Observations on Written Communications between Physicians regarding Patients' Drug Treatment Compared with Patients' Recall

1983 ◽  
Vol 17 (4) ◽  
pp. 288-289 ◽  
Author(s):  
David Rosenbloom ◽  
W. Watson Buchanan
Keyword(s):  
Rheumatoid Arthritis ◽  
Drug Therapy ◽  
Drug Use ◽  
Drug Treatment ◽  
Adverse Reactions ◽  
Quality Of Information ◽  
Patient Interviews ◽  
Referral Letters

The authors reviewed the quality of information shared by referring doctors with hospital consultants, in regard to past drug treatment in the cases of 95 consecutive patients with rheumatoid arthritis. Information contained in referral letters was compared with information obtained from patient interviews. It was found that the referral letters often contained little information on drug use and included no information on adverse reactions to drug therapy.

scholarly journals The impact of non-pharmacological treatments for diseases of the locomotor system on the prescribed drug use and lifestyles of the patients in the sanatoria in Busko-Zdroj

2015 ◽  
Vol 28 (4) ◽  
pp. 273-277
Author(s):  
Milena Korczak ◽  
Jacek Owczarek
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Drug Use ◽  
Pharmacological Treatments ◽  
Locomotor System ◽  
The Third ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
The Impact

Abstract The article is the result of research on the impact of non-pharmacological therapies for diseases of the locomotor system on the prescribed drug use and lifestyles of the patients of the sanatoria in Busko-Zdroj. The reported research uses primary and secondary measures. The former includes the assessment of the impact of non-pharmacological sanatorium treatments for locomotor system diseases on the use of prescribed drug regimes, while the latter is aimed at assessing the patients’ quality of life. The research was conducted on adult patients of both genders in the sanatoria in Busko-Zdroj. The subjects were patients suffering from disorders of the musculoskeletal system such as rheumatoid arthritis, ankylosing spondylitis, osteoarthritis, osteoporosis and discopathies. The research included two visits, the first at the start of the research and the second at the end of the research. The patients were examined for a period of three consecutive weeks. The study involved 170 patients, 50% of them were women and 50% men. A decline in the use of painkillers and anti-inflammatory drugs makes a very interesting finding. After the first week, as many as 38% of the examined patients limited the use of painkillers and/or anti-inflammatory drugs. After the second week, 62% of the patients reduced the use of the drugs, and after the third week of treatment, up to 90% of the patients did so. The improvement of patients’ lives is noticeable in the psychological, physical and motor fields.

Reflexotherapeutic methods for chronic migraine

10.12737/7344 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Сафонов ◽  
M. Safonov ◽  
Наприенко ◽  
M. Naprienko
Keyword(s):  
Drug Therapy ◽  
Chronic Migraine ◽  
Adverse Reactions ◽  
Genetic Factors ◽  
Pain Syndrome ◽  
Primary Headaches ◽  
Electrical Nerve Stimulation ◽  
Working Age ◽  
Methods Of Treatment

Chronic migraine is polyetiological and multi-factor disease. There is no consensus about the transformation from episodic to chronic form triggers. Genetic factors, dysfunction of anti-nociceptive systems, gender, the harmful factors are discussed in this work. A high percentage prevalence among the working-age population, expressed degree of decrease in quality of life are forcing scientists to develop new drug and non-drug approaches to the treatment of this disease. Reflexology has a special place in non-drug therapies, including acupuncture, electro-acupuncture, trans-cutaneous electrical nerve stimulation and Su-Jok therapy. Sufficient experience has been accumulated in use of acupuncture in the treatment of chronic pain syndrome in general and chronic forms of primary headaches in particular. Most methods have confirmed the effectiveness that is comparable to drug therapy. The tolerability of these methods, due to their larger physiology, is superior to pharmacotherapy, and the frequency of adverse reactions is minimized. These features contribute to the growth of the worldwide interest in non-drug methods of treatment and new purposes of the researchers must be focused on comparing the effectiveness of methods among themselves, standardization of techniques of reflexology and develop more differentiated approaches to non-drug therapy.

