Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management

Background: Productive cough with sputum is a prominent sign generally associated with respiratory diseases, including chronic obstructive pulmonary disease (COPD). Airway clearance devices are an option for COPD management, but physicians’ preferences for and clinical practice with them are not kno...

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Main Authors: Saeed Mardy Alghamdi, Abdulaziz A. Alzahrani, Mohammad S. Dairi, Hassan Alwafi, Abdulelah M. Aldhahir, Jaber S. Alqahtani, Mohammed M. Alqahtani, Abdullah M. Alanazi, Abdullah A. Alqarni, Rayan A. Siraj, Noha Saeed Alghamdi, Hassan A. Alzahrani, Abdulghani A. Alhindi
Format: Article
Language:English
Published: SAGE Publishing 2024-12-01
Series:Therapeutic Advances in Respiratory Disease
Online Access:https://doi.org/10.1177/17534666241307066
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author Saeed Mardy Alghamdi
Abdulaziz A. Alzahrani
Mohammad S. Dairi
Hassan Alwafi
Abdulelah M. Aldhahir
Jaber S. Alqahtani
Mohammed M. Alqahtani
Abdullah M. Alanazi
Abdullah A. Alqarni
Rayan A. Siraj
Noha Saeed Alghamdi
Hassan A. Alzahrani
Abdulghani A. Alhindi
author_facet Saeed Mardy Alghamdi
Abdulaziz A. Alzahrani
Mohammad S. Dairi
Hassan Alwafi
Abdulelah M. Aldhahir
Jaber S. Alqahtani
Mohammed M. Alqahtani
Abdullah M. Alanazi
Abdullah A. Alqarni
Rayan A. Siraj
Noha Saeed Alghamdi
Hassan A. Alzahrani
Abdulghani A. Alhindi
author_sort Saeed Mardy Alghamdi
collection DOAJ
description Background: Productive cough with sputum is a prominent sign generally associated with respiratory diseases, including chronic obstructive pulmonary disease (COPD). Airway clearance devices are an option for COPD management, but physicians’ preferences for and clinical practice with them are not known. Objective: This study aims to explore preferences for and clinical practice with airway clearance devices among physicians in Saudi Arabia. Design: An observational, cross-sectional survey. Methods: A self-administered questionnaire was conducted between October 2022 and September 2023, which included a review of respiratory medication prescriptions by physicians for patients with COPD. The analysis was performed using the Statistical Package for the Social Sciences. Results: The participants were 445 physicians. The majority were female, accounting for 64.3% of the sample. Flutter and Acapella were the most commonly preferred airway clearance devices (45.8% and 20.7%, respectively). Among the participants, 12.6% reported unfamiliarity with any of the mentioned devices. Of the participants, 43.6% “usually” suggested the devices for patients with daily, difficult-to-clear, thick sputum, while 27% “sometimes” recommended them to COPD patients who had experienced four exacerbations or more. In routine clinical practice, physicians prescribe pharmacological therapies as the main treatment. The prescribing data showed that in the last year, there was no record of prescribed airway clearance devices for COPD by physicians. Conclusion: Family and pulmonary physicians prefer Flutter and Acapella devices, but a significant number of physicians are unaware of such devices. Prescribing data showed no record of prescribed airway clearance devices for COPD management. Further initiatives are needed to increase awareness in clinical practice.
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spelling doaj-art-cacffa968b35445d99dc82b75b0db1dc2025-08-20T01:56:25ZengSAGE PublishingTherapeutic Advances in Respiratory Disease1753-46662024-12-011810.1177/17534666241307066Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease managementSaeed Mardy AlghamdiAbdulaziz A. AlzahraniMohammad S. DairiHassan AlwafiAbdulelah M. AldhahirJaber S. AlqahtaniMohammed M. AlqahtaniAbdullah M. AlanaziAbdullah A. AlqarniRayan A. SirajNoha Saeed AlghamdiHassan A. AlzahraniAbdulghani A. AlhindiBackground: Productive cough with sputum is a prominent sign generally associated with respiratory diseases, including chronic obstructive pulmonary disease (COPD). Airway clearance devices are an option for COPD management, but physicians’ preferences for and clinical practice with them are not known. Objective: This study aims to explore preferences for and clinical practice with airway clearance devices among physicians in Saudi Arabia. Design: An observational, cross-sectional survey. Methods: A self-administered questionnaire was conducted between October 2022 and September 2023, which included a review of respiratory medication prescriptions by physicians for patients with COPD. The analysis was performed using the Statistical Package for the Social Sciences. Results: The participants were 445 physicians. The majority were female, accounting for 64.3% of the sample. Flutter and Acapella were the most commonly preferred airway clearance devices (45.8% and 20.7%, respectively). Among the participants, 12.6% reported unfamiliarity with any of the mentioned devices. Of the participants, 43.6% “usually” suggested the devices for patients with daily, difficult-to-clear, thick sputum, while 27% “sometimes” recommended them to COPD patients who had experienced four exacerbations or more. In routine clinical practice, physicians prescribe pharmacological therapies as the main treatment. The prescribing data showed that in the last year, there was no record of prescribed airway clearance devices for COPD by physicians. Conclusion: Family and pulmonary physicians prefer Flutter and Acapella devices, but a significant number of physicians are unaware of such devices. Prescribing data showed no record of prescribed airway clearance devices for COPD management. Further initiatives are needed to increase awareness in clinical practice.https://doi.org/10.1177/17534666241307066
spellingShingle Saeed Mardy Alghamdi
Abdulaziz A. Alzahrani
Mohammad S. Dairi
Hassan Alwafi
Abdulelah M. Aldhahir
Jaber S. Alqahtani
Mohammed M. Alqahtani
Abdullah M. Alanazi
Abdullah A. Alqarni
Rayan A. Siraj
Noha Saeed Alghamdi
Hassan A. Alzahrani
Abdulghani A. Alhindi
Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management
Therapeutic Advances in Respiratory Disease
title Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management
title_full Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management
title_fullStr Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management
title_full_unstemmed Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management
title_short Observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management
title_sort observational study on the prescription practices of family and pulmonary physicians for airway clearance devices in chronic obstructive pulmonary disease management
url https://doi.org/10.1177/17534666241307066
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