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

Detalhes bibliográficos
Autor(a) principal: Baptista, Rita
Data de Publicação: 2021
Outros Autores: Englar, Ryane, Ferreira São Braz, Berta, Leal, Rodolfo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.5/23171
Resumo: Research Areas: Veterinary Sciences
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spelling Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in PortugalGastrointestinal protectantsAcid suppressantsProton pump inhibitorsACVIM consensus guidelinesGastrointestinal ulcerationSteroid-induced gastrointestinal ulcerationResearch Areas: Veterinary SciencesABSTRACT - 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.MDPIRepositório da Universidade de LisboaBaptista, RitaEnglar, RyaneFerreira São Braz, BertaLeal, Rodolfo2022-01-19T17:32:29Z2021-04-232021-04-23T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.5/23171engBaptista 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/vetsci805007010.3390/vetsci80500702306-7381info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-06T14:52:40Zoai:www.repository.utl.pt:10400.5/23171Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:07:27.602320Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal
title Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal
spellingShingle Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal
Baptista, Rita
Gastrointestinal protectants
Acid suppressants
Proton pump inhibitors
ACVIM consensus guidelines
Gastrointestinal ulceration
Steroid-induced gastrointestinal ulceration
title_short Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal
title_full Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal
title_fullStr Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal
title_full_unstemmed Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal
title_sort Survey-based analysis of current trends for prescribing gastrointestinal protectants among small-animal general practitioners in Portugal
author Baptista, Rita
author_facet Baptista, Rita
Englar, Ryane
Ferreira São Braz, Berta
Leal, Rodolfo
author_role author
author2 Englar, Ryane
Ferreira São Braz, Berta
Leal, Rodolfo
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Baptista, Rita
Englar, Ryane
Ferreira São Braz, Berta
Leal, Rodolfo
dc.subject.por.fl_str_mv Gastrointestinal protectants
Acid suppressants
Proton pump inhibitors
ACVIM consensus guidelines
Gastrointestinal ulceration
Steroid-induced gastrointestinal ulceration
topic Gastrointestinal protectants
Acid suppressants
Proton pump inhibitors
ACVIM consensus guidelines
Gastrointestinal ulceration
Steroid-induced gastrointestinal ulceration
description Research Areas: Veterinary Sciences
publishDate 2021
dc.date.none.fl_str_mv 2021-04-23
2021-04-23T00:00:00Z
2022-01-19T17:32:29Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.5/23171
url http://hdl.handle.net/10400.5/23171
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Baptista 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/vetsci8050070
10.3390/vetsci8050070
2306-7381
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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