scholarly journals Improvement in Psychological Condition of Patients With Persistent Moderate–Severe Allergic Rhinitis by Drug Therapy Combined With Psychological Intervention

2020 ◽  
pp. 014556132090285 ◽  
Author(s):  
Li-Xin Wang ◽  
Zhi-Chao Yang ◽  
Zhao-Peng Kang ◽  
Ling-Ling Di ◽  
Yan Tan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Allergic Rhinitis ◽  
Drug Therapy ◽  
Drug Treatment ◽  
Psychological Intervention ◽  
Control Group ◽  
Self Rating ◽  
The Difference ◽  
Experimental Group

Objective: To investigate the effect of drug treatment combined with psychological intervention on mental disorders in patients with persistent moderate–severe allergic rhinitis. Methods: Sixty patients with persistent moderate–severe allergic rhinitis who met the criteria were randomly divided into 2 groups: control group and experimental group. The control group was only given medication, whereas the experimental group was given psychological intervention on the basis of the same medication. Cognitive behavioral therapy was used for psychological intervention. After 12 weeks of treatment, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and rhinoconjunctivitis quality of life questionnaire (RQLQ) were used to evaluate the changes in anxiety, depression, and quality of life before and after treatment. Results: The SAS and SDS scores of the control group after treatment were lower than those before treatment, and the difference was statistically significant. Similarly, the SAS and SDS scores of the experimental group after treatment were lower than those before treatment with statistically significant difference. In addition, after treatment, the SAS and SDS scores of the experimental group were statistically lower than those of the control group. The results of RQLQ showed that the scores of each dimension in the control group after treatment were lower than those before treatment, and the difference was statistically significant. Similar results were found in the experimental group. After treatment with these 2 different schemes, the RQLQ scores of sleep, nonnasal/eye symptoms, and emotion in the experimental group were statistically lower than those in the control group. Conclusion: Drug therapy or drug therapy combined with psychological intervention can alleviate anxiety and depression of patients with persistent moderate–severe allergic rhinitis and improve their quality of life. Moreover, based on the effect of improving mental disorder and quality of life of patients, drug therapy combined with psychological intervention is better than drug treatment alone.

scholarly journals Cardiovascular Diseases and Drug Treatment in Patients with the History of Cerebral Stroke: Data of the Outpatient Registry REGION

2019 ◽  
Vol 14 (6) ◽  
pp. 879-886 ◽  
Author(s):  
M. M. Loukianov ◽  
S. S. Yakushin ◽  
S. Yu. Martsevich ◽  
O. M. Drapkina ◽  
A. N. Vorobyev ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Drug Therapy ◽  
Cardiovascular Diseases ◽  
Drug Treatment ◽  
Outpatient Clinics ◽  
Cerebral Stroke ◽  
History Of ◽  
Drug Provision

