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Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal

2021-04-23Artigo científico Acesso aberto
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dc.contributor.authorBaptista, Rita
dc.contributor.authorEnglar, Ryane
dc.contributor.authorFerreira São Braz, Berta
dc.contributor.authorLeal, Rodolfo
dc.date.accessioned2022-01-19T17:32:29Z
dc.date.available2022-01-19T17:32:29Z
dc.date.issued2021-04-23
dc.descriptionResearch Areas: Veterinary Sciencespt_PT
dc.description.abstractABSTRACT - In both human and veterinary healthcare, gastrointestinal protectants (GIPs) are considered a staple of clinical practice in that they are prescribed by general practitioners (GPs) and specialists alike. Concerning GIP use, overprescription of proton pump inhibitors (PPIs) has become a growing concern among human healthcare providers. This trend has also been documented within veterinary practice, prompting the American College of Veterinary Internal Medicine (ACVIM) to publish a consensus statement in 2018 concerning evidence-based indications for GIP use. This observational cross-sectional study evaluated self-reported prescribing protocols among Portuguese GPs to determine whether there is adherence to the consensus guidelines. Respondents were Portuguese GPs recruited by social media posts in veterinarian online forums. Data were collected from 124 respondents concerning their GIPs of choice and their rationales for prescribing them. Data were mined for prescription patterns and protocols. Among GIPs, PPIs were prescribed more often. Rationales for use included gastrointestinal ulceration and erosion (GUE), prophylactic management of nonerosive gastritis, pancreatitis, reflux esophagitis, and steroid-induced ulceration. Once-daily administration of PPIs was the most frequent dosing regime among respondents. Ninety-six percent of PPI prescribers advocated that the drug be administered either shortly before or at mealtime. Forty-nine percent of respondents supported long-term use of PPIs. Fifty-nine percent of respondents acknowledged discontinuing PPIs abruptly. This study supports that Portuguese GPs commonly prescribe GIPs in accordance with ACVIM recommendations to medically manage GUE. However, misuse of GIPs does occur, and they have been prescribed where their therapeutic value is debatable. Educational strategies should target GPs in an effort to reduce GIP misuse.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBaptista R, Englar R, São Braz B, Leal RO. 2021. Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal. 2021. Veterinary Sciences. 8(5):70. Doi: 10.3390/vetsci8050070pt_PT
dc.identifier.doi10.3390/vetsci8050070pt_PT
dc.identifier.eissn2306-7381
dc.identifier.urihttp://hdl.handle.net/10400.5/23171
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relationUIDB00276/2020 (Centro de Investigação Interdisciplinar em Sanidade Animal. Faculdade de Medicina Veterinária, Universidade de Lisboa)pt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2306-7381/8/5/70pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectGastrointestinal protectantspt_PT
dc.subjectAcid suppressantspt_PT
dc.subjectProton pump inhibitorspt_PT
dc.subjectACVIM consensus guidelinespt_PT
dc.subjectGastrointestinal ulcerationpt_PT
dc.subjectSteroid-induced gastrointestinal ulcerationpt_PT
dc.titleSurvey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBasel, Switzerlandpt_PT
oaire.citation.titleVeterinary Sciencespt_PT
oaire.citation.volumeV. 8(5):70pt_PT
person.familyNameFernandes Ferreira São Braz
person.familyNameOliveira Leal
person.givenNameBerta Maria
person.givenNameRodolfo
person.identifierD-2518-2010
person.identifier.ciencia-idB11B-C3C7-3ADF
person.identifier.ciencia-id061D-C313-B388
person.identifier.orcid0000-0003-2688-0459
person.identifier.orcid0000-0002-2463-4062
person.identifier.scopus-author-id56008623000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicatione50e9673-4f20-4b11-ae92-4d10e5c1ec80
relation.isAuthorOfPublication369c7530-1223-4338-9345-98668e36c983
relation.isAuthorOfPublication.latestForDiscovery369c7530-1223-4338-9345-98668e36c983

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