Publication

COPD exacerbations in general practice: variability in oral prednisolone courses

de Vries, M., Berendsen, A. J., Bosveld, H. E. P., Kerstjens, H. A. M. & van der Molen, T., 12-Jan-2012, In : BMC Family Practice. 13, 7 p., 3.

Research output: Contribution to journalArticleAcademicpeer-review

APA

de Vries, M., Berendsen, A. J., Bosveld, H. E. P., Kerstjens, H. A. M., & van der Molen, T. (2012). COPD exacerbations in general practice: variability in oral prednisolone courses. BMC Family Practice, 13, [3]. https://doi.org/10.1186/1471-2296-13-3

Author

de Vries, Marianne ; Berendsen, Annette J. ; Bosveld, Henk E. P. ; Kerstjens, Huib A. M. ; van der Molen, Thys. / COPD exacerbations in general practice : variability in oral prednisolone courses. In: BMC Family Practice. 2012 ; Vol. 13.

Harvard

de Vries, M, Berendsen, AJ, Bosveld, HEP, Kerstjens, HAM & van der Molen, T 2012, 'COPD exacerbations in general practice: variability in oral prednisolone courses', BMC Family Practice, vol. 13, 3. https://doi.org/10.1186/1471-2296-13-3

Standard

COPD exacerbations in general practice : variability in oral prednisolone courses. / de Vries, Marianne; Berendsen, Annette J.; Bosveld, Henk E. P.; Kerstjens, Huib A. M.; van der Molen, Thys.

In: BMC Family Practice, Vol. 13, 3, 12.01.2012.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

de Vries M, Berendsen AJ, Bosveld HEP, Kerstjens HAM, van der Molen T. COPD exacerbations in general practice: variability in oral prednisolone courses. BMC Family Practice. 2012 Jan 12;13. 3. https://doi.org/10.1186/1471-2296-13-3


BibTeX

@article{0e849ed657f14771abc12a08aa877092,
title = "COPD exacerbations in general practice: variability in oral prednisolone courses",
abstract = "Background: The use of oral corticosteroids as treatment of COPD exacerbations in primary care is well established and evidence-based. However, the most appropriate dosage regimen has not been determined and remains controversial. Corticosteroid therapy is associated with a number of undesirable side effects, including hyperglycaemias, so differences in prescribing might be relevant. This study examines the differences between GPs in dosage and duration of prednisolone treatment in patients with a COPD exacerbation. It also investigates the number of general practitioners (GPs) who adjust their treatment according to the presence of diabetic comorbidity.Methods: Cross-sectional study among 219 GPs and 25 GPs in training, located in the Northern part of the Netherlands.Results: The response rate was 69{\%}. Nearly every GP prescribed a continuous dose of prednisolone 30 mg per day. Among GPs there were substantial differences in treatment duration. GPs prescribed courses of five, seven, ten, or fourteen days. A course of seven days was most common. The duration of treatment depended on exacerbation and disease severity. A course of five days was especially prescribed in case of a less severe exacerbation. In a more severe exacerbation duration of seven to fourteen days was more common. Hardly any GP adjusted treatment to the presence of diabetic co-morbidity.Conclusion: Under normal conditions GPs prescribe prednisolone quite uniformly, within the range of the current Dutch guidelines. There is insufficient guidance regarding how to adjust corticosteroid treatment to exacerbation severity, disease severity and the presence of diabetic co-morbidity. Under these circumstances, there is a substantial variation in treatment duration.",
keywords = "OBSTRUCTIVE PULMONARY-DISEASE, RANDOMIZED CONTROLLED-TRIAL, SYSTEMIC GLUCOCORTICOIDS, NEBULIZED BUDESONIDE, DOUBLE-BLIND, CORTICOSTEROIDS, MANAGEMENT, ASTHMA, BUDESONIDE/FORMOTEROL, PLACEBO",
author = "{de Vries}, Marianne and Berendsen, {Annette J.} and Bosveld, {Henk E. P.} and Kerstjens, {Huib A. M.} and {van der Molen}, Thys",
year = "2012",
month = "1",
day = "12",
doi = "10.1186/1471-2296-13-3",
language = "English",
volume = "13",
journal = "BMC Family Practice",
issn = "1471-2296",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - COPD exacerbations in general practice

T2 - variability in oral prednisolone courses

AU - de Vries, Marianne

AU - Berendsen, Annette J.

