Overuse of inhaled corticosteroids in COPD: five questions for withdrawal in daily practice

Didier Cataldo, Eric Derom, G. Liistro, Éric Marchand, Vincent Ninane, Rudi Peché, H. Slabbynck, Walter Vincken, Wim Janssens

Research output: Contribution to journalReview articlepeer-review

49 Downloads (Pure)

Abstract

Evidence and guidelines are becoming increasingly clear about imbalance between the risks and benefits of inhaled corticosteroids (ICSs) in patients with COPD. While selected patients may benefit from ICS-containing regimens, ICSs are often inappropriately prescribed with – according to Belgian market research data – up to 70% of patients in current practice receiving ICSs, usually as a fixed combination with a long-acting β2-adrenoreceptor agonist. Studies and recommendations support withdrawal of ICSs in a large group of patients with COPD. However, historical habits appear difficult to change even in the light of recent scientific evidence. We have built a collaborative educational platform with chest physicians and primary care physicians to increase awareness and provide guidance and support in this matter.
Original languageEnglish
Pages (from-to)2089-2099
Number of pages11
JournalInternational Journal of COPD
Volume13
Early online date2018
DOIs
Publication statusPublished - 2018

Keywords

  • COPD
  • Education
  • Exacerbation
  • Inhaled steroids
  • Systematic review
  • Withdrawal

Fingerprint

Dive into the research topics of 'Overuse of inhaled corticosteroids in COPD: five questions for withdrawal in daily practice'. Together they form a unique fingerprint.

Cite this