Περίληψη:
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.
Συγγραφείς:
Mathioudakis, Alexander G.
Tsilochristou, Olympia
Adcock, Ian M.
and Bikov, Andras
Bjermer, Leif
Clini, Enrico
Flood, Breda
and Herth, Felix
Horvath, Ildiko
Kalayci, Omer
Papadopoulos,
Nikolaos G.
Ryan, Dermot
Sanchez Garcia, Silvia and
Correia-de-Sousa, Jaime
Tonia, Thomy
Pinnock, Hillary and
Agache, Ioana
Janson, Christer
