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EDITORIAL
Year : 2007  |  Volume : 24  |  Issue : 3  |  Page : 79-80 Table of Contents   

Short term adherence to inhalation therapy in asthma treated at a tertiary care clinic


Institute of Pulmocare & Research,Salt Lake, Kolkata., India

Correspondence Address:
P Bhattacharyya
Institute of Pulmocare & Research,Salt Lake, Kolkata.
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Bhattacharyya P. Short term adherence to inhalation therapy in asthma treated at a tertiary care clinic. Lung India 2007;24:79-80

How to cite this URL:
Bhattacharyya P. Short term adherence to inhalation therapy in asthma treated at a tertiary care clinic. Lung India [serial online] 2007 [cited 2019 Sep 16];24:79-80. Available from: http://www.lungindia.com/text.asp?2007/24/3/79/44218

It is known that the success to any therapy for a disease depends on the compliance to medication by the patients.

Compliance to prescribed therapy is an important determinant of success or failure of any treatment [1] . It has been found that only 50% sufferers of any chronic disease take their medications in therapeutically effective doses [2] . Incidentally, there is little data in our country about the compliance to asthma therapy.

We performed an OPD based survey on 96 patients on follow up at our clinic, a tertiary pulmonary OPD services in Kolkata. The mean age of the patients were 28-35 years with male female ratio being 2:1; urban patients predominated over rural patients in 7:1 ratio. Inhaled corticosteroid alone or with long acting bronchodilator (LABA) was prescribed universally with SOS medications for all. The adherence was assessed over a follow up period of 120 (+ 28.6) days: 16% patients stopped inhalers, the reason being feeling cured (88%) and financial constrains (11%). All these patients experienced worsening or relapse of symptoms on stopping inhalers.

This study was a questionnaire based one depending totally upon the response of the patients. Though such studies are easy and quick to perform and low in budget, they usually overestimate the compliance [1] . Gross overestimation regarding compliance in self reporting has been found in COPD patients for use of inhalers when compared to more objective methods [3] . Hence, we tried to reduce this limitation via a third party interview with the patients. It is possible that the routine programmed input to our patients with education, demonstration of inhaler use and reversibility / relief and regular follow up have helped us to attain such a good adherence of about 84%. The reason of non compliance is an obvious feeling of being cured in most of the noncompliant patient (88%) and financial constrains in a minority (11%). Other causes are not apparent from this small numbers of subjects interviewed. It is also possible that this high degree of compliance is likely to fall with time which is also observed in other diseases [4] .

This small study signifies that a similar but much well planned and elaborate study is essential to access the adherence to the therapy and factors for non compliance in our asthmatic populations. This probably will go a long way for the better care of the asthmatics in our country.

 
   References Top

1.Cochrane GM. Compliance in asthma: a European perspective. Eur Respir J 1995; 5: 116-119.  Back to cited text no. 1    
2.Sackett DL, Snow JC. The magnitude of compliance and non­compliance. In: Haynes RB, Taylor WD, Sackett DL, eds.Compliance in Health Care. Baltimore: Johns Hopkins University Press, 1979;11-22.  Back to cited text no. 2    
3.Rand CS, Wise RA, Nides M et al. Metered-dose inhaler adherence in a clinical trial. Am Rev Respir Dis 1992; 146: 1559-1564.  Back to cited text no. 3    
4.Cochrane GM. Compliance and outcomes in patients with asthma. Drugs 1996; 52 (Suppl. 6): 12-19.  Back to cited text no. 4    




 

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