Is asthma control more than just an absence of symptoms? An expert consensus statement

Canonica, Giorgio Walter; Spanevello, Antonio; Llano, Luís Pérez de; Ribas, Christian; Blakey, John; García, Gabriel; Inoue, Hiromasa; Dalcolmo, Margareth Pretti; Yang, Dong; Mokashi, Soniya; Kurne, Abhishek; Butta, Aman Kapil

doi:10.1016/j.rmed.2022.106942

Cited by 8 publications

(10 citation statements)

References 21 publications

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“…A comprehensive literature search was performed. Search strings relating to the literature review are available in the Supplement of the original manuscript [1] . A PRISMA flow diagram detailing the number of manuscripts/congress abstracts included/excluded at each stage of the literature review is detailed in Figure 1 of the original manuscript.…”

Section: Data Descriptionmentioning

confidence: 99%

“…In addition to the comprehensive literature review, a two-stage Delphi survey of 82 panellists (73 HCPs and 9 authors) was included. Details on the development of the survey and the full questionnaires are available in the Online Repository of the original manuscript [1] . Here, we include raw data from the two rounds of the survey, including further information on analysis.…”

Section: Data Descriptionmentioning

confidence: 99%

“…For the purposes of the below, we will refer to total values (Column B), throughout. Raw data for the screening questions (as per Survey 1 in the Online Supplement of the original manuscript [1] ) are available as per the below: Country of practice, first round survey screening Question 1: countries and count/percentage detailed in Columns A&B, Rows 8–15 for HCP respondents and Columns A&B, Rows 22–30 for author respondents. Current primary medical specialty, first round survey screening Question 2: Rows 37–41 for HCP respondents and Columns A&B, Rows 48–52 for author respondents.…”

Section: Data Descriptionmentioning

confidence: 99%

“… Acceptance of terms and conditions and adverse event reporting, first round survey screening Question 6: Rows 137–138 (100% acceptance) and Rows 147–149, respectively. Raw data for responses given by all respondents ( n = 82) in the first round survey (as per Survey 1 Online Supplement of the original manuscript [1] ) are detailed in Table 1 . All responses were available as quantitative data in sheets ‘S1.…”

Section: Data Descriptionmentioning

confidence: 99%

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Asthma control conundrum in clinical practice – Data from a two-stage Delphi survey and literature review

et al. 2023

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Section: Data Descriptionmentioning

confidence: 99%

Section: Data Descriptionmentioning

confidence: 99%

Section: Data Descriptionmentioning

confidence: 99%

Section: Data Descriptionmentioning

confidence: 99%

See 2 more Smart Citations

Asthma control conundrum in clinical practice – Data from a two-stage Delphi survey and literature review

et al. 2023

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“…Effective asthma control can improve quality of life, reduce the frequency and severity of symptoms, and prevent asthma attacks. [13] Asthma control can be assessed by symptom assessment, lung function testing, using rescue medications and Asthma Control Questionnaire (ACQ). The ACQ is a self-administered questionnaire that assesses asthma control based on symptoms, rescue medication use, and daily activities.…”

Section: Introductionmentioning

confidence: 99%

Impact of Treatment on Asthma Control in Quetta Pakistan

Sehar¹,

Haq²,

Tahir³

et al. 2023

J. Pharm. Practice and Community Med.

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Background: Poorly controlled asthma may lead to decreased lung function, increase the risk of complications and more episodes of exacerbations, increased healthcare utilization, including more frequent hospitalizations and emergency room visits. Regular monitoring of asthma symptoms and lung function can help identify any potential issues in asthma control and ensure optimal management. Objectives:The study aims to assess the asthma control by the usage of asthma controller medications especially, corticosteroids, bronchodilators and leukotriene modifiers, among patients receiving treatment through well-validated questionnaire. Materials and Methods: A cross-sectional study with a sample of 361 was conducted in different public hospitals outpatient departments and clinics of Quetta Pakistan by using a convenience sampling technique. The Asthma Control Questionnaire (ACQ) was used to measure the asthma control of the asthmatic patients. The descriptive and inferential statistics have been done by using SPSS version 20 with a p value <0.05. Results: The study found that an average score of asthma control was 3.1±1.10 thereby indicating uncontrolled asthma with also 62.3% of study participants had uncontrolled asthma, no patient had controlled asthma. An increased number of medications including the use of corticosteroids and leukotriene modifiers posed an impact on asthma control of the study population. Conclusion:The study concluded that corticosteroids and leukotriene modifiers can be effective in asthma control and it is suggested for the future studies that route of administration and treatment guidelines must also be determined along with the asthma control to gain a complete picture of impact of treatment and management on any health outcomes.

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Expert Consensus on SABA Use for Asthma Clinical Decision-Making: A Delphi Approach

Lugogo,

O’Connor,

George

et al. 2023

Curr Allergy Asthma Rep

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Purpose of Review A modified Delphi process was undertaken to provide a US expert-led consensus to guide clinical action on short-acting beta2-agonist (SABA) use. This comprised an online survey (Phase 1), forum discussion and statement development (Phase 2), and statement adjudication (Phase 3). Recent Findings In Phase 1 (n = 100 clinicians), 12% routinely provided patients with ≥4 SABA prescriptions/year, 73% solicited SABA use frequency at every patient visit, and 21% did not consult asthma guidelines/expert reports. Phase 3 experts (n = 8) reached consensus (median Likert score, interquartile range) that use of ≥3 SABA canisters/year is associated with increased risk of exacerbation and asthma-related death (5, 4.75–5); SABA use history should be solicited at every patient visit (5, 4.75–5); usage patterns over time, not absolute thresholds, should guide response to SABA overuse (5, 4.5–5). Summary Future asthma guidelines should include clear recommendations regarding SABA usage, using expert-led thresholds for action.

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Is asthma control more than just an absence of symptoms? An expert consensus statement

Cited by 8 publications

References 21 publications

Asthma control conundrum in clinical practice – Data from a two-stage Delphi survey and literature review

Asthma control conundrum in clinical practice – Data from a two-stage Delphi survey and literature review

Impact of Treatment on Asthma Control in Quetta Pakistan

Expert Consensus on SABA Use for Asthma Clinical Decision-Making: A Delphi Approach

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