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

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Résumé

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.
langue originaleAnglais
Pages (de - à)2089-2099
Nombre de pages11
journalInternational Journal of COPD
Volume13
Date de mise en ligne précoce2018
Les DOIs
Etat de la publicationPublié - 2018

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