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The effect of the COVID-19 pandemic on severe asthma care in Europe : will care change for good?

Eger, Katrien (author)
Univ Amsterdam, Acad Med Ctr, Amsterdam, Netherlands.,University of Amsterdam
Paroczai, Dora (author)
Univ Szeged, Csongrad Cty Hosp, Szeged, Hungary.;Univ Szeged, Dept Pulmonol, Szeged, Hungary.
Bacon, Alison (author)
Univ Plymouth, Sch Psychol, Plymouth, Devon, England.
show more...
Schleich, Florence (author)
CHU Liege, Liege, Belgium.
Sergejeva, Svetlana (author)
North Estonian Med Ctr, Tallinn, Estonia.
Bourdin, Arnaud (author)
Univ Montpellier, CHU Montpellier, PhyMedExp, Montpellier, France.
Vachier, Isabelle (author)
Univ Montpellier, CHU Montpellier, PhyMedExp, Montpellier, France.
Zervas, Eleftherios (author)
Athens Chest Hosp, Resp Dept 7, Athens, Greece.
Katsoulis, Konstantinos (author)
424 Army Gen Hosp, Pulm Dept, Thessaloniki, Greece.,Lund University
Papapetrou, Dimosthenis (author)
Paleo Faliro Clin, Med Grp Athens, Athens, Greece.
Kostikas, Konstantinos (author)
Univ Hosp Ioannina, Resp Med Dept, Ioannina, Greece.
Csoma, Zsuzsanna (author)
Natl Koranyi Inst Pulmonol, Budapest, Hungary.
Heffler, Enrico (author)
IRCCS Humanitas Res Hosp, Personalized Med Asthma & Allergy, Rozzano, MI, Italy.;Humanitas Univ, Dept Biomed Sci, Pieve Emanuele, MI, Italy.
Canonica, Giorgio Walter (author)
IRCCS Humanitas Res Hosp, Personalized Med Asthma & Allergy, Rozzano, MI, Italy.;Humanitas Univ, Dept Biomed Sci, Pieve Emanuele, MI, Italy.
Grisle, Ineta (author)
Riga East Univ Hosp, Riga, Latvia.
Bieksiene, Kristina (author)
Lithuanian Univ Hlth Sci, Kaunas, Lithuania.
Palacionyte, Jolita (author)
Lithuanian Univ Hlth Sci, Kaunas, Lithuania.
Ten Brinke, Anneke (author)
Med Ctr Leeuwarden, Leeuwarden, Netherlands.
Hashimoto, Simone (author)
Univ Szeged, Csongrad Cty Hosp, Szeged, Hungary.;Univ Szeged, Dept Pulmonol, Szeged, Hungary.
Smeenk, Frank W. J. M. (author)
Catharina Ziekenhuis Eindhoven, Eindhoven, Netherlands.
Braunstahl, Gert-Jan (author)
Franciscus Gasthuis Vlietland, Rotterdam, Netherlands.
van der Sar, Simone (author)
Amphia Ziekenhuis, Breda, Netherlands.
Mihaltan, Florin (author)
Natl Inst Pneumol, Bucharest, Romania.
Nenasheva, Natalia (author)
Karolinska Institutet
Peredelskaya, Marina (author)
Russian Med Acad Continuous Profess Educ, Minist Healthcare Russian Federat, Moscow, Russia.
Zvezdin, Biljana (author)
Inst Pulm Dis Vojvodina, Sremska Kamenica, Serbia.;Univ Novi Sad, Med Fac Novi Sad, Bucharest, Romania.
Cekerevac, Ivan (author)
Univ Clin Ctr Kragujevac, Clin Pulmonol, Kragujevac, Serbia.;Univ Kragujevac, Fac Med Sci, Dept Internal Med, Kragujevac, Serbia.
Hromis, Sanja (author)
Inst Pulm Dis Vojvodina, Sremska Kamenica, Serbia.
