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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
14:39

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Published on: November 5, 2010

Defining and investigating difficult asthma: developing quality indicators.

C O Prys-Picard1, S M Campbell, J G Ayres

  • 1North West Lung Research Centre, Wythenshawe Hospital, Southmoor Road, Wythenshawe, Manchester M23 9LT, UK. cpryspicard@fs1.with.man.ac.uk

Respiratory Medicine
|November 24, 2005
PubMed
Summary
This summary is machine-generated.

This study defines difficult asthma as persistent symptoms despite high-level treatment, establishing quality indicators for its definition and investigation. This aims to improve patient care and reduce healthcare waste.

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Area of Science:

  • Pulmonology
  • Clinical Quality Improvement
  • Healthcare Management

Background:

  • Difficult asthma lacks a standardized definition and investigation protocol.
  • Patients with difficult asthma experience persistent symptoms and high healthcare resource utilization.
  • Current management strategies for difficult asthma are inconsistent.

Framework:

  • A consensus-based framework for defining and investigating difficult asthma was developed using the Modified RAND Appropriateness Method.
  • The framework includes 32 necessary quality indicators, with 7 for definition and 23 for investigations.
  • Difficult asthma is defined as persistent symptoms despite therapy consistent with step 4 of British Thoracic Society guidelines.

Implementation:

  • An expert panel of nine hospital asthma specialists was convened.
  • Indicators were systematically rated for necessity in defining and investigating difficult asthma.
  • The process identified key requirements for managing patients with difficult asthma.

Implications:

  • Implementing these quality indicators can lead to more precise diagnosis and targeted treatment for difficult asthma.
  • Standardized investigation protocols can optimize patient care and reduce unnecessary healthcare expenditures.
  • This work provides a foundation for improving the management of complex respiratory conditions.