Prescribing patterns of medication for respiratory diseases: cluster analysis of the Portuguese electronic prescription database

Eur Ann Allergy Clin Immunol. 2022 Sep;54(5):229-239. doi: 10.23822/EurAnnACI.1764-1489.186. Epub 2021 Jan 8.

Abstract

We aimed to describe, for the first time, the prescribing patterns among patients on persistent respiratory treatment, from the Portuguese electronic prescription and dispensing database. This was a one-year retrospective population-based analysis of prescriptions (n = 39810) for medication for respiratory disease and exacerbations. Cluster analysis was applied based on medication and prescribers' specialty. Prescribing patterns were grouped and labelled as: possible medication for asthma and allergic rhinitis (General Practitioners-GPs and allergists to younger patients); COPD (GPs and pulmonologists to older patients); asthma or Asthma-COPD Overlap (GPs and pulmonologists); exacerbation, infection and relievers. This analysis was an important first step to understand the Portuguese reality on the treatment of respiratory diseases.

Keywords: Asthma; chronic obstructive pulmonary disease; cluster analysis; electronic prescribing; retrospective studies.

MeSH terms

  • Asthma* / drug therapy
  • Asthma* / epidemiology
  • Cluster Analysis
  • Electronic Prescribing*
  • Humans
  • Portugal / epidemiology
  • Practice Patterns, Physicians'
  • Pulmonary Disease, Chronic Obstructive* / therapy
  • Retrospective Studies