TY - JOUR
TI - ERS/EAACI statement on adherence to international adult asthma
guidelines
AU - Mathioudakis, Alexander G.
AU - Tsilochristou, Olympia
AU - Adcock, Ian M.
AU - and Bikov, Andras
AU - Bjermer, Leif
AU - Clini, Enrico
AU - Flood, Breda
AU - and Herth, Felix
AU - Horvath, Ildiko
AU - Kalayci, Omer
AU - Papadopoulos,
AU - Nikolaos G.
AU - Ryan, Dermot
AU - Sanchez Garcia, Silvia and
AU - Correia-de-Sousa, Jaime
AU - Tonia, Thomy
AU - Pinnock, Hillary and
AU - Agache, Ioana
AU - Janson, Christer
JO - European Respiratory Review
PY - 2021
VL - 30
TODO - 161
SP - null
PB - EUROPEAN RESPIRATORY SOC JOURNALS LTD
SN - 0905-9180, 1600-0617
TODO - 10.1183/16000617.0132-2021
TODO - null
TODO - 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 arc needed.
ER -