{
  "abstract": "Introduction BRONCHUK is a multicentre, prospective, observational cohort study enrolling adults with radiologically confirmed bronchiectasis across secondary centres in the UK. The objectives of the study are to develop a multicentre bronchiectasis registry incorporating baseline data collection with annual follow-up data for at least 5 years and to describe treatment patterns across the UK.Polypharmacy is defined as the concurrent use of ≥5 medications and has been rarely documented in literature for bronchiectasis patients. Polypharmacy has been associated with increased risk of adverse drug reactions and increased treatment burden. The current BTS guidelines have not detailed the impact of polypharmacy in bronchiectasis patients.Methods Adult patients with a clinical diagnosis of bronchiectasis supported by CT Thorax were recruited in the study across multiple centres in the UK. Patient data collected at baseline included demographics, aetiology testing, comorbidities, lung function, radiology, treatments, microbiology and quality of life. Both respiratory and non-respiratory medications were included in the database but are not exhaustive.Results 1626 patients were included in the analysis [1000 females (61.5%); 626 males (38.5%)] with a mean age of 64.4±13.4 years. 611 (37.6%) patients had documented asthma, 255 (15.7%) COPD and 58 (3.6%) ABPA.The mean BSI score was 7.3±3.5.376 patients (23.1%) had ≥5 respiratory-related medications prescribed. 643 patients (39.5%) had documented polypharmacy (including non-respiratory medications).321 (36%) patients without co-existing asthma/COPD were prescribed ICS.A weak positive relationship was established between age and number of medications prescribed (r=0.126;p<0.001). Higher rates of polypharmacy were seen in male cohort (45.5% as compared to 37.1% in female cohort) (χ2 =11.360;p<0.001).A logistic regression analysis showed that with each 1-point increase in BSI score the odds of polypharmacy increased by 20% (OR = 1.197, p <.001).Abstract S39 Figure 1Conclusion Polypharmacy is a growing concern due to risks of cumulative harm. Since this database didn’t collect all medications prescribed to patients, the current polypharmacy rates are underreported. Polypharmacy was associated with gender and disease severity. LABA and ICS were the most frequently prescribed medications. As new therapies and precision medicine emerge in bronchiectasis minimising polypharmacy should be considered.",
  "authors": [
    {
      "affiliations": [
        "The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK"
      ],
      "name": "H Upadhyay"
    },
    {
      "affiliations": [
        "The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK",
        "Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK"
      ],
      "name": "A De Soyza"
    },
    {
      "affiliations": [
        "Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK"
      ],
      "name": "R Watson"
    },
    {
      "affiliations": [
        "Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK"
      ],
      "name": "P Mawson"
    },
    {
      "affiliations": [
        "Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK"
      ],
      "name": "T Shield"
    },
    {
      "affiliations": [
        "Western Health and Social Care Trust, Altnagelvin Hospital, Derry, UK"
      ],
      "name": "M Kelly"
    },
    {
      "affiliations": [
        "Queens University of Belfast, Respiratory Medicine Group, Belfast, UK"
      ],
      "name": "S Elborn"
    },
    {
      "affiliations": [
        "The University of Edinburgh Centre for Inflammation Research, Edinburgh, UK"
      ],
      "name": "A Hill"
    },
    {
      "affiliations": [
        "University Hospitals of Morecambe Bay NHS Foundation Trust, Department of Respiratory Medicine, Morecambe Bay, UK"
      ],
      "name": "T Gatheral"
    },
    {
      "affiliations": [
        "University Hospitals Birmingham NHS Foundation Trust, Respiratory Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK"
      ],
      "name": "A Sullivan"
    },
    {
      "affiliations": [
        "Papworth Hospital, Cambridge Centre for Lung Infection, Papworth Everard, Cambridge, UK"
      ],
      "name": "C Haworth"
    },
    {
      "affiliations": [
        "University College London, Centre for Inflammation and Tissue Repair, UCL Respiratory Medicine London, London, UK"
      ],
      "name": "J Hurst"
    },
    {
      "affiliations": [
        "University College London, Centre for Inflammation and Tissue Repair, UCL Respiratory Medicine London, London, UK"
      ],
      "name": "J Brown"
    },
    {
      "affiliations": [
        "University of Southampton and University Hospital Southampton NHS Foundation Trust, CF Dept Southampton General Hospital, Southampton, UK"
      ],
      "name": "M Carroll"
    },
    {
      "affiliations": [
        "Royal Brompton Hospital, London, UK"
      ],
      "name": "MR Loebinger"
    },
    {
      "affiliations": [
        "Queens University of Belfast, Respiratory Medicine Group, Belfast, UK"
      ],
      "name": "J Bradley"
    },
    {
      "affiliations": [
        "University of Liverpool, University Hospital Aintree, Liverpool, UK"
      ],
      "name": "P Walker"
    },
    {
      "affiliations": [
        "Northumbria Healthcare NHS Foundation Trust, Respiratory Medicine, North Tyneside General Hospital, Tyne and Wear, UK"
      ],
      "name": "J Steer"
    },
    {
      "affiliations": [
        "University Hospital Llandough, Respiratory Medicine, Cardiff, UK"
      ],
      "name": "J Duckers"
    },
    {
      "affiliations": [
        "University of Dundee, Division of Molecular and Clinical Medicine, Dundee, UK"
      ],
      "name": "J Chalmers"
    },
    {
      "affiliations": [
        "Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK"
      ],
      "name": "R McNally"
    }
  ],
  "title": "S39 Polypharmacy in patients with non-cystic fibrosis bronchiectasis: the BRONCHUK observational study",
  "uid": "60c4da67-c1e4-54ab-85e7-3b039b5a1a67"
}