EurekaMag.com logo
+ Site Statistics
References:
53,517,315
Abstracts:
29,339,501
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Medication prescribing for asthma and COPD: a register-based cross-sectional study in Swedish primary care



Medication prescribing for asthma and COPD: a register-based cross-sectional study in Swedish primary care



Bmc Family Practice 15(): 54-54



There is a gap between prescribed asthma medication and diagnosed asthma in children and adolescents. However, few studies have explored this issue among adults, where asthma medication is also used for the treatment of chronic obstructive pulmonary disease (COPD). The aim of this study was to examine the relationship between prescribing of medications indicated for asthma and COPD and the recorded diagnosis for these conditions. In a register-based study, individuals prescribed a medication indicated for asthma and COPD during 2004-2005 (Group A; n = 14 101) and patients with diagnoses of asthma or COPD recorded during 2000-2005 (Group B; n = 12 328) were identified from primary health care centers in Skaraborg, Sweden. From a 5% random sample of the medication users (n = 670), the written medical records were accessed. prevalence of medication and diagnoses, reasons for prescription. type and number of prescribed drugs and performance of peak expiratory flow or spirometry. Medications indicated for asthma and COPD was prescribed to 5.6% of the population in primary care (n = 14 101). Among them, an asthma diagnosis was recorded for 5876 individuals (42%), 1116 (8%) were diagnosed with COPD and 545 (4%) had both diagnoses. The remaining 6564 individuals (46%) were lacking a recorded diagnosis. The gap between diagnosis and medication was present in all age-groups. Medication was used as a diagnostic tool among 30% of the undiagnosed patients and prescribed off-label for 54%. Missed recording of ICD-codes for existing asthma or COPD accounted for 16%. There was a large discrepancy between prescribing of medication and the prevalence of diagnosed asthma and COPD. Consequently, the prevalence of prescriptions of medications indicated for asthma and COPD should not be used to estimate the prevalence of these conditions. Medication was used both as a diagnostic tool and in an off-label manner. Therefore, the prescribing of medications for asthma and COPD does not adhere to national clinical guidelines. More efforts should be made to improve the prescribing of medication indicated for asthma and COPD so that they align with current guidelines.

(PDF same-day service: $19.90)

Accession: 054314304

Download citation: RISBibTeXText

PMID: 24666507

DOI: 10.1186/1471-2296-15-54



Related references

Prescribing patterns of asthma controller therapy for children in UK primary care: a cross-sectional observational study. Bmc Pulmonary Medicine 10(): 29-29, 2010

Asthma and COPD in primary health care, quality according to national guidelines: a cross-sectional and a retrospective study. Bmc Family Practice 9(): 36-36, 2008

Effects of medication reviews on use of potentially inappropriate medications in elderly patients; a cross-sectional study in Swedish primary care. Bmc Health Services Research 18(1): 616-616, 2018

Association between continuity of care in Swedish primary care and emergency services utilisation: a population-based cross-sectional study. Scandinavian Journal of Primary Health Care 35(2): 113-119, 2017

Benzodiazepine and z-hypnotic prescribing for older people in primary care: a cross-sectional population-based study. British Journal of General Practice 66(647): E410-E415, 2016

Do evidence-based guidelines have an impact in primary care? A cross-sectional study of Swedish physicians and physiotherapists. Spine 30(1): 146-151, 2005

Potentially Inappropriate Prescribing Among People with Dementia in Primary Care: A Retrospective Cross-Sectional Study Using the Enhanced Prescribing Database. Journal of Alzheimer's Disease 52(4): 1503-1513, 2016

Inappropriate prescribing of combination inhalers in Northern Ireland: retrospective cross-sectional cohort study of prescribing practice in primary care. Primary Care Respiratory Journal 23(1): 74-78, 2014

Prevalence and management of coronary heart disease in primary care: population-based cross-sectional study using a disease register. Journal of Public Health Medicine 25(1): 29-35, 2003

Feasibility of the FINDRISC questionnaire to identify individuals with impaired glucose tolerance in Swedish primary care. A cross-sectional population-based study. Diabetic Medicine 29(12): 1501-1505, 2013

Subjective and clinically assessed hearing loss; a cross-sectional register-based study on a swedish population aged 18 through 50 years. Plos One 10(4): E0123290-E0123290, 2016

Potentially inappropriate medication use among Finnish non-institutionalized people aged ≥65 years: a register-based, cross-sectional, national study. Drugs & Aging 28(3): 227-236, 2011

Implementation of asthma clinical practice guidelines in primary care: A cross-sectional study based on the Knowledge-to-Action Cycle. Journal of Asthma 1-8, 2017

Primary Care Medication Safety Surveillance with Integrated Primary and Secondary Care Electronic Health Records: A Cross-Sectional Study. Drug Safety 38(7): 671-682, 2016

Cardiovascular disease in asthma and COPD: a population-based retrospective cross-sectional study. Respiratory Medicine 106(2): 249-256, 2012