Aim. To evaluate the structure of combined cardiovascular diseases, drug treatment and observation of patients with a history of stroke in the framework of prospective outpatient registries. Material and methods. The study was conducted based on 3 outpatient clinics of Ryazan city. Patients with a history of acute cerebrovascular accident (ACVA) of any remoteness (AR) were included into ACVA-AR outpatient registry (n=511). Patients who had visited the outpatient clinics for the first time (FT) after cerebral stroke (n=475) were included into the ACVA-FT outpatient registry. The structure of the cardiovascular diseases (CVD), compliance with the clinical recommendations of the prescribed and received drug therapy were evaluated. The proportion of patients with dispensary observation for CVD, using preferential drug provision was determined. Results. A combination of 2 or more CVDs was found in 84.4% and 82.5% of cases, and severe cardiovascular multimorbidity (3-4 CVDs) – in 69% and 64% of cases, respectively, in ACVA-AR and ACVA-FT registers. Compliance with the clinical guidelines prescribed and received drug therapy was insufficient at the outpatient stage. Necessary prescription of drugs with a proven beneficial effect on the prognosis were observed significantly more frequent in the ACVA-FT registry, compared to the ACVA-AR registry at the enrolling stage of the study (p<0.05): statins for stroke – 50.1% vs 25.2%; statins for coronary heart disease (CHD) – 47.2% vs 27.9%; antiplatelet agents for CHD without atrial fibrillation – 65.6% vs 54.3%; anticoagulants for atrial fibrillation – 17.7% vs 9.3%; beta-blockers for heart failure 43.5% vs 33.1%, respectively. After 2-3 years of the follow-up frequency of prognostically significant prescriptions in patients of the compared registries were not significantly different, except prescriptions for statin therapy (47.6% vs 21.3%, respectively). The prognostically significant prescriptions during the enrolling stage in ACVA-AR and ACVA-FT registries occurred in 44.4% and 54% of the total number of proper prescriptions, and in the long-term follow-up period – in 55% and 57%, respectively; and the dispensary observation coverage was only 35.0% and 31.8%, respectively. According to patient contact only 21-24% of patients used the system of preferential drug provision at the stage of inclusion into the registers, and after 2-3 years of follow-up – 1.5-2 times less (12-14%). Conclusion The results of the study REGION found the presence of cardiovascular multimorbidity in 83% of patients with a history of stroke, insufficient quality of prescribed drug therapy in the out-patient clinic, especially in the ACVA-AR registry. The quality of medical treatment of patients improved within 2-3-year follow-up after the reference visit to out-patient clinic, but not sufficiently. Increase in dispensary observation coverage and optimization of the system of preferential drug provision are also important reserves for improving the quality of treatment of patients with a history of stroke, as well as prevention of cardiovascular complications. 

scholarly journals A STUDY OF DRUG RELATED PROBLEM IN UROLOGIC PATIENTS: A COHORT PROSPECTIVE STUDY

2017 ◽  
Vol 10 (14) ◽  
pp. 11 ◽  
Author(s):  
Ana Khusnul Faizah ◽  
Raswita Diniya
Keyword(s):  
Drug Therapy ◽  
Drug Use ◽  
Prospective Study ◽  
Drug Discontinuation ◽  
Clinical Pharmacists ◽  
Therapeutic Drugs ◽  
To Receive ◽  
Additional Therapy ◽  
Drug Therapy Problems

Objective:Drug therapy problems (DRPs) are the clinical domain of the pharmaceutical care practitioner. The purpose of identifying drug therapy problems is to help patients on achieving their goals of therapy and realizing the best possible outcomes from drug therapy. The purpose of this study was to determine the number of DRPs and to classifyDRPs that occurred in post-operative patients from urology surgery ward.Methods:A 3-month prospective study was conducted by considering62 hospitalized post-operative patients from urology surgery ward at the Teaching Hospital in Surabaya, East Java, Indonesia. Clinical pharmacists were involved in medical rounds to identify DRPs.Results:From 37 patients, 81 DRPs were identified in this study. About 20 patients were considered to have more than one DRP. The most common identified DRPs were over-dosage (38%), drug use without indication (20%),improper drug (11%), drug interaction (10%), untreated indication(9%), adverse drug reaction (7%), failure to receive drug (4%) and sub-therapeutic drugs (1%). The clinical pharmacists were involved in doing dose adjustment, monitoring, evaluating drug discontinuation, doing drug substitution and, additional therapy, counseling to patients, increasing dose and referring to prescriber.Conclusion:The most identified DRPs were over-dosage, drug use without indication and improper drug. Clinical pharmacist’s intervention were required toidentify, prevent, resolve DRPs and assist patient on achieving their goals of therapy and improving their quality of life. 