Cupurdija, Vojislav (author)
Univ Clin Ctr Kragujevac, Clin Pulmonol, Kragujevac, Serbia.;Univ Kragujevac, Fac Med Sci, Dept Internal Med, Kragujevac, Serbia.
Lazic, Zorica (author)
Univ Clin Ctr Kragujevac, Clin Pulmonol, Kragujevac, Serbia.;Univ Kragujevac, Fac Med Sci, Dept Internal Med, Kragujevac, Serbia.
Milenkovic, Branislava (author)
Univ Clin Ctr Serbia, Belgrade Med Fac, Clin Pulmonol, Belgrade, Serbia.
Dimic-Janjic, Sanja (author)
Univ Clin Ctr Serbia, Belgrade Med Fac, Clin Pulmonol, Belgrade, Serbia.
Yasinska, Valentyna (author)
Karolinska Institutet
Dahlen, Barbro (author)
Karolinska Institutet
Bossios, Apostolos (author)
Karolinska Institutet
Lazarinis, Nikolaos (author)
Karolinska Univ Hosp, Karolinska Severe Asthma Ctr, Dept Resp Med & Allergy, Huddinge, Sweden.;Dept Med, Huddinge, Sweden.;Karolinska Inst, Stockholm, Sweden.
Aronsson, D. (author)
Lund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Hereditärt angioödem (HAE) – epidemiologi, genetik och patofysiologi,Forskargrupper vid Lunds universitet,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Hereditary angioedema (HAE) – epidemiology, genetics and pathophysiology,Lund University Research Groups
Egesten, A. (author)
Lund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Nya strategier för att förhindra skadlig luftvägsinflammation,Forskargrupper vid Lunds universitet,Hereditärt angioödem (HAE) – epidemiologi, genetik och patofysiologi,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Novel strategies targeting detrimental airway inflammation,Lund University Research Groups,Hereditary angioedema (HAE) – epidemiology, genetics and pathophysiology
Munir, Abul Kashem Mohammad (author)
Lund Univ, Dept Clin Sci Lund, Resp Med & Allergol, Lund, Sweden.;Skane Univ Hosp, Lund, Sweden.
Ahlbeck, Lars (author)
Allergy Ctr, Linköping, Sweden.
Janson, Christer (author)
Uppsala universitet,Arbets- och miljömedicin,Lung- allergi- och sömnforskning
Skrgat, Sabina (author)
Univ Ljubljana, Univ Med Ctr Ljubljana, Med Fac, Dept Pulm Dis, Ljubljana, Slovenia.
Edelbaher, Natalija (author)
Univ Med Ctr Maribor, Pulm Dept, Maribor, Slovenia.
Leuppi, Joerg (author)
Univ Basel, Med Fac, Liestal, Switzerland.;Cantonal Hosp Baselland, Liestal, Switzerland.
Jaun, Fabienne (author)
Univ Basel, Med Fac, Liestal, Switzerland.;Cantonal Hosp Baselland, Liestal, Switzerland.
Rudiger, Jochen (author)
Med Stollturm, Basel, Switzerland.
Pavlov, Nikolay (author)
Univ Bern, Bern Univ Hosp, Dept Pulm Med, Inselspital, Bern, Switzerland.
Gianella, Pietro (author)
EOC Lugano, Lugano, Switzerland.
Fischer, Reta (author)
Quartier Bleu, Bern, Switzerland.
Charbonnier, Florian (author)
HUG Geneve, Geneva, Switzerland.
Chaudhuri, Rekha (author)
Gartnavel Royal Hosp, Glasgow, Lanark, Scotland.
Smith, Steven James (author)
Gartnavel Royal Hosp, Glasgow, Lanark, Scotland.
Doe, Simon (author)
Royal Victoria Infirm, Newcastle Upon Tyne, Tyne & Wear, England.
Fawdon, Michelle (author)
Royal Victoria Infirm, Newcastle Upon Tyne, Tyne & Wear, England.
