LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use

Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hosp...
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Gespeichert in:

Autor*in:	Varvara Boryushkina [verfasserIn] Vikas Kumar [verfasserIn] Martin Barnes [verfasserIn] Shaha Nabeel [verfasserIn] Thuy Le [verfasserIn] Haseeb Siddique [verfasserIn] Greg Haggerty [verfasserIn] Joseph Ng [verfasserIn] Alan Kaell [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	gold criteria guidelines lama laba copd

Übergeordnetes Werk:	In: Journal of Community Hospital Internal Medicine Perspectives - Greater Baltimore Medical Center, 2011, 10(2020), 4, Seite 324-327
Übergeordnetes Werk:	volume:10 ; year:2020 ; number:4 ; pages:324-327

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1080/20009666.2020.1786915

Katalog-ID:	DOAJ000469785

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520			\|a Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with COPD exacerbations according to the GOLD guidelines and describes the experience at our hospital. Methods: Electronic survey forms regarding LAMA use and the GOLD criteria ABCD for COPD treating physicians were sent to five hospitals. A one-year chart review at our hospital determined prevalent use of a maintenance LAMA or LABA inhaler in patients admitted with acute COPD exacerbation. Currently, our EMR does not require a field for the GOLD ABCD categorization. Results: We obtained a 33% (45/136) response rate. Of these, 63% felt a LAMA to be essential on formulary; 60% were neutral or unlikely to initiate LAMA on admission; 47.7% likely or very likely to start a LAMA during hospitalization; 82% were neutral to very likely to discharge a patient on a LAMA if deemed necessary for maintenance. Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. Our hospital’s use of LAMA or LABA demonstrates the need to incorporate strategies to encourage appropriate prescribing of these LA inhalers per GOLD guidelines.
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allfields	10.1080/20009666.2020.1786915 doi (DE-627)DOAJ000469785 (DE-599)DOAJ16dc6355a6b246ed87e297349848f55a DE-627 ger DE-627 rakwb eng RC31-1245 Varvara Boryushkina verfasserin aut LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with COPD exacerbations according to the GOLD guidelines and describes the experience at our hospital. Methods: Electronic survey forms regarding LAMA use and the GOLD criteria ABCD for COPD treating physicians were sent to five hospitals. A one-year chart review at our hospital determined prevalent use of a maintenance LAMA or LABA inhaler in patients admitted with acute COPD exacerbation. Currently, our EMR does not require a field for the GOLD ABCD categorization. Results: We obtained a 33% (45/136) response rate. Of these, 63% felt a LAMA to be essential on formulary; 60% were neutral or unlikely to initiate LAMA on admission; 47.7% likely or very likely to start a LAMA during hospitalization; 82% were neutral to very likely to discharge a patient on a LAMA if deemed necessary for maintenance. Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. Our hospital’s use of LAMA or LABA demonstrates the need to incorporate strategies to encourage appropriate prescribing of these LA inhalers per GOLD guidelines. gold criteria guidelines lama laba copd Internal medicine Vikas Kumar verfasserin aut Martin Barnes verfasserin aut Shaha Nabeel verfasserin aut Thuy Le verfasserin aut Haseeb Siddique verfasserin aut Greg Haggerty verfasserin aut Joseph Ng verfasserin aut Alan Kaell verfasserin aut In Journal of Community Hospital Internal Medicine Perspectives Greater Baltimore Medical Center, 2011 10(2020), 4, Seite 324-327 (DE-627)663847672 (DE-600)2616884-4 20009666 nnns volume:10 year:2020 number:4 pages:324-327 https://doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/article/16dc6355a6b246ed87e297349848f55a kostenfrei http://dx.doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/toc/2000-9666 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 4 324-327
