Evidence map›Paper›PMID 37892775›Full record

ArticleJournal of clinical medicine2023

Adherence to the GOLD Guidelines in Primary Care: Data from the Swiss COPD Cohort.

Veronika Mangold, Maria Boesing, Camille Berset, Pierre-Olivier Bridevaux, Thomas Geiser, Ladina Joos Zellweger, Malcolm Kohler, Giorgia Lüthi-Corridori, Sabrina Maier, David Miedinger and 3 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

13 authors.

Veronika MangoldUniversity Center of Internal Medicine, Cantonal Hospital Baselland, 4410 Liestal, Switzerland.
Maria BoesingUniversity Center of Internal Medicine, Cantonal Hospital Baselland, 4410 Liestal, Switzerland.ORCID 0000-0001-8605-1893
Camille BersetUniversity Center of Internal Medicine, Cantonal Hospital Baselland, 4410 Liestal, Switzerland.
Pierre-Olivier BridevauxClinic of Pneumology, Hospital of Valais, University of Geneva, 1205 Geneva, Switzerland.ORCID 0000-0002-8021-0950
Thomas GeiserDepartment of Pulmonary Medicine and Allergology, University Hospital, University of Bern, 3010 Bern, Switzerland.
Ladina Joos ZellwegerDepartment of Pneumology, Claraspital, 4058 Basel, Switzerland.
Malcolm KohlerDepartment of Pneumology, University Hospital Zürich, 8091 Zürich, Switzerland.
Giorgia Lüthi-CorridoriUniversity Center of Internal Medicine, Cantonal Hospital Baselland, 4410 Liestal, Switzerland.
Sabrina MaierUniversity Center of Internal Medicine, Cantonal Hospital Baselland, 4410 Liestal, Switzerland.
David MiedingerUniversity Center of Internal Medicine, Cantonal Hospital Baselland, 4410 Liestal, Switzerland.
Robert ThurnheerClinic of Medicine, Department of Pneumology, Cantonal Hospital Münsterlingen, 8596 Münsterlingen, Switzerland.
Christophe von GarnierDivision of Pulmonology, Department of Medicine, University Hospital Lausanne, CHUV, University of Lausanne, 1011 Lausanne, Switzerland.
Jörg Daniel LeuppiUniversity Center of Internal Medicine, Cantonal Hospital Baselland, 4410 Liestal, Switzerland.ORCID 0000-0002-5554-0675

Funding

Astra Zeneca Switzerland n/aBoehringer Ingelheim Switzerland n/aGlaxoSmithKline Switzerland n/aNovartis Switzerland n/aPfizer Switzerland n/a
6 · The paper itself

Abstract

(1) Introduction: Chronic obstructive pulmonary disease (COPD) and its associated morbidity and mortality are a global burden on both affected patients and healthcare systems. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) issues guidelines with the aim of improving COPD management. Previous studies reported significant variability in adherence to these recommendations. The objective of this study was to evaluate Swiss primary practitioners' adherence to the GOLD guidelines for the pharmacological treatment of stable COPD. (2) Methods: We studied patients who were included in the Swiss COPD cohort study, an ongoing prospective study in a primary care setting, between 2015 and 2022. The key inclusion criteria are age ≥ 40 years, FEV1/FVC ratio < 70%, and a smoking history of at least 20 pack-years. Adherence to the GOLD guidelines was assessed per visit and over time. (3) Results: The data of 225 COPD patients (mean age 67 ± 9 years, 64% male) and their respective 1163 visits were analyzed. In 65% of visits (726/1121), treatment was prescribed according to the GOLD guidelines. Non-adherence was most common in GOLD groups A and B (64% and 33%) and mainly consisted of over-treatment (two long-acting bronchodilators in group A (98/195, 50%) and ICS in groups A (21/195, 11%) and B (198/808, 25%)). In group D, the prescriptions conformed with the guidelines in 99% of cases (109/108). Guideline adherence was associated with high symptom load (COPD Assessment Test) (OR 1.04,

Indexed as

adherencebronchodilatorsCOPDGOLD guidelinesinhaled corticosteroidsprimary care

Identifiers

PMID37892775
PMCPMC10607923

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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.