Evidence map›Paper›PMID 30288037›Full record

Observational studyInternational journal of chronic obstructive pulmonary disease

A comparative analysis of errors in inhaler technique among COPD versus asthma patients.

Birsen Ocakli, Ipek Ozmen, Eylem Acartürk Tunçay, Sinem Gungor, Hilal Altinoz, Nalan Adiguzel, Zafer Ali Sak, Gokay Gungor, Zuhal Karakurt, Peri Arbak

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in International journal of chronic obstructive pulmonary disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
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

17 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Behavioral Phenotypes of Inhaler Technique and Adherence in COPD: A Cross-Sectional Study.International journal of chronic obstructive pulmonary disease · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Performance Characteristics of BreezhalerClinical drug investigation · 2021
    Review
  11. Review
  12. Observational
  13. Article
  14. Article
  15. Review
  16. Article
  17. Inhaler Technique in Low-Income, Inner-City Adults with Uncontrolled Asthma.The journal of allergy and clinical immunology. In practice
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Birsen OcakliUniversity of Health Sciences, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey, birsenocakli@hotmail.com.
Ipek OzmenUniversity of Health Sciences, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey, birsenocakli@hotmail.com.
Eylem Acartürk TunçayUniversity of Health Sciences, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey, birsenocakli@hotmail.com.
Sinem GungorUniversity of Health Sciences, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey, birsenocakli@hotmail.com.
Hilal AltinozUniversity of Health Sciences, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey, birsenocakli@hotmail.com.
Nalan AdiguzelUniversity of Health Sciences, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey, birsenocakli@hotmail.com.
Zafer Ali SakDepartment of Chest Diseases, Harran University, Faculty of Medicine, Sanliurfa, Turkey.
Gokay GungorUniversity of Health Sciences, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey, birsenocakli@hotmail.com.
Zuhal KarakurtUniversity of Health Sciences, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey, birsenocakli@hotmail.com.
Peri ArbakDepartment of Chest Diseases, Duzce University, Faculty of Medicine, Duzce, Turkey.
University of Health Science · KHDüzce Üniversitesi · TRHarran University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was designed to evaluate errors in inhaler technique in COPD vs asthma patients and to investigate the association of poor inhaler technique with patient demographics and clinical variables. PATIENTS AND

methodsA total of 509 adult patients with COPD (n=328) or asthma (n=181) who were currently using an inhaler device were included in this study. Data on patient demographics, duration of disease, type and duration of inhaler therapy, and assessment of inhaler technique were recorded.

resultsMetered dose inhaler (MDI) was the most common type of inhaler used by a similarly high percentage of patients in both COPD (83.2%) and asthma (77.3%) groups. Failure to exhale before inhaling through device (75.8% and 68.5% for MDIs; 73.2% and 71.8% for Aerolizer

conclusionIn conclusion, our findings revealed that errors in inhaler technique in terms of inhalation maneuvers and device handling were similarly common in COPD and asthma patients. Errors in certain device handling maneuvers, particularly with MDIs, were more common among asthma patients than among COPD patients and associated with female gender and shorter durations of disease and inhaler therapy.

Indexed as

Medical ErrorsAdministration, InhalationAdultAge FactorsAnti-Asthmatic AgentsAsthmaChi-Square DistributionCross-Sectional StudiesEquipment DesignEquipment FailureEquipment SafetyFemaleHumansMaleMetered Dose InhalersMiddle AgedAnti-Asthmatic Agentsasthmachronic obstructive pulmonary diseasedry powder inhalersinhaler techniqueinhaler therapymetered dose inhalers

Identifiers

PMID30288037
PMCPMC6161718
OpenAlexW2890685792

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.