spelling	10.1080/20009666.2020.1786915 doi (DE-627)DOAJ000469785 (DE-599)DOAJ16dc6355a6b246ed87e297349848f55a DE-627 ger DE-627 rakwb eng RC31-1245 Varvara Boryushkina verfasserin aut LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with COPD exacerbations according to the GOLD guidelines and describes the experience at our hospital. Methods: Electronic survey forms regarding LAMA use and the GOLD criteria ABCD for COPD treating physicians were sent to five hospitals. A one-year chart review at our hospital determined prevalent use of a maintenance LAMA or LABA inhaler in patients admitted with acute COPD exacerbation. Currently, our EMR does not require a field for the GOLD ABCD categorization. Results: We obtained a 33% (45/136) response rate. Of these, 63% felt a LAMA to be essential on formulary; 60% were neutral or unlikely to initiate LAMA on admission; 47.7% likely or very likely to start a LAMA during hospitalization; 82% were neutral to very likely to discharge a patient on a LAMA if deemed necessary for maintenance. Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. Our hospital’s use of LAMA or LABA demonstrates the need to incorporate strategies to encourage appropriate prescribing of these LA inhalers per GOLD guidelines. gold criteria guidelines lama laba copd Internal medicine Vikas Kumar verfasserin aut Martin Barnes verfasserin aut Shaha Nabeel verfasserin aut Thuy Le verfasserin aut Haseeb Siddique verfasserin aut Greg Haggerty verfasserin aut Joseph Ng verfasserin aut Alan Kaell verfasserin aut In Journal of Community Hospital Internal Medicine Perspectives Greater Baltimore Medical Center, 2011 10(2020), 4, Seite 324-327 (DE-627)663847672 (DE-600)2616884-4 20009666 nnns volume:10 year:2020 number:4 pages:324-327 https://doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/article/16dc6355a6b246ed87e297349848f55a kostenfrei http://dx.doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/toc/2000-9666 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 4 324-327
allfields_unstemmed	10.1080/20009666.2020.1786915 doi (DE-627)DOAJ000469785 (DE-599)DOAJ16dc6355a6b246ed87e297349848f55a DE-627 ger DE-627 rakwb eng RC31-1245 Varvara Boryushkina verfasserin aut LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with COPD exacerbations according to the GOLD guidelines and describes the experience at our hospital. Methods: Electronic survey forms regarding LAMA use and the GOLD criteria ABCD for COPD treating physicians were sent to five hospitals. A one-year chart review at our hospital determined prevalent use of a maintenance LAMA or LABA inhaler in patients admitted with acute COPD exacerbation. Currently, our EMR does not require a field for the GOLD ABCD categorization. Results: We obtained a 33% (45/136) response rate. Of these, 63% felt a LAMA to be essential on formulary; 60% were neutral or unlikely to initiate LAMA on admission; 47.7% likely or very likely to start a LAMA during hospitalization; 82% were neutral to very likely to discharge a patient on a LAMA if deemed necessary for maintenance. Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. Our hospital’s use of LAMA or LABA demonstrates the need to incorporate strategies to encourage appropriate prescribing of these LA inhalers per GOLD guidelines. gold criteria guidelines lama laba copd Internal medicine Vikas Kumar verfasserin aut Martin Barnes verfasserin aut Shaha Nabeel verfasserin aut Thuy Le verfasserin aut Haseeb Siddique verfasserin aut Greg Haggerty verfasserin aut Joseph Ng verfasserin aut Alan Kaell verfasserin aut In Journal of Community Hospital Internal Medicine Perspectives Greater Baltimore Medical Center, 2011 10(2020), 4, Seite 324-327 (DE-627)663847672 (DE-600)2616884-4 20009666 nnns volume:10 year:2020 number:4 pages:324-327 https://doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/article/16dc6355a6b246ed87e297349848f55a kostenfrei http://dx.doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/toc/2000-9666 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 4 324-327
allfieldsGer	10.1080/20009666.2020.1786915 doi (DE-627)DOAJ000469785 (DE-599)DOAJ16dc6355a6b246ed87e297349848f55a DE-627 ger DE-627 rakwb eng RC31-1245 Varvara Boryushkina verfasserin aut LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with COPD exacerbations according to the GOLD guidelines and describes the experience at our hospital. Methods: Electronic survey forms regarding LAMA use and the GOLD criteria ABCD for COPD treating physicians were sent to five hospitals. A one-year chart review at our hospital determined prevalent use of a maintenance LAMA or LABA inhaler in patients admitted with acute COPD exacerbation. Currently, our EMR does not require a field for the GOLD ABCD categorization. Results: We obtained a 33% (45/136) response rate. Of these, 63% felt a LAMA to be essential on formulary; 60% were neutral or unlikely to initiate LAMA on admission; 47.7% likely or very likely to start a LAMA during hospitalization; 82% were neutral to very likely to discharge a patient on a LAMA if deemed necessary for maintenance. Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. Our hospital’s use of LAMA or LABA demonstrates the need to incorporate strategies to encourage appropriate prescribing of these LA inhalers per GOLD guidelines. gold criteria guidelines lama laba copd Internal medicine Vikas Kumar verfasserin aut Martin Barnes verfasserin aut Shaha Nabeel verfasserin aut Thuy Le verfasserin aut Haseeb Siddique verfasserin aut Greg Haggerty verfasserin aut Joseph Ng verfasserin aut Alan Kaell verfasserin aut In Journal of Community Hospital Internal Medicine Perspectives Greater Baltimore Medical Center, 2011 10(2020), 4, Seite 324-327 (DE-627)663847672 (DE-600)2616884-4 20009666 nnns volume:10 year:2020 number:4 pages:324-327 https://doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/article/16dc6355a6b246ed87e297349848f55a kostenfrei http://dx.doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/toc/2000-9666 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 4 324-327
allfieldsSound	10.1080/20009666.2020.1786915 doi (DE-627)DOAJ000469785 (DE-599)DOAJ16dc6355a6b246ed87e297349848f55a DE-627 ger DE-627 rakwb eng RC31-1245 Varvara Boryushkina verfasserin aut LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with COPD exacerbations according to the GOLD guidelines and describes the experience at our hospital. Methods: Electronic survey forms regarding LAMA use and the GOLD criteria ABCD for COPD treating physicians were sent to five hospitals. A one-year chart review at our hospital determined prevalent use of a maintenance LAMA or LABA inhaler in patients admitted with acute COPD exacerbation. Currently, our EMR does not require a field for the GOLD ABCD categorization. Results: We obtained a 33% (45/136) response rate. Of these, 63% felt a LAMA to be essential on formulary; 60% were neutral or unlikely to initiate LAMA on admission; 47.7% likely or very likely to start a LAMA during hospitalization; 82% were neutral to very likely to discharge a patient on a LAMA if deemed necessary for maintenance. Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. Our hospital’s use of LAMA or LABA demonstrates the need to incorporate strategies to encourage appropriate prescribing of these LA inhalers per GOLD guidelines. gold criteria guidelines lama laba copd Internal medicine Vikas Kumar verfasserin aut Martin Barnes verfasserin aut Shaha Nabeel verfasserin aut Thuy Le verfasserin aut Haseeb Siddique verfasserin aut Greg Haggerty verfasserin aut Joseph Ng verfasserin aut Alan Kaell verfasserin aut In Journal of Community Hospital Internal Medicine Perspectives Greater Baltimore Medical Center, 2011 10(2020), 4, Seite 324-327 (DE-627)663847672 (DE-600)2616884-4 20009666 nnns volume:10 year:2020 number:4 pages:324-327 https://doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/article/16dc6355a6b246ed87e297349848f55a kostenfrei http://dx.doi.org/10.1080/20009666.2020.1786915 kostenfrei https://doaj.org/toc/2000-9666 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 4 324-327
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callnumber-first	R - Medicine
author	Varvara Boryushkina
spellingShingle	Varvara Boryushkina misc RC31-1245 misc gold criteria guidelines misc lama misc laba misc copd misc Internal medicine LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use
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topic_title	RC31-1245 LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use gold criteria guidelines lama laba copd
topic	misc RC31-1245 misc gold criteria guidelines misc lama misc laba misc copd misc Internal medicine
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title	LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use
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title_full	LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use
author_sort	Varvara Boryushkina
journal	Journal of Community Hospital Internal Medicine Perspectives
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author_browse	Varvara Boryushkina Vikas Kumar Martin Barnes Shaha Nabeel Thuy Le Haseeb Siddique Greg Haggerty Joseph Ng Alan Kaell
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author-letter	Varvara Boryushkina
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title_sort	inhalers for copd: perceptions/reality of abcd gold tool use
callnumber	RC31-1245
title_auth	LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use
