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[Asthma Management and Control in Germany in Light of Current Guidelines]
Roland Buhl1, Charles Adarkwah2,3, Annmarie Gähler4
1Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Klinik für Pneumologie, Deutschland, Mainz.
Background:
Clinical studies and surveys indicate a significant need for improvement in asthma control, despite continuously advancing treatment options.
Objective:
To assess asthma control and patients' attitudes toward asthma therapy in Germany and to analyze the findings in the context of current guideline recommendations.
Methods:
Adults with asthma in Germany were recruited via the online panel forsa.omninet in November 2024 and surveyed regarding their asthma symptoms and management. Cross-correlation analyses were subsequently conducted. Asthma control was analyzed according to German guideline criteria.
Results:
A total of 1,002 adults with self-reported asthma participated in the survey. Asthma was not well controlled in 61% of respondents, especially the elderly of 60 years and older. 63% of respondents were on a daily maintenance therapy. However, patients on maintenance therapy reported poorer asthma control. A large number of respondents were unfamiliar with the terms "asthma control" and "asthma remission". 75% did not use any self-management tools. Only 47% believed that symptom-free asthma could be achieved through adequate maintenance therapy.
Conclusion:
Asthma control in Germany remains inadequate. This survey confirms relevant discrepancies between guideline recommendations and clinical reality. Improved asthma management and patient education are urgently needed.
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