TY - JOUR
T1 - Multidisciplinary expert discussion. Uncontrolled asthma
T2 - causes, consequences and possible solutions
AU - Plaza, V.
AU - Quirce, S.
AU - Delgado, J.
AU - Moragon, E. Martinez
AU - de Llano, L. Perez
PY - 2016
Y1 - 2016
N2 - Background. Numerous studies conclude that about half of the asthmatic population is not well controlled. The aim of this study was to discuss causes, consequences and possible solutions of uncontrolled asthma (UCA).Methods. Discussion amongst asthma experts from the fields of Pneumology, Allergy and Primary Care, structured in three phases: 1) survey to get the opinion of participants involved in different areas of UCA; 2) expert meeting, in which the results of the survey were discussed, and the diagnosis, treatment and monitoring of UCA were presented and discussed; and, 3) with the main findings, 83 items were formulated and subjected to consensus among all participants through the Delphi method.Results. There was consensus on 86.7% of the items in the Delphi questionnaire, mostly in terms of agreement.Conclusions. The UCA analysis results show the need for future improvement in the following areas: to incorporate clinical performance protocols into asthma CPG to identify aggravating factors and comorbidities; to develop an inexpensive and easy-to-use tool to identify adherence; to establish patient phenotype; to analyse treatment side effects and to provide personalized treatment, especially assessing its efficacy and safety (symptom control and future risks). It is necessary to generate new evidence to determine additional tests to be used to monitor these patients.
AB - Background. Numerous studies conclude that about half of the asthmatic population is not well controlled. The aim of this study was to discuss causes, consequences and possible solutions of uncontrolled asthma (UCA).Methods. Discussion amongst asthma experts from the fields of Pneumology, Allergy and Primary Care, structured in three phases: 1) survey to get the opinion of participants involved in different areas of UCA; 2) expert meeting, in which the results of the survey were discussed, and the diagnosis, treatment and monitoring of UCA were presented and discussed; and, 3) with the main findings, 83 items were formulated and subjected to consensus among all participants through the Delphi method.Results. There was consensus on 86.7% of the items in the Delphi questionnaire, mostly in terms of agreement.Conclusions. The UCA analysis results show the need for future improvement in the following areas: to incorporate clinical performance protocols into asthma CPG to identify aggravating factors and comorbidities; to develop an inexpensive and easy-to-use tool to identify adherence; to establish patient phenotype; to analyse treatment side effects and to provide personalized treatment, especially assessing its efficacy and safety (symptom control and future risks). It is necessary to generate new evidence to determine additional tests to be used to monitor these patients.
KW - Delphi method
KW - Expert consensus
KW - Monitoring
KW - Treatment
KW - Uncontrolled asthma
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=uab_pure&SrcAuth=WosAPI&KeyUT=WOS:000392570900003&DestLinkType=FullRecord&DestApp=WOS
M3 - Artículo
C2 - 28032871
SN - 1137-6627
VL - 39
SP - 357
EP - 370
JO - Anales del Sistema Sanitario de Navarra
JF - Anales del Sistema Sanitario de Navarra
IS - 3
ER -