High Frequency of Systemic Corticosteroid Use for Acute Respiratory Tract Illnesses in Ambulatory Settings

doi:10.1001/jamainternmed.2018.0103

Observational Study

. 2018 Jun 1;178(6):852-854.

doi: 10.1001/jamainternmed.2018.0103.

High Frequency of Systemic Corticosteroid Use for Acute Respiratory Tract Illnesses in Ambulatory Settings

Evan L Dvorin^{1

2}, Marie Claire Lamb², Dominique J Monlezun³, Austin C Boese⁴, Lydia A Bazzano^{1

2

3

4}, Eboni G Price-Haywood^{1

2

3}

Affiliations

¹ Center for Primary Care and Wellness, Ochsner Health System, New Orleans, Louisiana.
² Ochsner Clinical School, Ochsner Health System, New Orleans, Louisiana.
³ Ochsner Center for Applied Health Services Research, Ochsner Health System, New Orleans, Louisiana.
⁴ Department of Epidemiology, Tulane University, New Orleans, Louisiana.

PMID: 29482204
PMCID: PMC5885155
DOI: 10.1001/jamainternmed.2018.0103

Observational Study

High Frequency of Systemic Corticosteroid Use for Acute Respiratory Tract Illnesses in Ambulatory Settings

Evan L Dvorin et al. JAMA Intern Med. 2018.

. 2018 Jun 1;178(6):852-854.

doi: 10.1001/jamainternmed.2018.0103.

Authors

Evan L Dvorin^{1

2}, Marie Claire Lamb², Dominique J Monlezun³, Austin C Boese⁴, Lydia A Bazzano^{1

2

3

4}, Eboni G Price-Haywood^{1

2

3}

Affiliations

¹ Center for Primary Care and Wellness, Ochsner Health System, New Orleans, Louisiana.
² Ochsner Clinical School, Ochsner Health System, New Orleans, Louisiana.
³ Ochsner Center for Applied Health Services Research, Ochsner Health System, New Orleans, Louisiana.
⁴ Department of Epidemiology, Tulane University, New Orleans, Louisiana.

PMID: 29482204
PMCID: PMC5885155
DOI: 10.1001/jamainternmed.2018.0103

Abstract

This study examines the frequency of steroid use for acute respiratory tract infections in Louisiana and nationally, and factors associated with this clinical practice.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Comment in

Inappropriate Use of Steroids for Acute Respiratory Infection.
Grady D. Grady D. JAMA Intern Med. 2018 Jun 1;178(6):854. doi: 10.1001/jamainternmed.2018.1164. JAMA Intern Med. 2018. PMID: 29868733 No abstract available.

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References

1. CDC Adult Treatment Recommendations https://www.cdc.gov/getsmart/community/for-hcp/outpatient-hcp/adult-trea.... Accessed July 17, 2017.
1. Sadeghirad B, Siemieniuk RAC, Brignardello-Petersen R, et al. . Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ. 2017;358:j3887. - PMC - PubMed
1. Venekamp RP, Thompson MJ, Hayward G, et al. . Systemic corticosteroids for acute sinusitis. Cochrane Database Syst Rev. 2014;(3):CD008115. - PMC - PubMed
1. Hay AD, Little P, Harnden A, et al. . Effect of oral prednisolone on symptom duration and severity in nonasthmatic adults with acute lower respiratory tract infection: a randomized clinical trial. JAMA. 2017;318(8):721-730. - PMC - PubMed
1. Waljee AK, Rogers MA, Lin P, et al. . Short term use of oral corticosteroids and related harms among adults in the United States: population based cohort study. BMJ. 2017;357:j1415. - PMC - PubMed

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[1] CDC Adult Treatment Recommendations https://www.cdc.gov/getsmart/community/for-hcp/outpatient-hcp/adult-trea.... Accessed July 17, 2017.

[2] CDC Adult Treatment Recommendations https://www.cdc.gov/getsmart/community/for-hcp/outpatient-hcp/adult-trea.... Accessed July 17, 2017.

[3] Sadeghirad B, Siemieniuk RAC, Brignardello-Petersen R, et al. . Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ. 2017;358:j3887. - PMC - PubMed

[4] Sadeghirad B, Siemieniuk RAC, Brignardello-Petersen R, et al. . Corticosteroids for treatment of sore throat: systematic review and meta-analysis of randomised trials. BMJ. 2017;358:j3887. - PMC - PubMed

[5] Venekamp RP, Thompson MJ, Hayward G, et al. . Systemic corticosteroids for acute sinusitis. Cochrane Database Syst Rev. 2014;(3):CD008115. - PMC - PubMed

[6] Venekamp RP, Thompson MJ, Hayward G, et al. . Systemic corticosteroids for acute sinusitis. Cochrane Database Syst Rev. 2014;(3):CD008115. - PMC - PubMed

[7] Hay AD, Little P, Harnden A, et al. . Effect of oral prednisolone on symptom duration and severity in nonasthmatic adults with acute lower respiratory tract infection: a randomized clinical trial. JAMA. 2017;318(8):721-730. - PMC - PubMed

[8] Hay AD, Little P, Harnden A, et al. . Effect of oral prednisolone on symptom duration and severity in nonasthmatic adults with acute lower respiratory tract infection: a randomized clinical trial. JAMA. 2017;318(8):721-730. - PMC - PubMed

[9] Waljee AK, Rogers MA, Lin P, et al. . Short term use of oral corticosteroids and related harms among adults in the United States: population based cohort study. BMJ. 2017;357:j1415. - PMC - PubMed

[10] Waljee AK, Rogers MA, Lin P, et al. . Short term use of oral corticosteroids and related harms among adults in the United States: population based cohort study. BMJ. 2017;357:j1415. - PMC - PubMed

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High Frequency of Systemic Corticosteroid Use for Acute Respiratory Tract Illnesses in Ambulatory Settings

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High Frequency of Systemic Corticosteroid Use for Acute Respiratory Tract Illnesses in Ambulatory Settings

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