of stakeholders and to identify anticipated facilitators and barriers associated with the implementation of smart digital inhalers in the Dutch healthcare system. Data were collected through focus group discussions with female patients with asthma (n = 9) and healthcare professionals (n = 7) and through individual semi-structured interviews with policy makers (n = 4) and smart inhaler developers (n = 4)...
May 20, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37179395/cognitive-decline-and-risk-of-dementia-in-older-adults-after-diagnosis-of-chronic-obstructive-pulmonary-disease
#18
JOURNAL ARTICLE
Aldana Rosso, Tomas Månsson, Karl Egervall, Sölve Elmståhl, Marieclaire Overton
Cognitive screening has been proposed for older adults diagnosed with chronic obstructive pulmonary disease (COPD). Therefore, we examined the change over time in cognitive function and the risk of incident dementia in older adults after COPD diagnosis. A sample of 3,982 participants from the population-based cohort study Good Aging in Skåne was followed for 19 years, and 317 incident COPD cases were identified. The cognitive domains of episodic memory, executive function, and language were assessed using neuropsychological tests...
May 13, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37179388/implementation-of-a-primary-care-asthma-management-quality-improvement-programme-across-68-general-practice-sites
#19
JOURNAL ARTICLE
Francis J Gilchrist, William D Carroll, Sadie Clayton, David Price, Ian Jarrold, Iain Small, Emma J Sutton, Warren Lenney
Despite national and international guidelines, asthma is frequently misdiagnosed, control is poor and unnecessary deaths are far too common. Large scale asthma management programme such as that undertaken in Finland, can improve asthma outcomes. A primary care asthma management quality improvement programme was developed with the support of the British Lung Foundation (now Asthma + Lung UK) and Optimum Patient Care (OPC) Limited. It was delivered and cascaded to all relevant staff at participating practices in three Clinical Commissioning Groups...
May 13, 2023: NPJ Primary Care Respiratory Medicine
https://read.qxmd.com/read/37156824/suboptimally-controlled-asthma-in-patients-treated-with-inhaled-ics-laba-prevalence-risk-factors-and-outcomes
#20
JOURNAL ARTICLE
Shiyuan Zhang, John White, Alyssa Goolsby Hunter, David Hinds, Andrew Fowler, Frances Gardiner, David Slade, Sharanya Murali, Wilhelmine Meeraus
This observational claims-linked survey study assessed the prevalence of and risk factors for suboptimal asthma control and healthcare utilization in adults with asthma receiving fixed-dose combination (FDC) inhaled corticosteroid/long-acting β2 -agonist (ICS/LABA). Commercially insured adults from the Optum Research Database were invited to complete the Asthma Control Test (ACT) and Asthma Control Questionnaire-6 (ACQ-6). Among participants (N = 428), 36.4% (ACT-assessed) and 55.6% (ACQ-6-assessed) had inadequately controlled asthma...
May 8, 2023: NPJ Primary Care Respiratory Medicine
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