ERS/EAACI statement on adherence to international adult asthma guidelines.

Mathioudakis, Alexander G; Tsilochristou, Olympia; Adcock, Ian M; Bikov, Andras; Bjermer, Leif; Clini, Enrico; Flood, Breda; Herth, Felix; Horvath, Ildiko; Kalayci, Omer; Papadopoulos, Nikolaos G; Ryan, Dermot; Sanchez Garcia, Silvia; Correia-de-Sousa, Jaime; Tonia, Thomy; Pinnock, Hillary; Agache, Ioana; Janson, Christer (2021). ERS/EAACI statement on adherence to international adult asthma guidelines. European respiratory review, 30(161), p. 210132. European Respiratory Society 10.1183/16000617.0132-2021

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Guidelines aim to standardise and optimise asthma diagnosis and management. Nevertheless, adherence to guidelines is suboptimal and may vary across different healthcare professional (HCP) groups.Further to these concerns, this European Respiratory Society (ERS)/European Academy of Allergy and Clinical Immunology (EAACI) statement aims to: 1) evaluate the understanding of and adherence to international asthma guidelines by HCPs of different specialties via an international online survey; and 2) assess strategies focused at improving implementation of guideline-recommended interventions, and compare process and clinical outcomes in patients managed by HCPs of different specialties via systematic reviews.The online survey identified discrepancies between HCPs of different specialties which may be due to poor dissemination or lack of knowledge of the guidelines but also a reflection of the adaptations made in different clinical settings, based on available resources. The systematic reviews demonstrated that multifaceted quality improvement initiatives addressing multiple challenges to guidelines adherence are most effective in improving guidelines adherence. Differences in outcomes between patients managed by generalists or specialists should be further evaluated.Guidelines need to consider the heterogeneity of real-life settings for asthma management and tailor their recommendations accordingly. Continuous, multifaceted quality improvement processes are required to optimise and maintain guidelines adherence. Validated referral pathways for uncontrolled asthma or uncertain diagnosis are needed.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Tonia, Thomai

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0905-9180

Publisher:

European Respiratory Society

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

09 Dec 2021 13:09

Last Modified:

06 Jul 2022 08:39

Publisher DOI:

10.1183/16000617.0132-2021

PubMed ID:

34526316

BORIS DOI:

10.48350/161721

URI:

https://boris.unibe.ch/id/eprint/161721

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