scholarly journals A systematic review of drug therapy for Graves’ hyperthyroidism

2005 ◽  
Vol 153 (4) ◽  
pp. 489-498 ◽  
Author(s):  
Prakash Abraham ◽  
Alison Avenell ◽  
Christine M Park ◽  
Wendy A Watson ◽  
John S Bevan
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Drug Therapy ◽  
Adverse Effects ◽  
Drug Treatment ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Meta Analyses

We assessed the effects of dose, regimen and duration of anti-thyroid drug therapy for Graves’ thyrotoxicosis on recurrence of hyperthyroidism, course of ophthalmopathy, adverse effects, health-related quality of life and economic outcomes. We undertook a systematic review and meta-analyses of randomised controlled trials (RCTs). We identified RCTs regardless of language or publication status by searching six databases, and trial registries. Dual, blinded data abstraction and quality assessment were undertaken. Trials included provided therapy for at least 6 months with follow-up at least 1 year after drug cessation. Fixed or random effects meta-analyses were used to combine study data. Twelve trials compared a Block-Replace regimen (requiring a higher dose of anti-thyroid drug treatment) with a Titration regimen. Overall, there was no significant difference between the regimens for relapse of hyperthyroidism (relative risk (RR) = 0.93, 95% confidence interval (CI) 0.84 to 1.03). Participants were more likely to withdraw due to adverse events with a Block-Replace regimen (RR = 1.89, 95% CI 1.25 to 2.85). Prescribing replacement thyroxine, either with the anti-thyroid drug treatment, or after this was completed, had no significant effect on relapse. Limited evidence suggested 12–18 months of anti-thyroid drug treatment should be used. The titration regimen appeared as effective as the Block-Replace regimen, and was associated with fewer adverse effects. However, relapse rates over 50% and high participant drop-out rates in trials mean that the results should be interpreted with caution, and may suggest that other strategies for the management of Graves’ disease, such as radioiodine, should be considered more frequently as first-line therapy. There were no data on the course of ophthalmopathy, health-related quality of life and economic outcomes.

A Study to Assess the Quality of Information in Referral Letters to the Orthodontic Department at Kingston Hospital, Surrey

2010 ◽  
Vol os17 (2) ◽  
pp. 73-77 ◽  
Author(s):  
Maryam Izadi ◽  
Daljit S Gill ◽  
Farhad B Naini
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Referral Letter ◽  
Inclusion Criteria ◽  
Quality Of Information ◽  
Treatment Need ◽  
Plaque Score ◽  
Dental Practitioners ◽  
Referral Letters

Aim To assess the quality of information included in referral letters sent to the orthodontic department at Kingston Hospital, Surrey, UK. Methods Referral letters sent by both general dental practitioners (GDPs) and specialist orthodontists were analysed retrospectively in order to ascertain the percentage meeting the inclusion criteria as suggested by Mossey (2006) and the British Orthodontic Society (2008) for the quality of information included in an ideal orthodontic referral letter. Thirty-five consecutive letters sent between May and September 2005 and 206 letters sent in the same period in 2008 were collected by hand and analysed against the inclusion criteria. The numbers of referral letters received from GDPs, specialist orthodontists, and others sources were also determined. Results Most of the referrals sent in 2005 and 2008 included 40–50% of the referral inclusion points. This was despite an almost twofold increase in the number of referral letters received from specialist orthodontic practitioners in 2008. The majority of the letters, from both GDPs and specialists, did not include details of the oral hygiene or caries status of the patient, or an indication of their motivation towards treatment. None of the referral letters included a plaque score. Conclusion The main weaknesses in the quality of information provided in referral letters were that in more than 80% of the letters there was no mention of the patient's medical history and no comment on caries status, the standard of oral hygiene, patient motivation for treatment, or an Index of Orthodontic Treatment Need score. The quality of information included in referral letters sent to Kingston Hospital orthodontic department needs to be improved.

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