[Description of French general practitioners' practices regarding long term systemic corticosteroid therapy-associated measures].
Identifieur interne : 000481 ( Main/Exploration ); précédent : 000480; suivant : 000482[Description of French general practitioners' practices regarding long term systemic corticosteroid therapy-associated measures].
Auteurs : Aurélie Perdoncini-Roux [France] ; Thierry Blanchon ; Thomas Hanslik ; Andrea Lasserre ; Clément Turbelin ; Yves Dorleans ; Jean Cabane ; Laurence FardetSource :
- La Revue du praticien [ 0035-2640 ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Adrenal Cortex Hormones.
- geographic : France.
- Cross-Sectional Studies, Family Practice, Female, Humans, Male, Middle Aged, Practice Patterns, Physicians', Surveys and Questionnaires, Time Factors.
Abstract
BACKGROUND
Except for the prevention of osteoporosis, no consensual recommendations are available regarding the therapeutic measures associated with the prescription of a long term corticosteroid therapy. We assessed the French general practitioners'practices regarding the prescription of these measures.
METHODS
In September 2007, we sent by e-mail a questionnaire to 860 general practitioners members of the reseau Sentinelles, a national survey system which collect data from volunteers French general practitioners. We assessed the frequency of prescription of measures associated with systemic corticosteroids and for whom no consensual recommendations were available (dietary advices, physical training, potassium supplementation, gastric protection, influenza vaccination, prescription of hydrocortisone).
RESULTS
293 out of 860 general practitioners completed the questionnaire (response rate: 34%). The practitioners were predominantly male (87%). Regarding the dietary measures, low sodium diet was recommended by most of the physicians, 68% of them prescribing such dietary regimen in more than 80% of their corticosteroid-treated patients. The concomitant prescription of caloric restriction, low carbohydrate diet or high protein diet was not consensual. Prescriptions of muscular physiotherapy and gastric protection were unusual (80% and 67% of physicians prescribing these measures in less than 20% of their patients, respectively). Recommendations for daily physical training, potassium supplementation, influenza vaccination or hydrocortisone prescription were not consensual.
CONCLUSION
There is no consensus in the French general practitioners community regarding most of the measures associated with a long term systemic corticosteroid therapy.
PubMed: 19916281
Affiliations:
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Thomas" sort="Hanslik, Thomas" uniqKey="Hanslik T" first="Thomas" last="Hanslik">Thomas Hanslik</name></author><author><name sortKey="Lasserre, Andrea" sort="Lasserre, Andrea" uniqKey="Lasserre A" first="Andrea" last="Lasserre">Andrea Lasserre</name></author><author><name sortKey="Turbelin, Clement" sort="Turbelin, Clement" uniqKey="Turbelin C" first="Clément" last="Turbelin">Clément Turbelin</name></author><author><name sortKey="Dorleans, Yves" sort="Dorleans, Yves" uniqKey="Dorleans Y" first="Yves" last="Dorleans">Yves Dorleans</name></author><author><name sortKey="Cabane, Jean" sort="Cabane, Jean" uniqKey="Cabane J" first="Jean" last="Cabane">Jean Cabane</name></author><author><name sortKey="Fardet, Laurence" sort="Fardet, Laurence" uniqKey="Fardet L" first="Laurence" last="Fardet">Laurence Fardet</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19916281</idno><idno 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Saint-Antoine, 75012 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Blanchon, Thierry" sort="Blanchon, Thierry" uniqKey="Blanchon T" first="Thierry" last="Blanchon">Thierry Blanchon</name></author><author><name sortKey="Hanslik, Thomas" sort="Hanslik, Thomas" uniqKey="Hanslik T" first="Thomas" last="Hanslik">Thomas Hanslik</name></author><author><name sortKey="Lasserre, Andrea" sort="Lasserre, Andrea" uniqKey="Lasserre A" first="Andrea" last="Lasserre">Andrea Lasserre</name></author><author><name sortKey="Turbelin, Clement" sort="Turbelin, Clement" uniqKey="Turbelin C" first="Clément" last="Turbelin">Clément Turbelin</name></author><author><name sortKey="Dorleans, Yves" sort="Dorleans, Yves" uniqKey="Dorleans Y" first="Yves" last="Dorleans">Yves Dorleans</name></author><author><name sortKey="Cabane, Jean" sort="Cabane, Jean" uniqKey="Cabane J" first="Jean" last="Cabane">Jean Cabane</name></author><author><name sortKey="Fardet, Laurence" sort="Fardet, Laurence" uniqKey="Fardet L" first="Laurence" last="Fardet">Laurence Fardet</name></author></analytic><series><title level="j">La Revue du praticien</title><idno type="ISSN">0035-2640</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adrenal Cortex Hormones (therapeutic use)</term><term>Cross-Sectional Studies (MeSH)</term><term>Family Practice (MeSH)</term><term>Female (MeSH)</term><term>France (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Practice Patterns, Physicians' (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Time Factors (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Facteurs temps (MeSH)</term><term>Femelle (MeSH)</term><term>France (MeSH)</term><term>Hormones corticosurrénaliennes (usage thérapeutique)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Médecine de famille (MeSH)</term><term>Types de pratiques des médecins (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Adrenal Cortex Hormones</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Hormones corticosurrénaliennes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cross-Sectional Studies</term><term>Family Practice</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Practice Patterns, Physicians'</term><term>Surveys and Questionnaires</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Facteurs temps</term><term>Femelle</term><term>France</term><term>Humains</term><term>Mâle</term><term>Médecine de famille</term><term>Types de pratiques des médecins</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Except for the prevention of osteoporosis, no consensual recommendations are available regarding the therapeutic measures associated with the prescription of a long term corticosteroid therapy. We assessed the French general practitioners'practices regarding the prescription of these measures.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>In September 2007, we sent by e-mail a questionnaire to 860 general practitioners members of the reseau Sentinelles, a national survey system which collect data from volunteers French general practitioners. We assessed the frequency of prescription of measures associated with systemic corticosteroids and for whom no consensual recommendations were available (dietary advices, physical training, potassium supplementation, gastric protection, influenza vaccination, prescription of hydrocortisone).