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[Is there a consensus among specialists concerning asthma?].

P Nouilhan1, F Bremont, G Dutau

  • 1Unité des Maladies Respiratoires et Allergiques de l'Enfant et de l'Adolescent, CHU Rangueil, Toulouse.

Annales De Pediatrie
|June 1, 1990
PubMed
Summary

European allergy specialists reached consensus on asthma management practices. However, only half of French specialists regularly perform lung function tests, highlighting a need for standardized asthma care guidelines.

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Area of Science:

  • Allergy and Immunology
  • Pulmonology
  • Medical Practice

Background:

  • Asthma management requires clear diagnostic and therapeutic guidelines.
  • International variations in asthma care practices exist despite comparable disease severity.
  • The European Academy of Allergology comprises specialists in allergy and immunology.

Purpose of the Study:

  • To assess consensus among European asthma specialists on diagnostic and therapeutic practices.
  • To identify discrepancies in asthma management, particularly regarding lung function testing.
  • To highlight the need for standardized "good diagnostic and therapeutic practices in asthma".

Main Methods:

  • A survey was distributed to 118 European asthma specialists.
  • The survey included 30 questions, with 25 translated from a previous study and 5 new questions.

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  • Consensus was defined as more than 75% identical answers.

    • Main Results:

    • Consensus was achieved on 17 out of 30 questions.
    • Only 50% of French specialists reported performing lung function testing on one occasion.
    • A significant portion of specialists underscored the importance of periodic breathing evaluations.

    Conclusions:

    • There are notable differences in asthma management among European specialists, particularly concerning lung function testing.
    • The study indicates a need for defining universally accepted diagnostic and therapeutic practices for asthma.
    • International comparisons reveal potential gaps in chronic disease management protocols.