Indian Journal of Respiratory Care

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VOLUME 12 , ISSUE 4 ( October-December, 2023 ) > List of Articles

Original Article

Analysis of Physician Prescription Patterns in Patients with Advanced Chronic Obstructive Pulmonary Disease

Arjun Khanna, Pradeep Bajad, Sourabh Pahuja, Satyam Agarwal, Isham Goel

Keywords : Chronic obstructive pulmonary disease, Management, Physician

Citation Information : Khanna A, Bajad P, Pahuja S, Agarwal S, Goel I. Analysis of Physician Prescription Patterns in Patients with Advanced Chronic Obstructive Pulmonary Disease. Indian J Respir Care 2023; 12 (4):325-329.

DOI: 10.5005/jp-journals-11010-1079

License: CC BY-NC-SA 4.0

Published Online: 18-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a worldwide health problem that is increasing in prevalence. There are practice differences between general physicians and respiratory physicians, and it is expected that not everyone would follow the prescribed guidelines fully. Objectives: The objective of the study was to examine the practice standards of general physicians with postgraduate medicine degrees and evaluate their influence on disease control in COPD patients. Materials and methods: A retrospective, observational study among 60 consecutive patients with advanced COPD patients who were seen at a tertiary care center in North India at the Department of Respiratory and Critical Care Medicine over a period of 6 months from February to July 2022. Results: In this study, data from 60 patients were retrieved who were undergoing treatment from a randomly selected doctor of medicine/diplomate of national board (MD/DNB) physicians. Very few physicians prescribed spirometry to diagnose COPD; however, most patients had undergone a high-resolution computed tomography (HRCT) chest. Around 93.3% of patients continued using both nebulization and handheld inhalers. Around 96.6% of the study patients were prescribed short-acting bronchodilators (SABAs). None of the patients were given any prescription for smoking cessation and pulmonary rehabilitation. Influenza and pneumococcal vaccination were also prescribed to a small number of patients. Conclusion: Overall, it appears that general physicians continue to treat COPD patients with traditional forms of treatment, and very few treat patients as per the updated guidelines.


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