Multidisciplinary expert discussion. Uncontrolled asthma: causes, consequences and possible solutions
Por:
Plaza, V, Quirce, S, Delgado, J, Moragon, EM, de Llano, LP
Publicada:
1 sep 2016
Resumen:
Background. Numerous studies conclude that about half of the asthmatic population is not well controlled. The aim of this study was to discuss causes, consequences and possible solutions of uncontrolled asthma (UCA).
Methods. Discussion amongst asthma experts from the fields of Pneumology, Allergy and Primary Care, structured in three phases: 1) survey to get the opinion of participants involved in different areas of UCA; 2) expert meeting, in which the results of the survey were discussed, and the diagnosis, treatment and monitoring of UCA were presented and discussed; and, 3) with the main findings, 83 items were formulated and subjected to consensus among all participants through the Delphi method.
Results. There was consensus on 86.7% of the items in the Delphi questionnaire, mostly in terms of agreement.
Conclusions. The UCA analysis results show the need for future improvement in the following areas: to incorporate clinical performance protocols into asthma CPG to identify aggravating factors and comorbidities; to develop an inexpensive and easy-to-use tool to identify adherence; to establish patient phenotype; to analyse treatment side effects and to provide personalized treatment, especially assessing its efficacy and safety (symptom control and future risks). It is necessary to generate new evidence to determine additional tests to be used to monitor these patients.
Filiaciones:
Plaza, V:
Hosp Santa Creu & Sant Pau, Serv Neumol, Barcelona, Spain
Quirce, S:
Hosp Univ La Paz, Serv Alergia, Madrid, Spain
Delgado, J:
Hosp Univ Virgen Macarena, Serv Alergia, Seville, Spain
Moragon, EM:
Hosp Univ Dr Peset, Serv Neumol, Valencia, Spain
de Llano, LP:
Hosp Lucua Augusti, Serv Neumol, Lugo, Spain
gold
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