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Multidisciplinary expert discussion. Uncontrolled asthma: causes, consequences and possible solutions
Anales Del Sistema Sanitario De Navarra
|December 30, 2016
Summary
Uncontrolled asthma affects many, with experts agreeing on key areas for improvement. Future efforts should focus on better protocols, adherence tools, and personalized treatment for improved asthma control.
Area of Science:
- Pulmonology
- Allergy
- Primary Care
Background:
- Approximately 50% of asthma patients experience poor symptom control.
- Uncontrolled asthma (UCA) presents significant challenges in clinical practice.
Purpose of the Study:
- To discuss the causes, consequences, and potential solutions for uncontrolled asthma (UCA).
- To achieve expert consensus on improving asthma management.
Main Methods:
- A three-phase expert discussion involving pulmonologists, allergists, and primary care physicians.
- A survey followed by an expert meeting to discuss UCA diagnosis, treatment, and monitoring.
- The Delphi method was used to reach consensus on 83 key items.
Main Results:
- High consensus (86.7%) was achieved on the formulated items.
- Agreement was reached on critical aspects of UCA management.
Conclusions:
- Need for improved clinical guidelines (CPG) to identify triggers and comorbidities.
- Development of tools to assess patient adherence and identify phenotypes.
- Emphasis on personalized treatment, evaluating efficacy, safety, symptom control, and future risks.
- Generation of new evidence for monitoring UCA patients is required.
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