Aim

Our aim was to evaluate changes in attitudes of pulmonologists in Turkey towards COPD guidelines and their choice of first-line treatments for COPD patients.

Material-method

333 physicians who completed the questionnaire were included in this cross-sectional questionnaire study. The questionnaire contained demographic data, professional information, extent of guideline use, rationales behind using or not using a guideline. The data was compared with the same survey conducted previously in 2011 and was analyzed by appropriate statistical methods.

Results

80 physicians were resident pulmonologists (24%), 250 physicians were specialists (75.1%). 298 (89.5%) physicians reported that they follow at least one guideline for selection of the appropriate treatment in COPD. The current application of guidelines when compared with the first survey in 2011, was found to be decreased, 91.2% and 89.5%, respectively (p = 0.07). 46.8% (n = 156) of participants thought that guidelines provided the physicians more legal protection (p < 0.001). The number of physicians who didn't follow the guidelines due to workload increased over this period of time (36.8% in 2011, 85.3% in 2018, p < 0.001). The number of physicians using inhaler steroid combinations as their first choice of treatment was found to be similar with the previous survey (p = 0.909).

Conclusion

According to the results of previous questionnaire, the application of COPD guidelines has decreased. The number of pulmonologists who declared they have no time for following or applying guidelines has profoundly increased since 2011. Despite the warnings of these guidelines, the use of inhaler steroid combination as a first treatment option in COPD is still common.

中文翻译：

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医师对COPD指南的态度及COPD一线治疗的选择

目的

我们的目的是评估土耳其肺科医生对 COPD 指南的态度变化以及他们为 COPD 患者选择的一线治疗方法。

材料-方法

完成问卷的 333 名医生被纳入这项横断面问卷研究。问卷包含人口统计数据、专业信息、指南使用范围、使用或不使用指南的理由。将数据与之前在 2011 年进行的相同调查进行了比较，并通过适当的统计方法进行了分析。

结果

80 名医生是住院肺病学家 (24%)，250 名医生是专科医生 (75.1%)。298 (89.5%) 名医生报告说，他们至少遵循一项指南来选择 COPD 的适当治疗。与 2011 年的第一次调查相比，当前指南的应用分别减少了 91.2% 和 89.5% (p = 0.07)。46.8% (n = 156) 的参与者认为指南为医生提供了更多的法律保护 (p < 0.001)。在此期间，因工作量大而未遵守指南的医生数量有所增加（2011 年为 36.8%，2018 年为 85.3%，p < 0.001）。发现使用吸入器类固醇组合作为首选治疗的医生数量与之前的调查相似（p = 0.909）。

结论

根据之前的问卷调查结果，COPD指南的应用有所减少。自 2011 年以来，宣布他们没有时间遵循或应用指南的肺病学家数量显着增加。尽管这些指南有警告，但使用吸入类固醇组合作为 COPD 的首选治疗方案仍然很普遍。