ERS/EAACI statement on adherence to international adult asthma guidelines,European Respiratory Review

当前位置： X-MOL 学术 › Eur. Respir. Rev. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

ERS/EAACI statement on adherence to international adult asthma guidelines
European Respiratory Review ( IF 9.0 ) Pub Date : 2021-09-15 , DOI: 10.1183/16000617.0132-2021
Alexander G Mathioudakis _{1,

2,

3} , Olympia Tsilochristou _{3,

4,

5} , Ian M Adcock ₆ , Andras Bikov _{2,

7} , Leif Bjermer ₈ , Enrico Clini ₉ , Breda Flood ₁₀ , Felix Herth ₁₁ , Ildiko Horvath _{12,

13} , Omer Kalayci ₁₄ , Nikolaos G Papadopoulos _{7,

15} , Dermot Ryan ₁₆ , Silvia Sanchez Garcia ₁₇ , Jaime Correia-de-Sousa _{18,

19} , Thomy Tonia ₂₀ , Hillary Pinnock ₁₆ , Ioana Agache _{3,

21} , Christer Janson _{3,

22}

Affiliation

Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, University of Manchester, Manchester, UK
North West Lung Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
These authors were Task Force Co-chairs and are equal authors.
Dept of Allergy, Guy's and St Thomas' Foundation Trust, London, UK.
Peter Gorer Dept of Immunobiology, King's College London, London, UK.
National Heart and Lung Institute, Imperial College London and the NIHR Imperial Biomedical Research Centre, London, UK.
Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, University of Manchester, Manchester, UK.
Respiratory Medicine and Allergology, Dept of Clinical Sciences, Lund University, Lund, Sweden.
Dept of Medical Specialities, University Hospital of Modena, University of Modena-Reggio Emilia, Modena, Italy.
European Federation of Allergy and Airways Diseases Patients Association (EFA), Dublin, Ireland.
Dept of Pneumology and Critical Care Medicine, Thoraxklinik and Translational Lung Research Center Heidelberg, University of Heidelberg, Heidelberg, Germany.
National Koranyi Institute for Pulmonology, Budapest, Hungary.
Institute of Public Health, Semmelweis University, Budapest, Hungary.
Hacettepe University School of Medicine, Ankara, Turkey.
Allergy Dept, Paediatric Clinic, National and Kapodistrian University of Athens, Athens, Greece.
Asthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh, UK.
Allergy Dept, University Children's Hospital Niño Jesus, Madrid, Spain.
Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.
ICVS/3B's - PT Government Associate Laboratory, Guimarães, Portugal.
Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Allergy & Clinical Immunology, Transylvania University, Brasov, Romania.
Dept of Medical Science, Respiratory, Allergy and Sleep Research, Uppsala University and University Hospital, Uppsala, Sweden.

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.

中文翻译：