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>293 out of 860 general practitioners completed the questionnaire (response rate: 34%). The practitioners were predominantly male (87%). Regarding the dietary measures, low sodium diet was recommended by most of the physicians, 68% of them prescribing such dietary regimen in more than 80% of their corticosteroid-treated patients. The concomitant prescription of caloric restriction, low carbohydrate diet or high protein diet was not consensual. Prescriptions of muscular physiotherapy and gastric protection were unusual (80% and 67% of physicians prescribing these measures in less than 20% of their patients, respectively). Recommendations for daily physical training, potassium supplementation, influenza vaccination or hydrocortisone prescription were not consensual.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>There is no consensus in the French general practitioners community regarding most of the measures associated with a long term systemic corticosteroid therapy.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19916281</PMID><DateCompleted><Year>2009</Year><Month>12</Month><Day>28</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0035-2640</ISSN><JournalIssue CitedMedium="Print"><Volume>59</Volume><Issue>8 Suppl</Issue><PubDate><Year>2009</Year><Month>Oct</Month><Day>20</Day></PubDate></JournalIssue><Title>La Revue du praticien</Title><ISOAbbreviation>Rev Prat</ISOAbbreviation></Journal><ArticleTitle>[Description of French general practitioners' practices regarding long term systemic corticosteroid therapy-associated measures].</ArticleTitle><Pagination><MedlinePgn>19-24</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Except for the prevention of osteoporosis, no consensual recommendations are available regarding the therapeutic measures associated with the prescription of a long term corticosteroid therapy. We assessed the French general practitioners'practices regarding the prescription of these measures.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">In September 2007, we sent by e-mail a questionnaire to 860 general practitioners members of the reseau Sentinelles, a national survey system which collect data from volunteers French general practitioners. We assessed the frequency of prescription of measures associated with systemic corticosteroids and for whom no consensual recommendations were available (dietary advices, physical training, potassium supplementation, gastric protection, influenza vaccination, prescription of hydrocortisone).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">293 out of 860 general practitioners completed the questionnaire (response rate: 34%). The practitioners were predominantly male (87%). Regarding the dietary measures, low sodium diet was recommended by most of the physicians, 68% of them prescribing such dietary regimen in more than 80% of their corticosteroid-treated patients. The concomitant prescription of caloric restriction, low carbohydrate diet or high protein diet was not consensual. Prescriptions of muscular physiotherapy and gastric protection were unusual (80% and 67% of physicians prescribing these measures in less than 20% of their patients, respectively). Recommendations for daily physical training, potassium supplementation, influenza vaccination or hydrocortisone prescription were not consensual.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">There is no consensus in the French general practitioners community regarding most of the measures associated with a long term systemic corticosteroid therapy.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Perdoncini-Roux</LastName><ForeName>Aurélie</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>AP-HP, service de médecine interne, hôpital Saint-Antoine, 75012 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blanchon</LastName><ForeName>Thierry</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Hanslik</LastName><ForeName>Thomas</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Lasserre</LastName><ForeName>Andrea</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Turbelin</LastName><ForeName>Clément</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Dorleans</LastName><ForeName>Yves</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Cabane</LastName><ForeName>Jean</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Fardet</LastName><ForeName>Laurence</ForeName><Initials>L</Initials></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Mesures adjuvantes à une corticothérapie systémique prolongée. Pratiques des médecins généralistes français.</VernacularTitle></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Rev Prat</MedlineTA><NlmUniqueID>0404334</NlmUniqueID><ISSNLinking>0035-2640</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000305">Adrenal Cortex Hormones</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000305" MajorTopicYN="N">Adrenal Cortex Hormones</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005194" MajorTopicYN="Y">Family Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="Y">Practice Patterns, Physicians'</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>11</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>11</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>12</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19916281</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Blanchon, Thierry" sort="Blanchon, Thierry" uniqKey="Blanchon T" first="Thierry" last="Blanchon">Thierry Blanchon</name><name sortKey="Cabane, Jean" sort="Cabane, Jean" uniqKey="Cabane J" first="Jean" last="Cabane">Jean Cabane</name><name sortKey="Dorleans, Yves" sort="Dorleans, Yves" uniqKey="Dorleans Y" first="Yves" last="Dorleans">Yves Dorleans</name><name sortKey="Fardet, Laurence" sort="Fardet, Laurence" uniqKey="Fardet L" first="Laurence" last="Fardet">Laurence Fardet</name><name sortKey="Hanslik, Thomas" sort="Hanslik, Thomas" uniqKey="Hanslik T" first="Thomas" last="Hanslik">Thomas Hanslik</name><name sortKey="Lasserre, Andrea" sort="Lasserre, Andrea" uniqKey="Lasserre A" first="Andrea" last="Lasserre">Andrea Lasserre</name><name sortKey="Turbelin, Clement" sort="Turbelin, Clement" uniqKey="Turbelin C" first="Clément" last="Turbelin">Clément Turbelin</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Perdoncini Roux, Aurelie" sort="Perdoncini Roux, Aurelie" uniqKey="Perdoncini Roux A" first="Aurélie" last="Perdoncini-Roux">Aurélie Perdoncini-Roux</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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