Guideline-based COPD management in a resource-limited setting - physicians' understanding, adherence and barriers: A cross-sectional survey of internal and family medicine hospital-based physicians in Nigeria

Primary Care Respiratory Journal

Volumn 22, Issue 1, 2013, Pages 79-85

  Desalu, Olufemi Olumuyiwa ^a   Onyedum, Cajetan C ^b   Adeoti, Adekunle O ^c   Gundiri, Laguhyel B ^d   Fadare, Joseph O ^e   Adekeye, Kehinde A ^c   Onyeri, Kelechi D ^e   Fawibe, Ademola E ^a  

^a UNIVERSITY OF ILORIN   (Nigeria)

^b UNIVERSITY OF NIGERIA   (Nigeria)

^c EKITI STATE UNIVERSITY   (Nigeria)

^d UNIVERSITY OF MAIDUGURI   (Nigeria)

^e FEDERAL MEDICAL CENTER   (Nigeria)

Author keywords

Adherence; Barriers; COPD guidelines; GOLD; Management; Understanding

Indexed keywords

AMINOPHYLLINE; BETA 2 ADRENERGIC RECEPTOR STIMULATING AGENT; BRONCHODILATING AGENT; CORTICOSTEROID; SHORT ACTING DRUG;

ADULT; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; CROSS-SECTIONAL STUDY; DISEASE SEVERITY; FAMILY MEDICINE; FEMALE; GEOGRAPHIC DISTRIBUTION; HEALTH CARE ACCESS; HUMAN; MALE; MEDICAL RECORD; NIGERIA; PHYSICIAN; PRACTICE GUIDELINE; REVIEW; SELF REPORT; SMOKING CESSATION PROGRAM; SPIROMETRY; STRUCTURED QUESTIONNAIRE; TERTIARY HEALTH CARE; VALIDATION PROCESS;

ADULT; CROSS-SECTIONAL STUDIES; FAMILY PRACTICE; FEMALE; GUIDELINE ADHERENCE; HEALTH CARE SURVEYS; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH RESOURCES; HUMANS; INTERNAL MEDICINE; MALE; NIGERIA; PHYSICIAN'S PRACTICE PATTERNS; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RETROSPECTIVE STUDIES;

EID: 84874686496     PISSN: 14714418     EISSN: 14751534     Source Type: Journal    
DOI: 10.4104/pcrj.2013.00014     Document Type: Review

References (32)

1. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (updated 2010). Available at: www.copdgold.org
2. World Health Organization. The global burden of disease: 2004 update. Geneva: World Health Organization, 2008.
3. Murray CJL, Lopez AD, eds. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020. Cambridge: Harvard School of Public Health on behalf of the World Health Organization and the World Bank, 1996.
4. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997;349(9064):1498-504. http://dx.doi.org/10.1016/S0140-6736(96)07492-2
5. Lopez AD, Shibuya K, Rao C, et al. Chronic obstructive pulmonary disease: current burden and future projections. Eur Respir J 2006;27:397-412. http://dx.doi.org/10.1183/09031936.06.00025805
6. Yawn BP, Wollan PC. Knowledge and attitudes of family physicians coming to COPD continuing medical education. Int J Chron Obstruct Pulmon Dis 2008;3:311-17.
7. Harvey PA, Murphy MC, Dornom E, Berlowitz DJ, Lim WK, Jackson B. Implementing evidence-based guidelines: inpatient management of chronic obstructive pulmonary disease. Intern Med J 2005;35:151-5. http://dx.doi.org/10.1111/j.1445-5994.2004.00754.x
8. Chavez PC, Shokar NK. Diagnosis and management of chronic obstructive pulmonary disease (COPD) in a primary care clinic. COPD 2009;6:446-51. http://dx.doi.org/10.3109/15412550903341455
9. Bourbeau J, Sebaldt RJ, Day A, et al. Practice patterns in the management of chronic obstructive pulmonary disease in primary practice: the CAGE study. Can Respir J 2008;15:13-19.
10. Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282:1458-65. http://dx.doi.org/10.1001/jama.282.15.1458
11. Omoruan AI, Bamidele AP, Phillips OF. Social health insurance and sustainable healthcare reform in Nigeria. Ethno Med 2009;3:105-10.
12. Desalu OO, Onyedum CC, Salawu FK, Iseh KR, Salami AK. Asthma in Nigeria: are the resources available to support internationally endorsed standards of care? Health Policy 2011;99:250-4. http://dx.doi.org/10.1016/j.healthpol.2010.10.006
13. Miniño AM, Xu J, Kochanek KD. Deaths: preliminary data for 2008. National Vital Statistics Reports. Hyattsville, MD: National Center for Health Statistics, 2010.
14. World Health Organization. Global status report on non-communicable diseases. Geneva: World Health Organization, 2010.
15. Aït-Khaled N, Enarson DA, Chiang C-Y. COPD management. Part II. Relevance for resource-poor settings. Int J Tuberc Lung Dis 2008;12(6):595-600.
16. World Health Organization. National health accounts: country information. Geneva, Switzerland: WHO, 2007. http://www.who.int/nha/country (accessed March 2008).
17. Aisanov Z, Bai C, Bauerle O, Colodenco FD, et al. Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world. Int J Chron Obstruct Pulmon Dis 2012;7:271-82.
18. Salinas GD, Williamson JC, Kalhan R, et al. Barriers to adherence to chronic obstructive pulmonary disease guidelines by primary care physicians. Int J Chron Obstruct Pulmon Dis 2011;6:171-9. http://dx.doi.org/10.2147/COPD.S16396
19. Glaab T, Banik N, Singer C, Wencker M. Guideline conformance for outpatient management of COPD. Dtsch Med Wochenschr 2006;131:1203-8. http://dx.doi.org/10.1055/s-2006-941752
20. Glaab T, Banik N, Trautmann M, Hellmann A, Wencker M. Guideline-conformity of outpatient COPD management by pneumologists. Pneumologie 2006;60:395-400. http://dx.doi.org/10.1055/s-2006-932166
21. Barr RG, Celli BR, Martinez FJ, et al. Physician and patient perceptions in COPD: the COPD Resource Network Needs Assessment Survey. Am J Med 2005;118:1415. http://dx.doi.org/10.1016/j.amjmed.2005.07.059
22. Sivori ML, Raimondi GA. Survey of chest physicians regarding COPD diagnosis and treatment. Medicina (B Aires) 2004;64:113-19.
23. Fritsch K, Jacot M-L, Klarer A, et al. Adherence to the Swiss guidelines for management of COPD: experience of a Swiss teaching hospital. Swiss Med Wkly 2005;135:116-21.
24. Decramer M, Bartsch P, Pauwels R, Yernault JC. Management of COPD according to guidelines. A national survey among Belgian physicians. Monaldi Arch Chest Dis 2003;59:62-80.
25. Jones RC, Dickson-Spillmann M, Mather MJ, Marks D, Shackell BS. Accuracy of diagnostic registers and management of chronic obstructive pulmonary disease: the Devon primary care audit. Respir Res 2008;9:62. http://dx.doi.org/10.1186/1465-9921-9-62
26. Desalu OO, Adekoya AO, Elegbede AO, Dosunmu A, Kolawole TF, Nwogu KC. Knowledge of and practices related to smoking cessation among physicians in Nigeria. J Braz Pneumol 2009;35:1198-203. http://dx.doi.org/10.1590/S1806-37132009001200006
27. Rutschmann OT, Janssens JP, Vermeulen B, Sarasin FP. Knowledge of guidelines for the management of COPD: a survey of primary care physicians. Respir Med 2004;98(1):932-7. http://dx.doi.org/10.1016/j.rmed.2004.03.018
28. Wongsurakiat P, Maranetra KN, Wasi C, Kositanont U, Dejsomritrutai W, Charoenratanakul S. Acute respiratory illness in patients with COPD and the effectiveness of influenza vaccination: a randomized controlled study. Chest 2004;125:2011-20. http://dx.doi.org/10.1378/chest.125.6.2011
29. Wongsurakiat P, Lertakyamanee J, Maranetra KN, Jongriratanakul S, Sangkaew S. Economic evaluation of influenza vaccination in Thai chronic obstructive pulmonary disease patients. J Med Assoc Thai 2003;86:497-508.
30. Jackson LA, Neuzil KM, Yu O, et al. Effectiveness of pneumococcal polysaccharide vaccine in older adults. N Engl J Med 2003;348:1747-55. http://dx.doi.org/10.1056/NEJMoa022678
31. Alfageme I, Vazquez R, Reyes N, et al. Clinical efficacy of anti-pneumococcal vaccination in patients with COPD. Thorax 2006;61:189-95. http://dx.doi.org/10.1136/thx.2005.043323
32. Perez X, Wisnivesky JP, Lurslurchachai L, Kleinman LC, Kronish IM. Barriers to adherence to COPD guidelines among primary care providers. Respir Med 2012;106:374-8. http://dx.doi.org/10.1016/j.rmed.2011.09.010