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      International Journal of COPD (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on pathophysiological processes underlying Chronic Obstructive Pulmonary Disease (COPD) interventions, patient focused education, and self-management protocols. Sign up for email alerts here.

      39,063 Monthly downloads/views I 2.893 Impact Factor I 5.2 CiteScore I 1.16 Source Normalized Impact per Paper (SNIP) I 0.804 Scimago Journal & Country Rank (SJR)

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      Continuing to confront COPD International Surveys: comparison of patient and physician perceptions about COPD risk and management.

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          Abstract

          Using data from the Continuing to Confront COPD International Physician and Patient Surveys, this paper describes physicians' attitudes and beliefs regarding chronic obstructive pulmonary disease (COPD) prognosis, and compares physician and patient perceptions with respect to COPD.

          Most cited references20

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          Adherence to inhaled therapies, health outcomes and costs in patients with asthma and COPD.

          J Mäkelä, Vibeke Backer, Morten Hedegaard … (2013)
          Suboptimal adherence to pharmacological treatment of asthma and chronic obstructive pulmonary disease (COPD) has adverse effects on disease control and treatment costs. The reasons behind non-adherence revolve around patient knowledge/education, inhaler device convenience and satisfaction, age, adverse effects and medication costs. Age is of particular concern given the increasing prevalence of asthma in the young and increased rates of non-adherence in adolescents compared with children and adults. The correlation between adherence to inhaled pharmacological therapies for asthma and COPD and clinical efficacy is positive, with improved symptom control and lung function shown in most studies of adults, adolescents and children. Satisfaction with inhaler devices is also positively correlated with improved adherence and clinical outcomes, and reduced costs. Reductions in healthcare utilisation are consistently observed with good adherence; however, costs associated with general healthcare and lost productivity tend to be offset only in more adherent patients with severe disease, versus those with milder forms of asthma or COPD. Non-adherence is associated with higher healthcare utilisation and costs, and reductions in health-related quality of life, and remains problematic on an individual, societal and economic level. Further development of measures to improve adherence is needed to fully address these issues. Copyright © 2013. Published by Elsevier Ltd.
          Article 0 comments Cited 183 times – based on 0 reviews     Review now
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            Medication adherence issues in patients treated for COPD

            Ruben Restrepo, Melissa Alvarez, Leonard Wittnebel … (2008)
            Although medical treatment of COPD has advanced, nonadherence to medication regimens poses a significant barrier to optimal management. Underuse, overuse, and improper use continue to be the most common causes of poor adherence to therapy. An average of 40%–60% of patients with COPD adheres to the prescribed regimen and only 1 out of 10 patients with a metered dose inhaler performs all essential steps correctly. Adherence to therapy is multifactorial and involves both the patient and the primary care provider. The effect of patient instruction on inhaler adherence and rescue medication utilization in patients with COPD does not seem to parallel the good results reported in patients with asthma. While use of a combined inhaler may facilitate adherence to medications and improve efficacy, pharmacoeconomic factors may influence patient’s selection of both the device and the regimen. Patient’s health beliefs, experiences, and behaviors play a significant role in adherence to pharmacological therapy. This manuscript reviews important aspects associated with medication adherence in patients with COPD and identifies some predictors of poor adherence.
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              Impact of COPD in North America and Europe in 2000: subjects' perspective of Confronting COPD International Survey.

              P Vermeire, N Pride, J Soriano … (2002)
              To date, no international surveys estimating the burden of chronic obstructive pulmonary disease (COPD) in the general population have been published. The Confronting COPD International Survey aimed to quantify morbidity and burden in COPD subjects in 2000. From a total of 201,921 households screened by random-digit dialling in the USA, Canada, France, Italy, Germany, The Netherlands, Spain and the UK, 3,265 subjects with a diagnosis of COPD, chronic bronchitis or emphysema, or with symptoms of chronic bronchitis, were identified. The mean age of the subjects was 63.3 yrs and 44.2% were female. Subjects with COPD in North America and Europe appear to underestimate their morbidity, as shown by the high proportion of subjects with limitations to their basic daily life activities, frequent work loss (45.3% of COPD subjects of <65 yrs reported work loss in the past year) and frequent use of health services (13.8% of subjects required emergency care in the last year), and may be undertreated. There was a significant disparity between subjects' perception of disease severity and the degree of severity indicated by an objective breathlessness scale. Of those with the most severe breathlessness (too breathless to leave the house), 35.8% described their condition as mild or moderate, as did 60.3% of those with the next most severe degree of breathlessness (breathless after walking a few minutes on level ground). This international survey confirmed the great burden to society and high individual morbidity associated with chronic obstructive pulmonary disease in subjects in North America and Europe.
              Article 0 comments Cited 110 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (iso-abbrev): Int J Chron Obstruct Pulmon Dis
                Title: International journal of chronic obstructive pulmonary disease
                Publisher: Informa UK Limited
                ISSN (Electronic): 1178-2005
                ISSN (Print): 1176-9106
                Publication date (Electronic): 2015
                Volume: 10
                Affiliations
                [1 ] Federal University of Pelotas, Pelotas, Brazil.
                [2 ] Worldwide Epidemiology, GlaxoSmithKline, Uxbridge, UK.
                [3 ] Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA.
                [4 ] Pulmonology Research Institute, Moscow, Russia.
                [5 ] University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
                [6 ] University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.
                [7 ] Tohoku University Graduate School of Medicine, Sendai, Japan.
                [8 ] University of Kentucky College of Public Health, Lexington, KY, USA.
                [9 ] Worldwide Epidemiology, GlaxoSmithKline, Wavre, Belgium.
                Article
                Publisher Item ID: copd-10-159
                DOI: 10.2147/COPD.S74315
                PMC ID: 4310342
                PubMed ID: 25653515
                SO-VID: dc340ab3-55c0-492b-b018-bf71da04e19b
                History

                Keywords: beliefs,chronic obstructive pulmonary disease,patient survey,perceptions,physician survey
                Data availability:
                Keywords: beliefs, chronic obstructive pulmonary disease, patient survey, perceptions, physician survey

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