Compliance to national guidelines on the management of chronic obstructive pulmonary disease in Malaysia: A single centre experience

Shah Mohd Shah Azarisman, H. M. Hadzri, R. A. Fauzi, A. M. Fauzi, M. P A Faizal, Roslina Abd. Manap, H. Roslan

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Introduction: Malaysia has a high rate of smoking prevalence and the figure is increasing. Although there has been many local and regional studies on the prevalence and symptomatology of chronic obstructive pulmonary disease patients, data lacking on the degree of compliance to national management guidelines in the treatment of chronic obstructive pulmonary disease. Methods: 86 patients who attended the respiratory outpatient clinic of the Hospital Universiti Kebangsaan Malaysia were enrolled into a prospective, observational study. Results: 88 percent of the patients were male and the majority was ethnically Chinese (65 percent). The majority of patients were in the moderate to very severe categories, with a mean FEV1 of 0.97 +/- 0.56 L/sec and predicted mean FEV1 percentage of 43.1 +/- 21.3 percent. 58 percent of the patients were on long-acting beta-agonist, 65 percent were on inhaled steroids, and only 16 percent were on scheduled pulmonary rehabilitation. Conclusion: The low uptake rate for long-acting beta-agonist and pulmonary rehabilitation could be attributed to several factors. Financial cost, the need for strict compliance to a structured rehabilitation regime, lack of significant social support and clear up-to-date guidelines are possible reasons.

Original languageEnglish
Pages (from-to)886-896
Number of pages11
JournalSingapore Medical Journal
Volume49
Issue number11
Publication statusPublished - Nov 2008

Fingerprint

Malaysia
Chronic Obstructive Pulmonary Disease
Guidelines
Rehabilitation
Hospital Outpatient Clinics
Lung
Social Support
Compliance
Observational Studies
Cross-Sectional Studies
Smoking
Steroids
Prospective Studies
Costs and Cost Analysis

Keywords

  • Chronic obstructive pulmonary disease
  • Lung disease
  • Management guidelines
  • Patient compliance
  • Pulmonary rehabilitation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Azarisman, S. M. S., Hadzri, H. M., Fauzi, R. A., Fauzi, A. M., Faizal, M. P. A., Abd. Manap, R., & Roslan, H. (2008). Compliance to national guidelines on the management of chronic obstructive pulmonary disease in Malaysia: A single centre experience. Singapore Medical Journal, 49(11), 886-896.

Compliance to national guidelines on the management of chronic obstructive pulmonary disease in Malaysia : A single centre experience. / Azarisman, Shah Mohd Shah; Hadzri, H. M.; Fauzi, R. A.; Fauzi, A. M.; Faizal, M. P A; Abd. Manap, Roslina; Roslan, H.

In: Singapore Medical Journal, Vol. 49, No. 11, 11.2008, p. 886-896.

Research output: Contribution to journalArticle

Azarisman, SMS, Hadzri, HM, Fauzi, RA, Fauzi, AM, Faizal, MPA, Abd. Manap, R & Roslan, H 2008, 'Compliance to national guidelines on the management of chronic obstructive pulmonary disease in Malaysia: A single centre experience', Singapore Medical Journal, vol. 49, no. 11, pp. 886-896.
Azarisman, Shah Mohd Shah ; Hadzri, H. M. ; Fauzi, R. A. ; Fauzi, A. M. ; Faizal, M. P A ; Abd. Manap, Roslina ; Roslan, H. / Compliance to national guidelines on the management of chronic obstructive pulmonary disease in Malaysia : A single centre experience. In: Singapore Medical Journal. 2008 ; Vol. 49, No. 11. pp. 886-896.
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