Inhaler mishandling remains common in real life and is associated with reduced disease control
Andrea S. Melani,Marco Bonavia,Vincenzo Cilenti,Cristina Cinti,Marco Lodi,Paola Martucci,Maria Serra,Nicola Scichilone,Piersante Sestini,Maria Aliani,Margherita Neri +10 more
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TLDR
In this paper, the authors investigated the prevalence of inhaler mishandling in a large population of experienced patients referring to chest clinics; to analyze the variables associated with misuse and the relationship between inhaler handling and health-care resources use and disease control.About:
This article is published in Respiratory Medicine.The article was published on 2011-06-01 and is currently open access. It has received 681 citations till now. The article focuses on the topics: Dry-powder inhaler & Inhaler.read more
Citations
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Journal ArticleDOI
What We Mean When We Talk About Adherence in Respiratory Medicine
Bernard Vrijens,Alexandra L. Dima,Eric Van Ganse,Eric Van Ganse,Job F M van Boven,Michelle N. Eakin,Juliet M. Foster,Marijn de Bruin,Marijn de Bruin,Alison Chisholm,David Price +10 more
TL;DR: The newly established Ascertaining Barriers to Compliance (ABC) taxonomy for medication adherence is reviewed with a particular focus on its relevance and applicability within the context of asthma and chronic obstructive pulmonary disease management.
Journal ArticleDOI
Challenges and Future Prospects for the Delivery of Biologics: Oral Mucosal, Pulmonary, and Transdermal Routes.
Javier O. Morales,Kristin Fathe,Ashlee D. Brunaugh,Siilvia Ferrati,Song Li,Miguel Montenegro-Nicolini,Zeynab Mousavikhamene,Jason T. McConville,Mark R. Prausnitz,Hugh D. C. Smyth +9 more
TL;DR: The buccal, sublingual, pulmonary, and transdermal routes of administration for biologics with relevant details of the respective barriers are described and critical views in future developments of each route are given.
Journal ArticleDOI
Implementing chronic care for COPD: planned visits, care coordination, and patient empowerment for improved outcomes
TL;DR: Each primary care practice can devise a COPD care workflow addressing risk awareness, spirometric diagnosis, guideline-based treatment and rehabilitation, and self-management support, to improve patient outcomes in COPD.
Journal ArticleDOI
Effectiveness and success factors of educational inhaler technique interventions in asthma & COPD patients: a systematic review
S. Klijn,Mickaël Hiligsmann,Silvia M. A. A. Evers,Miguel Román-Rodríguez,Thys van der Molen,Job F M van Boven +5 more
TL;DR: Educational interventions to improve inhaler technique are effective on the short-term but periodical intervention reinforcement and longer follow-up studies, including clinical relevant endpoints and cost-effectiveness, are recommended.
Journal ArticleDOI
COPD: adherence to therapy.
Alessandro Sanduzzi,Piero Balbo,Piero Candoli,Giousuè A Catapano,Paola Contini,Alessio Mattei,Giovanni Puglisi,Luigi Santoiemma,Anna Agnese Stanziola +8 more
TL;DR: It is clear that adherence in COPD is a critical issue, it is also obvious that raising awareness on the disease and improving cooperation among specialists, general practitioners, health-care professionals, and patients is the starting point at which this evolution should immediately begin.
References
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Lung volumes and forced ventilatory flows
TL;DR: Assessing the total lung capacity is indispensable in establishing a restrictive ventilatory defect or in diagnosing abnormal lung distensibility, as may occur in patients …
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Development of the asthma control test: A survey for assessing asthma control
Robert A. Nathan,Christine A. Sorkness,Mark Kosinski,Michael Schatz,James T.C. Li,Philip Marcus,John J. Murray,T.B. Pendergraft +7 more
TL;DR: Results reinforce the usefulness of a brief, easy to administer, patient-based index of asthma control.
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Evaluation of Clinical Methods for Rating Dyspnea
TL;DR: The results show that the BDI, MRC scale, and OCD provide significantly related measures of Dyspnea, and the clinical ratings of dyspnea correlate significantly with physiologic parameters of lung function; and breathlessness may be related to the pathophysiology of the specific respiratory disease.
Journal ArticleDOI
Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD
Federico Lavorini,Antoine Magnan,Antoine Magnan,Jean Christophe Dubus,Thomas Voshaar,Lorenzo Corbetta,Mariëlle E.A.C. Broeders,Richard Dekhuijzen,Joaquín Sanchis,José Luis Viejo,Peter J. Barnes,Christopher Corrigan,Mark L Levy,Graham K. Crompton +13 more
TL;DR: It is demonstrated that incorrect DPI technique with established DPIs is common among patients with asthma and COPD, and suggests that poor inhalation technique has detrimental consequences for clinical efficacy.
Journal ArticleDOI
Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability
Violaine Giraud,Nicolas Roche +1 more
TL;DR: Misuse of pressurized metered-dose inhalers, which is mainly due to poor coordination, is frequent and associated with poorer asthma control in inhaled corticosteroid-treated asthmatics, highlighting the importance of evaluating inhalation technique and providing appropriate education in all patients.
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