Prescription and usage of long-term oxygen therapy in patients with chronic obstructive pulmonary disease in the Netherlands

Kampelmacher, M. J.; Kesteren, R. G. Van; Alsbach, G. P. J.; Melissant, C. F.; Wynne, Harold; Douze, J. M. C.; Lammers, Jan Willem J.

doi:10.1016/s0954-6111(99)90076-8

Cited by 24 publications

(14 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have called attention to poor quality control of LTOT initiated by GPs, and this was confirmed in the present study [10–12, 15, 20]. In general, GPs have only sparse experience with LTOT, because even doctors with a large practice have very few patients on LTOT.…”

Section: Discussionsupporting

confidence: 78%

Are patients on long‐term oxygen therapy followed up properly? Data from the Danish Oxygen Register

Ringbæk

Lange

Viskum

2001

Journal of Internal Medicine

View full text Add to dashboard Cite

Abstract. Ringbaek TJ, Lange P, Viskum K (University Hospital of Copenhagen, Hvidovre Hospital; and Gentofte Hospital; Copenhagen, Denmark). Are patients on long-term oxygen therapy followed up properly? Data from the Danish Oxygen Register. J Intern Med 2001; 250: 131±136.Objectives. The aim of the study was to assess the extent and quality of follow-up of patients on LTOT. Setting. The Danish Oxygen Register. Subjects. A total of 890 chronic obstructive pulmonary disease (COPD) patients who were on longterm oxygen therapy (LTOT) during the period from 1 November 1994 to 31 August 1995. Main outcome measures. The extent and quality of follow-up. Results. Only 38.5% of the patients were followed up in the study period, and only 17.5% had à suf®cient follow-up' de®ned as at least one follow-up visit within 10 months which included measurement of arterial blood gases or pulsoximetry with oxygen supply, veri®cation that the patient used oxygen ³15 h day ±1 and was nonsmoker. Female gender, LTOT initiated 3±12 months ago, LTOT started by a chest physician at pulmonary department and LTOT prescribed ³15 h day ±1 were found to be signi®cant predictors of`suf®cient follow-up' (odds ratio (OR): 1.7, 2.0, 3.7 and 1.9, respectively). Conclusions. The extent and the quality of followup of patients on LTOT were poor, especially if a nonpulmonary physician initiated LTOT. We recommend that more attention should be paid on proper monitoring of LTOT, and that only chest physicians should be able to prescribe and re-evaluate LTOT.

show abstract

Section: Discussionsupporting

confidence: 78%

Are patients on long‐term oxygen therapy followed up properly? Data from the Danish Oxygen Register

Ringbæk

Lange

Viskum

2001

Journal of Internal Medicine

View full text Add to dashboard Cite

show abstract

“…The compliance rate of the concentrator group is even poorer than that registered in a recent study of ours and once more corroborates the inadequacy of an integrated policy concerning the home care of hypoxaemic patients in Greece [25]. Studies conducted in other European countries have shown explicitly better results [18,19,20,21, 38]. …”

Section: Discussionsupporting

confidence: 73%

“…Nevertheless, the impact on health-related quality of life (HRQL) is a question under debate [14,15,16,17]. Lately, several studies have been conducted in different European countries concerning patients under LTOT provided by concentrators and its influence on compliance rate, exercise capacity and QOL as primary outcome measures for survival [13,18,19,20,21,22]. In contrast, few trials have focused on the effect of LTOT supplied by liquid stationary containers on QOL measurements and patient compliance as well as the comparison between the two oxygen systems [12, 23].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Oxygen Therapy in Chronic Obstructive Pulmonary Disease: The Use of Concentrators and Liquid Oxygen Systems in North-Western Greece

