Evaluation of real-life data on the use of inhaler devices, including satisfaction and adherence to treatment, by community pharmacists in partnership with pulmonary disease specialists

Gemicioğlu, Bilun; Güngördü, Nejdiye; Can, Günay; Yildirim, F. İlkay Alp; Doğan, B. Sönmez Uydeş

doi:10.1080/02770903.2022.2144355

Cited by 3 publications

(2 citation statements)

References 27 publications

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“… 16 In Europe and Asia, dry powder inhalers are the predominant devices (61.1–88.9%). 18 , 22 , 25 , 26 According to a systematic review and meta-analysis, COPD patients prefer inhalation devices that are small, durable, easy to use, and quick to administer the drug. 27 The preferences of the patient must be considered when establishing the treatment plan and thus improve the use of bronchodilators.…”

Section: Discussionmentioning

confidence: 99%

“…In Turkey, Gemicioglu et al evaluated adherence to inhalation devices in patients with COPD or asthma using the Morisky-Green-Levine test and found that those who used metered-dose inhalers had greater adherence. 25 Likewise, in Spain, Darbà et al documented that metered-dose inhaler users were more likely to adhere to therapy. 18 Some variables were found that were related to increasing the probability of having good adherence.…”

Section: Discussionmentioning

confidence: 99%

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Adherence to Inhalation Devices in Patients with Chronic Obstructive Pulmonary Disease

Valladales-Restrepo,

Oyuela-Gutiérrez,

Delgado-Araujo

et al. 2023

PPA

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Purpose Chronic obstructive pulmonary disease (COPD) affects millions of people around the world. Poor adherence to treatment contributes to increased severity of symptoms, morbidity, and mortality. The objective of this study was to establish the adherence of patients diagnosed with COPD by their devices for inhalation in a group of patients, Colombia. Patients and Methods This was a cross-sectional study of patients treated in the Colombian health system. Adherence to inhalation devices was evaluated with the TAI-10 instrument (Inhaler Adherence Test). A score of 50 points was considered good adherence. Results A total of 500 patients from 84 cities were identified, with a median age of 79.0 years, and 59.2% were women. A total of 45% had GOLD B COPD, and 56.6% had good adherence. Average adherence was 47.4±5.3 points, and no significant differences were found according to inhalation devices (p=0.949). Training performed by specialist physicians (OR: 1.75; 95% CI: 1.17–2.62), use of an inhaler for less than 1 year (OR: 1.59; 95% CI: 1.04–2.43), use of short-acting β2-adrenergic agonists (OR: 1.58; 95% CI: 1.05–2.38) and increased satisfaction with the inhalation device (OR: 1.09; 95% CI: 1.04–1.14) were associated with good adherence, while those from the central region (OR: 0.55; 95% CI: 0.36–0.83), who had a COPD evolution time of less than 5 years (OR: 0.57; 95% CI: 0.37–0.98) and had diabetes mellitus (OR: 0.60; 95% CI: 0.37–0.98) had lower adherence. Conclusion Adherence to treatment with inhaled bronchodilators and glucocorticoids were not very high, with no significant differences by type of inhalation device. Satisfaction and training by specialists increased adherence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Adherence to Inhalation Devices in Patients with Chronic Obstructive Pulmonary Disease

Valladales-Restrepo,

Oyuela-Gutiérrez,

Delgado-Araujo

et al. 2023

PPA

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Opportunistic optimization of inhaler technique in hospitalized adults with asthma: a two-phase educational study

et al. 2023

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Comparison of the Correct Use of Different Types of Inhalers in Patients with COPD and Bronchial Asthma

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Rezyapova

Визель

2023

Tuberk. bolezni lëgk.

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The objective: to compare the correct use of different types of inhalers in patients with COPD and bronchial asthma.Subjects and Methods. 100 patients with COPD and 108 patients with BA were examined. Nine devices were evaluated – a metered dose inhaler (MDI), Rapihaler, Respimat, Breezhaler, CDM, Turbuhaler, Genuair, Spiromax, and Ellipta. The application technique was assessed before the patient read the use instructions and was governed by his intuition, after reading the use instructions, and after training in the inhalation technique by the investigating physician.Results. When COPD patients used inhalers by intuition, they managed to use them successfully in more than 30% of cases with Ellipta, Breezhaler, and Spiromax. After reading the use instructions, the correct use was achieved in 80% of cases when using CDM inhaler, Spiromax, Genuair, and Ellipta. Training conducted by the physician resulted in 100% success rate for Spiromax, Genuair, Ellipta, Breezhaler, and CDM inhaler. With asthma patients using inhalers by intuition, the correct use was observed in more than 50% of cases with Spiromax, Ellipta, Rapihaler, and MDI. After reading the instructions, the correct use was achieved in 80% of cases with CDM inhaler, Spiromax, Ellipta, CDM inhaler, Breezhaler, and Genuair. Training conducted by the physician allowed achieving 100% success rate for Spiromax, Ellipta, Breezhaler, and CDM inhaler.Conclusion. Inhalers vary significantly by the patients’ ability to use them correctly. Asthma patients master the correct inhalation technique better versus COPD patients. Liquid inhalers were more difficult to be used correctly, and the best results were observed with multi-dose powder inhalers. The patient’s training by a healthcare professional is critical to assure the correct use of inhalers.

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Evaluation of real-life data on the use of inhaler devices, including satisfaction and adherence to treatment, by community pharmacists in partnership with pulmonary disease specialists

Cited by 3 publications

References 27 publications

Adherence to Inhalation Devices in Patients with Chronic Obstructive Pulmonary Disease

Adherence to Inhalation Devices in Patients with Chronic Obstructive Pulmonary Disease

Opportunistic optimization of inhaler technique in hospitalized adults with asthma: a two-phase educational study

Comparison of the Correct Use of Different Types of Inhalers in Patients with COPD and Bronchial Asthma

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