Adherence to the GOLD Guideline in COPD Management of South Korea: Findings from KOCOSS Study 2011–2018.
- Author:
Tae Ok KIM
1
;
Hong Joon SHIN
;
Yu Il KIM
;
Chin Kook RHEE
;
Won Yeon LEE
;
Seong Yong LIM
;
Seung Won RA
;
Ki Suck JUNG
;
Kwang Ha YOO
;
Seoung Ju PARK
;
Sung Chul LIM
Author Information
- Publication Type:Original Article
- Keywords: Pulmonary Disease; Chronic Obstructive; Treatment Adherence
- MeSH: Humans; Korea*; Lung Diseases; Medical Overuse; Pulmonary Disease, Chronic Obstructive*
- From:Chonnam Medical Journal 2019;55(1):47-53
- CountryRepublic of Korea
- Language:English
- Abstract: The guidelines for chronic obstructive pulmonary disease (COPD) treatment are important for the management of the disease. However, studies regarding the treatment adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines have been scarce in Korea. Therefore, to examine the adherence to the GOLD guidelines, we examined the patterns of prescribed medication in COPD patients from 2011 to 2018. Patients were classified as having been appropriately and inappropriately treated (overtreatment or undertreatment) for the GOLD group. Appropriate medical therapy was defined as using the first choice or alternative choice drug recommended in the GOLD guidelines. Inappropriate therapy was classified as overtreatment or undertreatment in accordance with the categorization in the GOLD guidelines. According to treatment of 2011 GOLD guidelines, there was inappropriate treatment in 52.3% in group A, 47.3% in group B, 56.3% in group C, and 17.8% in group D. According to treatment of 2017 GOLD guidelines, there was inappropriate treatment in 66.7% in group A, 45.3% in group B, 14.3% in group C, and 24.0% in group D. The common type of inappropriate COPD treatment is overtreatment, with inhaled corticosteroid (ICS) containing regimens. In conclusions, adherence to the GOLD guideline by the pulmonologist in clinical practice is still low in Korea. Therefore, we need better strategies to both optimize the use of the guidelines and adhere to the guidelines as well.
