Real life profile of asthma and chronic obstructive pulmonary disease patients in Turkey.

Autor:	Mısırlıgil Z; Department of Chest Diseases, Faculty of Medicine, Ankara University, Ankara, Turkey., Çımrın A; Department of Chest Diseases, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey., Günen H; Clinic of Chest Diseases, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey., Özlü T; Department of Chest Diseases, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey., Çilli A; Department of Chest Diseases, Faculty of Medicine, Akdeniz University, Antalya, Turkey., Akyıldız L; Clinic of Chest Diseases, Private Mardin Park Hospital, Mardin, Turkey., Bayram H; Department of Chest Diseases, Faculty of Medicine, Gazi University, Ankara, Turkey., Gemicioğlu B; Department of Chest Diseases, Faculty of Cerrahpasa Medicine, Istanbul University, İstanbul, Turkey., Uzaslan E; Department of Chest Diseases, Faculty of Medicine, Uludag University, Bursa, Turkey., Abadoğlu Ö; Department of Chest Diseases, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey., Suerdem M; Department of Chest Diseases, Faculty of Medicine, Selcuk University, Konya, Turkey.
Jazyk:	angličtina
Zdroj:	Tuberkuloz ve toraks [Tuberk Toraks] 2017 Sep; Vol. 65 (3), pp. 169-179.
DOI:	10.5578/tt.54065
Abstrakt:	Introduction: Despite the presentation of similar symptoms, the airway diseases have different underlying pathophysiological processes and must be distinguished to enable the administration of appropriate treatment. In several studies the clinician- and patient-related causes of poor compliance to treatment in asthma/chronic obstructive pulmonary disease (COPD) patients have been evaluated. This study aimed to determine the clinical and sociodemographic characteristics of newly diagnosed treatment-naïve asthma and COPD patients in Turkey. Materials and Methods: This national, multicentre, prospective, observational study was conducted in 122 centres. A questionnaire including items related to demographic, clinical, laboratory parameters was applied. All patients were intended to be followed-up for 12 months. Result: 1892 adult patients (1116 asthma and 776 COPD) from 122 centres were enrolled. Overall 95%, 86% and 65% of intermittent, mild persistent and moderate persistent asthma patients were over-treated. Among COPD patients, the percentages of over-treated patients were 66%, 79% and 82% for those with GOLD stage A, B and C. Physicians' adherence to guidelines was appropriate in 93% of severe persistent asthma patients and 89% of GOLD stage D COPD patients. Among patients with high compliance to treatment, proportion of asthma patients with total control was 44% and that of COPD patients at GOLD stage A was 41%. In consecutive two visits, this figure increased to 52% and 63% in asthma patients and 54% and 50% in COPD patients. Conclusions: The main findings are: (a) patients are frequently over-treated and (b) patients do not adhere to visits as expected, in both asthma and COPD.
Databáze:	MEDLINE
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