AU - Bosveld, Henk E. P.

AU - Kerstjens, Huib A. M.

AU - van der Molen, Thys

PY - 2012/1/12

Y1 - 2012/1/12

N2 - Background: The use of oral corticosteroids as treatment of COPD exacerbations in primary care is well established and evidence-based. However, the most appropriate dosage regimen has not been determined and remains controversial. Corticosteroid therapy is associated with a number of undesirable side effects, including hyperglycaemias, so differences in prescribing might be relevant. This study examines the differences between GPs in dosage and duration of prednisolone treatment in patients with a COPD exacerbation. It also investigates the number of general practitioners (GPs) who adjust their treatment according to the presence of diabetic comorbidity.Methods: Cross-sectional study among 219 GPs and 25 GPs in training, located in the Northern part of the Netherlands.Results: The response rate was 69%. Nearly every GP prescribed a continuous dose of prednisolone 30 mg per day. Among GPs there were substantial differences in treatment duration. GPs prescribed courses of five, seven, ten, or fourteen days. A course of seven days was most common. The duration of treatment depended on exacerbation and disease severity. A course of five days was especially prescribed in case of a less severe exacerbation. In a more severe exacerbation duration of seven to fourteen days was more common. Hardly any GP adjusted treatment to the presence of diabetic co-morbidity.Conclusion: Under normal conditions GPs prescribe prednisolone quite uniformly, within the range of the current Dutch guidelines. There is insufficient guidance regarding how to adjust corticosteroid treatment to exacerbation severity, disease severity and the presence of diabetic co-morbidity. Under these circumstances, there is a substantial variation in treatment duration.

AB - Background: The use of oral corticosteroids as treatment of COPD exacerbations in primary care is well established and evidence-based. However, the most appropriate dosage regimen has not been determined and remains controversial. Corticosteroid therapy is associated with a number of undesirable side effects, including hyperglycaemias, so differences in prescribing might be relevant. This study examines the differences between GPs in dosage and duration of prednisolone treatment in patients with a COPD exacerbation. It also investigates the number of general practitioners (GPs) who adjust their treatment according to the presence of diabetic comorbidity.Methods: Cross-sectional study among 219 GPs and 25 GPs in training, located in the Northern part of the Netherlands.Results: The response rate was 69%. Nearly every GP prescribed a continuous dose of prednisolone 30 mg per day. Among GPs there were substantial differences in treatment duration. GPs prescribed courses of five, seven, ten, or fourteen days. A course of seven days was most common. The duration of treatment depended on exacerbation and disease severity. A course of five days was especially prescribed in case of a less severe exacerbation. In a more severe exacerbation duration of seven to fourteen days was more common. Hardly any GP adjusted treatment to the presence of diabetic co-morbidity.Conclusion: Under normal conditions GPs prescribe prednisolone quite uniformly, within the range of the current Dutch guidelines. There is insufficient guidance regarding how to adjust corticosteroid treatment to exacerbation severity, disease severity and the presence of diabetic co-morbidity. Under these circumstances, there is a substantial variation in treatment duration.

KW - OBSTRUCTIVE PULMONARY-DISEASE

KW - RANDOMIZED CONTROLLED-TRIAL

KW - SYSTEMIC GLUCOCORTICOIDS

KW - NEBULIZED BUDESONIDE

KW - DOUBLE-BLIND

KW - CORTICOSTEROIDS

KW - MANAGEMENT

KW - ASTHMA

KW - BUDESONIDE/FORMOTEROL

KW - PLACEBO

U2 - 10.1186/1471-2296-13-3

DO - 10.1186/1471-2296-13-3

M3 - Article

VL - 13

JO - BMC Family Practice

JF - BMC Family Practice

SN - 1471-2296

M1 - 3

ER -

ID: 5541121