Improving on our goal to reduce NSAID-induced GI complications: a challenging task?
A large number of at-risk patients treated with nonsteroidal anti-inflammatory drugs (NSAIDs) do not receive prophylaxis for gastrointestinal (GI) complications. The combination of a 10-min physician educational intervention and a computer alert has been proved to increase the rate of prescribing gastroprotective therapy for high-risk patients who receive ulcerogenic drugs at hospital discharge from 45% to 67%. This improvement is remarkable; still, more than 30% of these high-risk patients did not receive appropriate therapy. Considering that most patients who receive NSAIDs are outpatients treated by generalists, and considering that adherence may be poor and self-medication with NSAIDs is common among patients with GI risk factors, closing the gap between patients treated with NSAIDs who do and do not receive adequate GI prophylaxis is a challenging endeavor. In order to more effectively pursue this goal, we will need to develop new and more complex approaches.
Lanas
Angel
A
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects* / Q000627:therapeutic use; D005762:Gastroenterology / Q000193:education*; D006801:Humans; D007318:Inservice Training; D007396:Internship and Residency; D050316:Medical Order Entry Systems; D016347:Medical Records Systems, Computerized; D010349:Patient Compliance; D010353:Patient Education as Topic; D010438:Peptic Ulcer Hemorrhage / Q000139:chemically induced* / Q000517:prevention & control; D012307:Risk Factors; D012984:Software
D000894:Anti-Inflammatory Agents, Non-Steroidal