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Published on: November 4, 2010
Management of childhood asthma in Western Australia
Claudia Calogero1, Merci M H Kusel, Hugo P S Van Bever
1Telethon Institute for Child Research, Centre for Child Health Research, University of Western Australia, Perth, Western Australia, Australia.
Insights
General practitioners (GPs) and paediatricians in Western Australia manage childhood asthma similarly, largely following guidelines. Inhaled corticosteroids are the preferred first-line maintenance therapy for most age groups.
Area of Science:
- Pediatric Pulmonology
- General Practice
- Asthma Management
Background:
- Childhood asthma is a prevalent chronic respiratory condition requiring effective management strategies.
- Understanding current management practices by healthcare providers is crucial for optimizing patient outcomes.
Purpose of the Study:
- To investigate and compare the approaches of General Practitioners (GPs) and specialist paediatricians in Western Australia for managing childhood asthma.
- To assess adherence to current asthma management guidelines.
Main Methods:
- A questionnaire survey was distributed to 992 GPs and specialist paediatricians in Western Australia.
- The survey collected data on maintenance and acute asthma management preferences across different pediatric age groups (infants, pre-school, school-aged).
Main Results:
- Response rates varied: 21.4% for GPs and 71.0% for paediatricians.
- Inhaled corticosteroids (ICS) were the primary maintenance therapy for all age groups.
- Treatment for pre-schoolers and school-aged children varied, with short-acting beta(2)-agonists (SBA) and combination therapy (ICS + long-acting beta(2)-agonist) being common, respectively.
Conclusions:
- Practicing GPs and paediatricians in Western Australia demonstrate good compliance with Australian asthma management guidelines.
- No significant differences in treatment preferences were observed between GPs and paediatricians.
Aims:
The study aimed to determine how childhood asthma is managed in Western Australia by general practitioners (GPs) and specialist paediatricians.
Methods:
A questionnaire survey was sent to 992 GPs and specialist paediatricians, asking about practice and preferences regarding maintenance management of childhood asthma and treatment of acute asthma. Questions about asthma in infants, pre-school and school-aged children were asked separately.
Results:
The overall response rate was 24.7%, with 188/878 (21.4%) of GPs and 44/62 (71.0%) of paediatricians returning the questionnaire. The decision to start maintenance therapy was generally based on symptom frequency and severity. The first choice for maintenance treatment in all age groups was inhaled corticosteroids (ICS). The second most common treatment varied according to age group, with short-acting beta(2)-agonist (SBA) preferred for infants, montelukast or short-acting beta(2)-agonist for pre-schoolers and combination therapy (ICS + long action beta(2)-agonist) for school-aged children. Objective monitoring of lung function with peak flow or spirometry, was used by 40% of GPs and 59% of paediatricians. Acute asthma was primarily managed with inhaled salbutamol and oral corticosteroids. There were few differences in treatment choice between GPs and paediatricians. Many GPs indicated that they did not treat asthma in infants without specialist consultation.
Conclusions:
These data show good compliance by the minority of GPs responding to the survey and by paediatricians practising in Western Australia with current Australian asthma management guidelines. Major differences in treatment preferences between the groups were not detected.
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