ArticleAlimentary pharmacology & therapeutics2008
Barriers to physician adherence to nonsteroidal anti-inflammatory drug guidelines: a qualitative study.
Article in Alimentary pharmacology & therapeutics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A technical appraisal of guidelines for the management of skin rash in patients on chemotherapy and targeted therapy.BMC health services research · 2019Pooled it
- Pooled it
- A Swiss Cross-Sectional Study on Patients' Perspectives on Chronic Pain Management, Analgesic Treatment, and Genetic Susceptibility.Journal of pain research · 2025Article
- Why Pharmacovigilance of Non-steroidal Anti-inflammatory Drugs is Important in India?Endocrine, metabolic & immune disorders drug targets · 2024Review
- Facilitators and Barriers to National COVID 19 Guideline Adherence among Healthcare Providers in Ethiopia.Ethiopian journal of health sciences · 2023Article
- Translating Hand Surgery Evidence to Policy and Practice.Hand clinics · 2020Review
- [Effect of the use of heuristics on diagnostic error in Primary Care: Scoping review].Atencion primaria · 2020Article
- A Quality Improvement Educational Intervention to Increase Knowledge of Cardiogastroenterology Amongst Medical Trainees and Nursing Staff.MedEdPORTAL : the journal of teaching and learning resources · 2017Article
- The attitudes of owners and veterinary professionals in the United Kingdom to the risk of adverse events associated with using non-steroidal anti-inflammatory drugs (NSAIDs) to treat dogs with osteoarthritis.Preventive veterinary medicine · 2016Article
- Barriers and Facilitators Associated with Non-Surgical Treatment Use for Osteoarthritis Patients in Orthopaedic Practice.PloS one · 2016Article
- A case study of healthcare professional views on the meaning of data produced by hand hygiene auditing.Journal of infection prevention · 2015Article
- Multicenter Study Assessing Physician Recommendations Regarding the Continuation of Aspirin and/or NSAIDs Prior to Gastrointestinal Endoscopy.Digestive diseases and sciences · 2015Article
- Symptomatic Management of Fever in Children: A National Survey of Healthcare Professionals' Practices in France.PloS one · 2015Article
- Factors associated with clinical inertia: an integrative review.Advances in medical education and practice · 2014Review
- Development and validation of an algorithm to recalibrate mental models and reduce diagnostic errors associated with catheter-associated bacteriuria.BMC medical informatics and decision making · 2013Article
- Pain Management in the Elderly: An FDA Safe Use Initiative Expert Panel's View on Preventable Harm Associated with NSAID Therapy.Current gerontology and geriatrics research · 2012Article
- A taxonomy of reasons for not prescribing guideline-recommended medications for patients with heart failure.The American journal of geriatric pharmacotherapy · 2010Article
- Should nonsteroidal anti-inflammatory drugs (NSAIDs) be prescribed to the older adult?Drugs & aging · 2010Review
- Surveillance in Barrett's esophagus: lessons from behavioral economics.Gastroenterology · 2009Article
- First-contact physiotherapists' perceived competency in a new model of care for low back pain patients: a mixed methods study.Archives of physiotherapyArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundDespite wide availability of physician guidelines for safer use of nonsteroidal anti-inflammatory drugs (NSAIDs) and widespread use of these drugs in the US, NSAID prescribing guidelines have been only modestly effective.
aimTo identify and describe comprehensively barriers to provider adherence to NSAID prescribing guidelines.
methodsWe conducted interviews with 25 physicians, seeking to identify the major influences explaining physician non-adherence to guidelines. Interviews were standardized and structured probes were used for clarification and detail. All interviews were audio-taped and transcribed. Three independent investigators analysed the transcripts, using the constant-comparative method of qualitative analysis.
resultsOur analysis identified six dominant physician barriers explaining non-adherence to established NSAID prescribing guidelines. These included (i) lack of familiarity with guidelines, (ii) perceived limited validity of guidelines, (iii) limited applicability of guidelines among specific patients, (iv) clinical inertia, (v) influences of prior anecdotal experiences and (vi) medical heuristics.
conclusionsA heterogeneous set of influences are barriers to physician adherence to NSAID prescribing guidelines. Suggested measures for improving guideline-concordant prescribing should focus on measures to improve physician education and confidence in guidelines, implementation of physician/pharmacist co-management strategies and expansion of guideline scope.
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