Evidence map›Paper›PMID 29520137›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2018

Factors associated with appropriate inhaler use in patients with COPD - lessons from the REAL survey.

David Price, Dorothy L Keininger, Boomi Viswanad, Matthias Gasser, Susann Walda, Florian S Gutzwiller

Erratum issuedAbstract readComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. Feedback systems in multi-dose dry powder inhalers.Postepy dermatologii i alergologii · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

David PriceDivision of Applied Health Sciences, Academic Primary Care, University of Aberdeen, Aberdeen, UK.
Dorothy L KeiningerNovartis Pharma AG, Basel, Switzerland.
Boomi ViswanadNovartis Healthcare Pvt. Ltd., Hyderabad, India.
Matthias GasserGfK Switzerland AG, Basel, Switzerland.
Susann WaldaGfK Switzerland AG, Basel, Switzerland.
Florian S GutzwillerNovartis Pharma AG, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nonadherence to medication and incorrect use of inhalers represent significant barriers to optimal disease management of patients with chronic obstructive pulmonary disease (COPD). Thus, health care professionals (HCPs) play a critical role in educating their patients on appropriate inhaler use and in ensuring medication adherence. However, many patients do not receive appropriate inhaler training or have not had their inhaler technique checked. Methods: The Real-life Experience and Accuracy of inhaLer use (REAL) survey was a computer-assisted, telephonic survey consisting of 23 questions gathering real-world information on correct inhaler use, inhalation technique, device attributes, adherence, dosing accuracy, training, correct device use, ease of use, and factors that influence patient adherence in commercially available inhalers delivering COPD maintenance therapy. All results are based on patient-reported data. Results: The survey was conducted between January 4, 2016 and February 2, 2016. A total of 764 patients using various inhalers (Breezhaler Conclusion: The REAL survey identified attributes that influenced patient adherence and optimal inhaler use. Predictive attributes that influence patient adherence which HCPs should be aware of include age and disease severity. Modifiable attributes which the HCP can influence include correct inhaler use training, choice of training methods, checking patient inhaler technique at subsequent visits, and device selection. Inhalers are integral in the effective management of patients with COPD; it is therefore important that patients use the inhaler correctly and have full confidence in the dosage.

Indexed as

Health Knowledge, Attitudes, PracticeMedication AdherenceNebulizers and VaporizersAdministration, InhalationAdultAgedBronchodilator AgentsEquipment DesignFemaleHealth Care SurveysHumansLungMaleMiddle AgedPamphletsPatient Education as TopicBronchodilator Agentsadherencechronic obstructive pulmonary diseasedose confidencedouble dosinginhaler usesurvey

Identifiers

PMID29520137
PMCPMC5834182

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.