Changing practice by changing pressures: a role for oscillating positive expiratory pressure in chronic obstructive pulmonary disease

Lewis, Adam; Osadnik, Christian

doi:10.1136/thorax-2022-219451

Cited by 3 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarities have been found regarding MCD prescribing in different parts of the world 5 24 29. This may be attributed to the growing clinical evidence regarding MCD effectiveness in COPD management 8. In Saudi Arabia, there are a limited number of advanced COPD clinics that provide comprehensive COPD management, including MCD training 16 27 30.…”

Section: Discussionmentioning

confidence: 80%

“…The study demonstrated significant values for the regular use of these devices. After 3 months of regular use of the Acapella in stable COPD patients, cough-related quality of life, as well as mucus clearance, significantly improved 8 9…”

Section: Discussionmentioning

confidence: 99%

“…Our results demonstrate that awareness about assisting COPD patients with MCDs is present among HCPs in Saudi Arabia but there are differences in their responses regarding the role of MCDs in treating COPD. This is perhaps because of the lack of evidence that emphasises the importance of using non-pharmacological treatment in COPD management 8 13. In addition, MCDs have received less attention as a treatment for stable and exacerbated COPD patients.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Recent systematic reviews and retrospective prescribing data related to using MCDs in people with COPD suggest that they can improve clinical outcomes and health-related quality of life 3 6 8. Although there has been an incremental effort in the use of MCDs in clinics, the use rate of these devices, as well as the attitudes and perceptions of using them from the perspective of healthcare practitioners (HCPs) have not been evaluated in clinical practice 8. This may be due to a lack of awareness about MCDs and their advantages for managing COPD, a practice gap where these devices are not considered to be a viable alternative to pharmaceuticals or a lack of standards and guidelines concerning adopting the use of MCDs in routine clinical practice 3.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Perception and clinical practice regarding mucus clearance devices with chronic obstructive pulmonary disease: a cross-sectional study of healthcare providers in Saudi Arabia

Alghamdi,

Alzahrani,

Alshahrani

et al. 2023

BMJ Open

View full text Add to dashboard Cite

ObjectivesClearing secretions from the airway can be difficult for people with chronic obstructive pulmonary disease (COPD). Mucus clearance devices (MCDs) are an option in disease management to help with this, but healthcare provider awareness and knowledge about them as well as current clinical practice in Saudi Arabia are not known.DesignA cross-sectional online survey consisting of four themes; demographics, awareness, recommendations and clinical practice, for MCDs with COPD patients.SettingSaudi Arabia.Participants1188 healthcare providers including general practitioners, family physicians, pulmonologists, nursing staff, respiratory therapists and physiotherapists.Primary outcome measuresHealthcare providers’ level of awareness about MCDs, and the identification of current clinical practices of COPD care in Saudi Arabia.Results1188 healthcare providers (44.4% female) completed the survey. Regarding devices, 54.2% were aware of the Flutter, 23.8% the Acapella and 5.4% the positive expiratory pressure mask. 40.7% of the respondents identified the Acapella, and 22.3% the Flutter as first choice for COPD management. 75% would usually or always consider their use in COPD patients reporting daily difficulty clearing mucus, whereas 55.9% would sometimes or usually consider the use of MCDs with COPD patients who produced and were able to clear mucus with cough. In clinical practice, 380 (32%) of the respondents would prescribe MCDs, 378 (31.8%) would give MCDs without prescriptions, 314 (26.4%) would not provide them at all and 116 (9.8%) would only advise patients about them.ConclusionHealthcare providers are aware of the existence of MCDs and their benefits for sputum clearance and believe that MCDs are beneficial for sputum clearance in some COPD patients.Trial registration numberISRCTN44651852.

show abstract

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Perception and clinical practice regarding mucus clearance devices with chronic obstructive pulmonary disease: a cross-sectional study of healthcare providers in Saudi Arabia

Alghamdi,

Alzahrani,

Alshahrani

et al. 2023

BMJ Open

View full text Add to dashboard Cite

show abstract

Critically appraised paper: In patients with chronic obstructive pulmonary disease, the addition of oscillatory positive expiratory pressure to usual care improves cough-specific and general quality of life [commentary]

Osadnik¹

2023

Journal of Physiotherapy

View full text Add to dashboard Cite

Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management

Alghamdi,

Alzahrani,

Dairi

et al. 2024

Ther Adv Respir Dis

View full text Add to dashboard Cite

Background: Productive cough with sputum is a prominent sign generally associated with respiratory diseases, including chronic obstructive pulmonary disease (COPD). Airway clearance devices are an option for COPD management, but physicians’ preferences for and clinical practice with them are not known. Objective: This study aims to explore preferences for and clinical practice with airway clearance devices among physicians in Saudi Arabia. Design: An observational, cross-sectional survey. Methods: A self-administered questionnaire was conducted between October 2022 and September 2023, which included a review of respiratory medication prescriptions by physicians for patients with COPD. The analysis was performed using the Statistical Package for the Social Sciences. Results: The participants were 445 physicians. The majority were female, accounting for 64.3% of the sample. Flutter and Acapella were the most commonly preferred airway clearance devices (45.8% and 20.7%, respectively). Among the participants, 12.6% reported unfamiliarity with any of the mentioned devices. Of the participants, 43.6% “usually” suggested the devices for patients with daily, difficult-to-clear, thick sputum, while 27% “sometimes” recommended them to COPD patients who had experienced four exacerbations or more. In routine clinical practice, physicians prescribe pharmacological therapies as the main treatment. The prescribing data showed that in the last year, there was no record of prescribed airway clearance devices for COPD by physicians. Conclusion: Family and pulmonary physicians prefer Flutter and Acapella devices, but a significant number of physicians are unaware of such devices. Prescribing data showed no record of prescribed airway clearance devices for COPD management. Further initiatives are needed to increase awareness in clinical practice.

show abstract

Changing practice by changing pressures: a role for oscillating positive expiratory pressure in chronic obstructive pulmonary disease

Cited by 3 publications

References 12 publications

Perception and clinical practice regarding mucus clearance devices with chronic obstructive pulmonary disease: a cross-sectional study of healthcare providers in Saudi Arabia

Perception and clinical practice regarding mucus clearance devices with chronic obstructive pulmonary disease: a cross-sectional study of healthcare providers in Saudi Arabia

Critically appraised paper: In patients with chronic obstructive pulmonary disease, the addition of oscillatory positive expiratory pressure to usual care improves cough-specific and general quality of life [commentary]

Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management

Contact Info

Product

Resources

About