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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedCotter JM, Tyler A, Reese J
Steroid variability in pediatric inpatient asthmatics: survey on provider preferences of dexamethasone versus prednisone.
This study looked at pediatric emergency department (ED) inpatient use of dexamethasone versus prednisone by providers for asthma treatment. A survey was distributed to providers who care for inpatient asthmatics. Ninety-two providers completed the survey. When patients received dexamethasone in the ED, 44% continued dexamethasone, 14% switched to prednisone, 2% stopped steroid use, and 40% said it depended on the circumstances. Hospitalists were significantly more likely to continue dexamethasone than pulmonologists (61% versus 15%). Switching to prednisone included factors such as severity of exacerbation (73%) and asthma history (47%). Just over half of providers (5f1%) felt uncomfortable using dexamethasone because of “minimal data to support [its] use inpatient.”
AHRQ-funded; HS026512.
Citation: Cotter JM, Tyler A, Reese J .
Steroid variability in pediatric inpatient asthmatics: survey on provider preferences of dexamethasone versus prednisone.
J Asthma 2020 Sep;57(9):942-48. doi: 10.1080/02770903.2019.1622713..
Keywords: Children/Adolescents, Asthma, Respiratory Conditions, Medication, Inpatient Care, Care Management, Hospitalization, Emergency Department, Practice Patterns, Provider: Physician, Provider
Esfandiari NH, Reyes-Gastelum D, Hawley ST
Patient requests for tests and treatments impact physician management of hypothyroidism.
Researchers investigated physician-reported barriers to managing thyroid hormone therapy; randomly surveyed physicians were members of the Endocrine Society, the American Academy of Family Practice, and the American Geriatrics Society. The researchers found that physicians reported patient requests for tests and treatments as a common barrier to appropriate thyroid hormone management. They concluded that understanding physician-reported barriers to thyroid hormone management and factors associated with physician perception that patient requests are a barrier is key to improving patient care.
AHRQ-funded; HS024512.
Citation: Esfandiari NH, Reyes-Gastelum D, Hawley ST .
Patient requests for tests and treatments impact physician management of hypothyroidism.
Thyroid 2019 Nov;29(11):1536-44. doi: 10.1089/thy.2019.0383..
Keywords: Care Management, Provider: Physician, Provider, Practice Patterns