et al. 2006

View full text Add to dashboard Cite

Background: Long-term oxygen therapy (LTOT) is the cornerstone mode of treatment in patients with chronic obstructive pulmonary disease (COPD). Objectives: The present study aims to investigate the effect of two oxygen sources (concentrator and liquid oxygen) on quality of life, exercise tolerance and compliance to LTOT in patients with COPD. Methods: The survey included 104 patients with COPD (31 on concentrator treatment and 73 on liquid oxygen). Patients were subjected to pulse oximetry, basic spirometry, measurement of health-related quality of life by the St. George’s Hospital respiratory questionnaire instrument and assessment of dyspnoea severity by the modified Borg category scale. Exercise tolerance was evaluated by the S_aO₂ value after 3 min of walking. S_aO₂ was measured before and after treatment with each device. Compliance with therapy was defined by the daily duration of oxygen use. Results: The two LTOT groups did not differ significantly concerning pulmonary function tests (p = 0.49 for FEV₁, 0.98 for FVC, 0.15 for FEV₁/FVC% and 0.38 for FEF_50%), S_aO₂ before (p = 0.28) and after (p = 0.80) O₂ treatment and after the 3-min walking trial (p = 0.47), and St. George’s Hospital respiratory questionnaire score (p = 0.45). The liquid oxygen group was less dyspnoeic before treatment (p = 0.02), but this difference disappeared after treatment (p = 0.95). A highly significant difference (p < 0.001) was noted concerning the daily oxygen use. Complete compliance to LTOT (≧15 h/day) was observed in 12.9 and 42.5%, respectively (p < 0.005). Noise disturbance was noted only in the concentrator group (80%). Conclusions: We conclude that stationary liquid oxygen seems to be a satisfactory alternative mode for LTOT treatment in COPD patients, with higher patient compliance to therapy in comparison with concentrators.

show abstract

“…Therefore, the patients’ compliance to such a long-term treatment is an issue of major importance for its effective application. Studies in European countries have shown that the compliance rate to LTOT varies from 45 to 65% [7, 8, 9, 10, 11]. Their results refer to patients usually included in well-organized health care programs with established guidelines for prescription and use of LTOT [12].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Oxygen Therapy in Ioannina

Katsenos

Froudarakis²,

Charisis³

et al. 2004

Respiration

View full text Add to dashboard Cite

Background: Long-term oxygen treatment (LTOT) is very important, especially in patients with severe chronic obstructive pulmonary disease (COPD), but its efficacy is closely related to patient compliance. Objectives: The aim of the present study was to investigate the compliance of patients under LTOT in the Prefecture of Ioannina (north-western Greece) and to identify factors that might be involved. Methods: The study included 249 patients treated with LTOT during a 1-year period. They were visited at home by the investigating staff (a chest specialist and a primary care nurse). Compliance to therapy was defined by the daily use of the O₂ concentrator (in hours). Patients underwent pulse oximetry, basic spirometry, and trial inhalation of bronchodilators. Results: Only 67 patients (26.9%) complied with therapy, while the daily concentrator use lasted 9.7 ± 6.09 h. SaO₂, FEV₁ and FVC were negatively correlated to patient compliance. No significant differences concerning LTOT compliance were noted between men and women, urban and rural population, and between smokers, ex-smokers and non-smokers. A chest physician recommended LTOT for the majority of patients (86.3%), while COPD was the main reason for LTOT prescription (74.7%). Nevertheless, compliance to LTOT was not significantly higher when prescribed by a respiratory physician. No specific medical instructions and information was recorded for the majority of the study patients treated with LTOT. Conclusions: Our results suggest that an organized home care program establishing the relative guidelines is necessary for substantial improvement in patient compliance to LTOT in Greece.

show abstract

Prescription and usage of long-term oxygen therapy in patients with chronic obstructive pulmonary disease in the Netherlands

Cited by 24 publications

References 18 publications

Are patients on long‐term oxygen therapy followed up properly? Data from the Danish Oxygen Register

Are patients on long‐term oxygen therapy followed up properly? Data from the Danish Oxygen Register

Long-Term Oxygen Therapy in Chronic Obstructive Pulmonary Disease: The Use of Concentrators and Liquid Oxygen Systems in North-Western Greece

Long-Term Oxygen Therapy in Ioannina

Contact Info

Product

Resources

About