ArticleInternal and emergency medicine2014
Poor adherence to guidelines for long-term oxygen therapy (LTOT) in two Italian university hospitals.
Article in Internal and emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 18 citations in OpenAlex.
- Characteristics at the time of oxygen initiation associated with its adherence: Findings from the COPD Long-term Oxygen Treatment Trial.Respiratory medicine · 2019Trial
- Article
- Adherence to long-term home oxygen therapy in patients with chronic respiratory disease in two cities in the state of Minas Gerais, Brazil.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2021Article
- Oxygen therapy in COPD and interstitial lung disease: navigating the knowns and unknowns.ERJ open research · 2019Review
- Long-term oxygen therapy in COPD patients: population-based cohort study on mortality.International journal of chronic obstructive pulmonary disease · 2018Article
- A nationwide structure for valid long-term oxygen therapy: 29-year prospective data in Sweden.International journal of chronic obstructive pulmonary disease · 2017Observational
- The risk of burn injury during long-term oxygen therapy: a 17-year longitudinal national study in Sweden.International journal of chronic obstructive pulmonary disease · 2015Article
- Impact of adherence to long-term oxygen therapy on patients with COPD and exertional hypoxemia followed for one year.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e TisilogiaArticle
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Long-term oxygen therapy (LTOT) improves survival in patients with chronic obstructive pulmonary disease (COPD) and severe hypoxemia. Adherence to LTOT guidelines is problematic, both because efficacy has been demonstrated only in specific groups of COPD patients, and because it implies high costs. Introduces treatment high costs. The aim of our study was to examine retrospectively the adherence to LTOT guidelines in a sample of medical records of patients prescribed LTOT between January 2005 and December 2006 in two Italian university hospitals (Ferrara and Modena). Out of a total of 191 medical records of patients prescribed LTOT, only 157 had adequate clinical data considering the three main criteria for appropriateness (arterial blood gas and/or pulse oximetry measurement, oxygen administration, smoking status). Out of these 157 patients, only 73 (46.5 %) fulfilled all three criteria recommended by the guidelines. Adherence was higher for LTOT prescribed by pulmonologists compared to internists. This survey showed that the adherence to LTOT guidelines in a sample of medical records of patients prescribed LTOT is poor. Considering the high costs and the impact on the patients' quality of life of LTOT, these results suggest that the adherence should be carefully monitored.
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