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ERS/EAACI statement on adherence to international adult asthma guidelines

Mathioudakis, Alexander G. ; Tsilochristou, Olympia ; Adcock, Ian M. ; Bikov, Andras ; Bjermer, Leif LU ; Clini, Enrico ; Flood, Breda ; Herth, Felix ; Horvath, Ildiko and Kalayci, Omer , et al. (2021) In European Respiratory Review 30(161).
Abstract

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... (More)

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.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Respiratory Review
volume
30
issue
161
article number
210132
publisher
European Respiratory Society
external identifiers
  • pmid:34526316
  • scopus:85115731226
ISSN
0905-9180
DOI
10.1183/16000617.0132-2021
language
English
LU publication?
yes
additional info
Publisher Copyright: © The authors 2021.
id
b567b899-de7d-436f-aa90-e2ce6952599a
date added to LUP
2021-10-14 14:08:27
date last changed
2024-04-06 10:42:12
@article{b567b899-de7d-436f-aa90-e2ce6952599a,
  abstract     = {{<p>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.</p>}},
  author       = {{Mathioudakis, Alexander G. and Tsilochristou, Olympia and Adcock, Ian M. and Bikov, Andras and Bjermer, Leif and Clini, Enrico and Flood, Breda and Herth, Felix and Horvath, Ildiko and Kalayci, Omer and Papadopoulos, Nikolaos G. and Ryan, Dermot and Garcia, Silvia Sanchez and Correia-De-sousa, Jaime and Tonia, Thomy and Pinnock, Hillary and Agache, Ioana and Janson, Christer}},
  issn         = {{0905-9180}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{161}},
  publisher    = {{European Respiratory Society}},
  series       = {{European Respiratory Review}},
  title        = {{ERS/EAACI statement on adherence to international adult asthma guidelines}},
  url          = {{http://dx.doi.org/10.1183/16000617.0132-2021}},
  doi          = {{10.1183/16000617.0132-2021}},
  volume       = {{30}},
  year         = {{2021}},
}