Effect of salmeterol on patients' adherence to their prescribed refills for inhaled corticosteroids

Kelloway, J S; Wyatt, Richard A.; DeMarco, Joanne; Adlis, Susan A.

doi:10.1016/s1081-1206(10)62781-0

Cited by 30 publications

(16 citation statements)

References 36 publications

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“…Therefore, patients should be instructed to obtain their medication from a single pharmacy. (25)(26)(27) Adherence rates based on pharmacy dispensing records ranged from 41 to 61%, (28,29) whereas those based on canister weighing ranged from 44 to 69%. (30,31) Sherman et al calculated the adherence rates of 116 children by telephoning 55 pharmacies in order to obtain their medication dispensing records.…”

Section: Available Methods For Adherence Assessmentmentioning

confidence: 99%

Métodos empregados na verificação da adesão à corticoterapia inalatória em crianças e adolescentes: taxas encontradas e suas implicações para a prática clínica

Jentzsch

Camargos

2008

J. bras. pneumol.

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Nonadherence to inhaled corticosteroid therapy is common and has a negative effect on clinical control, as well as increasing morbidity rates, mortality rates and health care costs. This review was conducted using direct searches, together with the following sources: Medline; HighWire; and the Latin American and Caribbean Health Sciences Literature database. Searches included articles published between 1992 and 2008. The following methods of assessing adherence, listed in ascending order by degree of objectivity, were identified: patient or family reports; clinical judgment; weighing/dispensing of medication, electronic medication monitoring; and (rarely) biochemical analysis. Adherence rates ranged from 30 to 70%. It is recognized that the degree of adherence determined by patient/family reports or by clinical judgment is exaggerated in comparison with that obtained using electronic medication monitors. Physicians should bear in mind that true adherence rates are lower than those reported by patients, and this should be considered in cases of poor clinical control. Weighing the spray quantifies the medication and infers adherence. However, there can be deliberate emptying of inhalers and medication sharing. In some countries, pharmacies provide the dates on which the medication was dispensed and refilled. This strategy is valid and should be used in Brazil. The use of electronic medication monitors, which provide the date and time of each triggering of the medication device, although costly, is the most accurate method of assessing adherence. The results obtained with such monitors demonstrate that adherence was lower than expected. Physicians should improve their knowledge on patient adherence and use accurate methods of assessing such adherence.Keywords: Patient compliance; Asthma/therapy; Asthma/prevention & control. ResumoAdesão inadequada à corticoterapia inalatória é comum e contribui para um controle clínico insatisfatório, aumento da morbidade, mortalidade e dos custos do setor. Este artigo de revisão foi conduzido utilizando-se bancos de dados Medline, HighWire, Literatura Latino-Americana e do Caribe em Ciências da Saúde e pesquisa direta, entre 1992 e 2008. Os métodos para avaliar a adesão, citados em ordem crescente de sua objetividade, são: relato do paciente ou seus familiares, julgamento clínico, pesagem da medicação, dispensação de medicação, dosadores eletrônicos e análise bioquímica (pouco utilizada). As taxas de adesão variaram de 30 a 70%. A adesão determinada pelo relato do paciente/ familiares e julgamento clínico é reconhecidamente exagerada quando comparada à obtida através do dosador eletrônico. O clínico deve sempre lembrar que as taxas reais de adesão são menores do que as relatadas pelo paciente e isso deve ser considerado, se não houver bom controle da doença. A pesagem do spray quantifica a medicação e infere adesão, porém pode ocorrer esvaziamento deliberado e compartilhamento da medicação. A farmácia fornece datas de dispensação e recarga da medicação. Esta estratégia é v...

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Section: Available Methods For Adherence Assessmentmentioning

confidence: 99%

Métodos empregados na verificação da adesão à corticoterapia inalatória em crianças e adolescentes: taxas encontradas e suas implicações para a prática clínica

Jentzsch

Camargos

2008

J. bras. pneumol.

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“…First, we placed the BDP-MDI in the mouth and instructed the subject to close their mouth around it, after which the examiner depressed the top of the inhaler once. Following that single spray, the subject was instructed to hold their breath for 15 s, after which each washed their mouth with water 11) according to the various methods tested. As for the FP-DPI, we performed the procedure according to the enclosed Information Leaflet.…”

Section: Methodsmentioning

confidence: 99%

Influence of Mouth Washing Procedures on the Removal of Drug Residues Following Inhalation of Corticosteroids

Yokoyama

Yamamura

Ozeki

et al. 2006

Biological & Pharmaceutical Bulletin

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“…[29,30] The factor related to poor adherence include difficulty in learning to use inhalers, cost and side effects of medication, poor selfmanagement behavior, parental criticism, family dysfunction (especially for children), psychopathology in care givers, psychiatric morbidity, poor doctor patient relationship etc. [31][32][33][34][35][36][37] …”

Section: E) Treatment Compliancementioning

confidence: 99%

Psychological Aspects of Bronchial Asthma in Children

Bhatia¹

2017

WJPPS

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Bronchial Asthma is a chronic respiratory debilitating illness. It has multifactorial causation and effect. Psychological effects of asthma are underdignosed and managed causing an increase in morbidity and at times increased risk of mortality. This article reviewed the psychological aspects of bronchial asthma in children as they are the most vulnerable group. Early diagnosis and effective management can be helpful in reducing the burden due to the illness and improving the quality of life.

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Effect of salmeterol on patients' adherence to their prescribed refills for inhaled corticosteroids

Cited by 30 publications

References 36 publications

Métodos empregados na verificação da adesão à corticoterapia inalatória em crianças e adolescentes: taxas encontradas e suas implicações para a prática clínica

Métodos empregados na verificação da adesão à corticoterapia inalatória em crianças e adolescentes: taxas encontradas e suas implicações para a prática clínica

Influence of Mouth Washing Procedures on the Removal of Drug Residues Following Inhalation of Corticosteroids

Psychological Aspects of Bronchial Asthma in Children

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