abstract	Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with COPD exacerbations according to the GOLD guidelines and describes the experience at our hospital. Methods: Electronic survey forms regarding LAMA use and the GOLD criteria ABCD for COPD treating physicians were sent to five hospitals. A one-year chart review at our hospital determined prevalent use of a maintenance LAMA or LABA inhaler in patients admitted with acute COPD exacerbation. Currently, our EMR does not require a field for the GOLD ABCD categorization. Results: We obtained a 33% (45/136) response rate. Of these, 63% felt a LAMA to be essential on formulary; 60% were neutral or unlikely to initiate LAMA on admission; 47.7% likely or very likely to start a LAMA during hospitalization; 82% were neutral to very likely to discharge a patient on a LAMA if deemed necessary for maintenance. Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. Our hospital’s use of LAMA or LABA demonstrates the need to incorporate strategies to encourage appropriate prescribing of these LA inhalers per GOLD guidelines.
abstractGer	Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with COPD exacerbations according to the GOLD guidelines and describes the experience at our hospital. Methods: Electronic survey forms regarding LAMA use and the GOLD criteria ABCD for COPD treating physicians were sent to five hospitals. A one-year chart review at our hospital determined prevalent use of a maintenance LAMA or LABA inhaler in patients admitted with acute COPD exacerbation. Currently, our EMR does not require a field for the GOLD ABCD categorization. Results: We obtained a 33% (45/136) response rate. Of these, 63% felt a LAMA to be essential on formulary; 60% were neutral or unlikely to initiate LAMA on admission; 47.7% likely or very likely to start a LAMA during hospitalization; 82% were neutral to very likely to discharge a patient on a LAMA if deemed necessary for maintenance. Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. Our hospital’s use of LAMA or LABA demonstrates the need to incorporate strategies to encourage appropriate prescribing of these LA inhalers per GOLD guidelines.
abstract_unstemmed	Background: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) created an ABCD tool to assess staging and severity of COPD subgroups that respond to LAMA or LABA with improved quality of life and reduced exacerbations. Our study assesses perception of physicians at five community hospitals towards LAMA use for patients admitted with COPD exacerbations according to the GOLD guidelines and describes the experience at our hospital. Methods: Electronic survey forms regarding LAMA use and the GOLD criteria ABCD for COPD treating physicians were sent to five hospitals. A one-year chart review at our hospital determined prevalent use of a maintenance LAMA or LABA inhaler in patients admitted with acute COPD exacerbation. Currently, our EMR does not require a field for the GOLD ABCD categorization. Results: We obtained a 33% (45/136) response rate. Of these, 63% felt a LAMA to be essential on formulary; 60% were neutral or unlikely to initiate LAMA on admission; 47.7% likely or very likely to start a LAMA during hospitalization; 82% were neutral to very likely to discharge a patient on a LAMA if deemed necessary for maintenance. Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. Our hospital’s use of LAMA or LABA demonstrates the need to incorporate strategies to encourage appropriate prescribing of these LA inhalers per GOLD guidelines.
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title_short	LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use
url	https://doi.org/10.1080/20009666.2020.1786915 https://doaj.org/article/16dc6355a6b246ed87e297349848f55a http://dx.doi.org/10.1080/20009666.2020.1786915 https://doaj.org/toc/2000-9666
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author2	Vikas Kumar Martin Barnes Shaha Nabeel Thuy Le Haseeb Siddique Greg Haggerty Joseph Ng Alan Kaell
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up_date	2024-07-03T14:52:46.908Z
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Of those admitted for acute COPD exacerbations to our hospital, over a third of COPD patients were not on a maintenance LAMA or LABA. Conclusions: Most physicians felt it important to prescribe a maintenance LAMA to COPD patients hospitalized for acute exacerbation. 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ind1="0" ind2=" "><subfield code="a">Shaha Nabeel</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Thuy Le</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Haseeb Siddique</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Greg Haggerty</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Joseph Ng</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Alan Kaell</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" 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LA inhalers for COPD: perceptions/reality of ABCD GOLD tool use

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