Imperial College London
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Professor Omar Usmani

Faculty of Medicine, National Heart & Lung Institute

Professor of Respiratory Medicine
 
 
 
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Contact

 

+44 (0)20 7351 8051o.usmani

 
 
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Location

 

Asthma LabSouth BlockRoyal Brompton Campus

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Summary

 

Publications

Citation

BibTex format

@article{Usmani:2021:10.1016/j.jaip.2021.04.024,
author = {Usmani, OS and Hickey, AJ and Guranlioglu, D and Rawson, K and Stjepanovic, N and Siddiqui, S and Dhand, R},
doi = {10.1016/j.jaip.2021.04.024},
journal = {Journal of Allergy and Clinical Immunology: In Practice},
pages = {3033--3040.e1},
title = {The impact of inhaler device regimen in patients with asthma or COPD},
url = {http://dx.doi.org/10.1016/j.jaip.2021.04.024},
volume = {9},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Many inhaler devices with varying handling requirements for optimal use are available for the treatment of asthma and chronic obstructive pulmonary disease (COPD). Patients may be prescribed different device types for reliever and maintenance medications, which may lead to confusion and suboptimal device use. We aimed to understand whether simplifying inhaler regimens by employing a single device type in patients who use multiple devices or prescribing a device with which a patient was already experienced could improve clinical and economic outcomes in asthma and COPD management. A targeted literature search was performed and additional articles were identified through hand searching citations within screened publications. A total of 114 articles were included in the final review. Findings suggest that simplifying inhaler regimens by applying the same type of inhaler for concomitant inhaled medications over time minimizes device misuse, leading to improved clinical outcomes and reduced health care use in patients with asthma or COPD. Physicians should consider a patient's suitability for a device and training needs when prescribing an inhaled medication and before changing the medication type or dose, especially when suboptimal treatment outcomes are observed. Further research is required to determine whether consistent use of the same device type is associated with better treatment adherence and persistence in patients with asthma or COPD. Nevertheless, this literature review identified clinical benefits and reduced health care use with simplified inhaler regimens.
AU  - Usmani,OS
AU  - Hickey,AJ
AU  - Guranlioglu,D
AU  - Rawson,K
AU  - Stjepanovic,N
AU  - Siddiqui,S
AU  - Dhand,R
DO  - 10.1016/j.jaip.2021.04.024
EP  - 3040
PY  - 2021///
SN  - 2213-2198
SP  - 3033
TI  - The impact of inhaler device regimen in patients with asthma or COPD
T2  - Journal of Allergy and Clinical Immunology: In Practice
UR  - http://dx.doi.org/10.1016/j.jaip.2021.04.024
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33901714
UR  - https://www.sciencedirect.com/science/article/pii/S2213219821004645?via%3Dihub
UR  - http://hdl.handle.net/10044/1/89515
VL  - 9
ER  -
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