Skip to ContentSkip to Navigation
About usFaculty of Science and EngineeringResearchGRIPNews and activities

Enhancing adherence in patients with COPD

22 September 2015

Targets, interventions & cost-effectiveness

In his research project Job van Boven found that COPD patients who used their medication sub-optimally (non-adherent patients), were more often hospitalized, had lower quality of life and also decreased life expectation. In addition, total healthcare costs were higher and these patients showed higher work productivity losses. Individuals with a chronic lung disease, such as COPD, are dependent on the use of inhaled medication. These medications can substantially reduce dyspnea and prevent exacerbations. However, they are only optimally effective when used on a daily basis and with a correct inhalation technique (this is called “adherence”). The majority of patients have major difficulties in being or remaining adherent. Van Boven also discovered that side-effects are common after the start of new inhaled lung medication, especially in the first three months, but even after a year of use, they still occur. This is often related to incorrect inhalation technique. Obviously, we should not blame the COPD patients themselves for this. However, it highlights that physicians and pharmacists should spent more time on educating their patients on how to use their inhaled medication in a correct manner. Therefore, Van Boven subsequently investigated the effectiveness and cost-effectiveness of enhancing adherence, in The Netherlands as well as in Belgium. In both countries it appeared that patients that received extra education and instruction had fewer hospitalizations at lower total healthcare costs as compared to COPD patients receiving standard care. Van Boven concluded that optimizing medication adherence should therefore always be considered before starting new, often more expensive, therapies.

Dissertation: http://hdl.handle.net/11370/718ed477-a362-4995-ba64-e35cc1e88d4f

PhD ceremony:    J.F.M. (Job) van Boven, MSc
When:                September 25, 2015
Start:                 12:45
Promotors:         prof. dr. M.J. (Maarten) Postma, prof. dr. T. (Thys) van der Molen
Where:              Academy building RUG
Faculty:              Mathematics and Natural Sciences

Last modified:22 September 2015 11.58 a.m.
printView this page in: Nederlands

More news

  • 15 May 2019

    Academy Medal for Trudy Dehue

    Trudy Dehue, scientific sociologist, author and emeritus professor of the University of Groningen, will receive the Academy Medal from the Royal Netherlands Academy of Arts and Sciences (KNAW). The Academy Medal is awarded every other year to individuals...

  • 15 May 2019

    Van Rijn advice hits UG hard

    The advice from the Van Rijn committee concerning the funding of higher education has heavy consequences for the UG as a broad-based classical university. The proposed redistribution of funds in favour of technical sciences is at the expense of degree...

  • 14 May 2019

    Number of children with type 1 diabetes doubled

    The number of children who are annually diagnosed with type 1 diabetes has doubled over the last 30 years. This is one of the conclusions of the PhD thesis written by Angelien Spaans-Hummelink, who works as a paediatrician at the diabetes clinic at...