Masoli, Matthew (author)
Royal Devon & Exeter Hosp, Exeter, Devon, England.,Plymouth Marjon University
Heaney, Liam (author)
Queens Univ Belfast, Wellcome Wolfson Ctr Expt Med, Belfast, Antrim, North Ireland.
Haitchi, Hans Michael (author)
Univ Hosp Southampton, Southampton, Hants, England.
Kurukulaaratchy, Ramesh (author)
Univ Hosp Southampton, Southampton, Hants, England.
Fulton, Olivia (author)
European Lung Fdn, Sheffield, S Yorkshire, England.
Frankemolle, Betty (author)
European Lung Fdn, Sheffield, S Yorkshire, England.
Gibson, Toni (author)
European Lung Fdn, Sheffield, S Yorkshire, England.
Needham, Karen (author)
European Lung Fdn, Sheffield, S Yorkshire, England.
Howarth, Peter (author)
GSK, Specialty Med TA, Global Med Affairs, Brentford, England.
Djukanovic, Ratko (author)
Univ Hosp Southampton, Southampton, Hants, England.
Bel, Elisabeth (author)
Univ Amsterdam, Acad Med Ctr, Amsterdam, Netherlands.
Hyland, Michael (author)
Plymouth Marjon Univ, Plymouth, Devon, England.
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Univ Amsterdam, Acad Med Ctr, Amsterdam, Netherlands University of Amsterdam (creator_code:org_t)
et al 
2022-04-07
2022
English.
In: ERJ Open Research. - : European Respiratory Society (ERS). - 2312-0541. ; 8:2
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background The coronavirus disease 2019 (COVID-19) pandemic has put pressure on healthcare services, forcing the reorganisation of traditional care pathways. We investigated how physicians taking care of severe asthma patients in Europe reorganised care, and how these changes affected patient satisfaction, asthma control and future care. Methods In this European-wide cross-sectional study, patient surveys were sent to patients with a physician-diagnosis of severe asthma, and physician surveys to severe asthma specialists between November 2020 and May 2021. Results 1101 patients and 268 physicians from 16 European countries contributed to the study. Common physician-reported changes in severe asthma care included use of video/phone consultations (46%), reduced availability of physicians (43%) and change to home-administered biologics (38%). Change to phone/video consultations was reported in 45% of patients, of whom 79% were satisfied or very satisfied with this change. Of 709 patients on biologics, 24% experienced changes in biologic care, of whom 92% were changed to home-administered biologics and of these 62% were satisfied or very satisfied with this change. Only 2% reported worsening asthma symptoms associated with changes in biologic care. Many physicians expect continued implementation of video/phone consultations (41%) and home administration of biologics (52%). Conclusions Change to video/phone consultations and home administration of biologics was common in severe asthma care during the COVID-19 pandemic and was associated with high satisfaction levels in most but not all cases. Many physicians expect these changes to continue in future severe asthma care, though satisfaction levels may change after the pandemic.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

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By the author/editor
Eger, Katrien
Paroczai, Dora
Bacon, Alison
Schleich, Floren ...
Sergejeva, Svetl ...
Bourdin, Arnaud
show more...
Vachier, Isabell ...
Zervas, Elefther ...
Katsoulis, Konst ...
Papapetrou, Dimo ...
Kostikas, Konsta ...
Csoma, Zsuzsanna
Heffler, Enrico
Canonica, Giorgi ...
Grisle, Ineta
Bieksiene, Krist ...
Palacionyte, Jol ...
Ten Brinke, Anne ...
Hashimoto, Simon ...
Smeenk, Frank W. ...
Braunstahl, Gert ...
van der Sar, Sim ...
Mihaltan, Florin
Nenasheva, Natal ...
Peredelskaya, Ma ...
Zvezdin, Biljana
Cekerevac, Ivan
Hromis, Sanja
Cupurdija, Vojis ...
Lazic, Zorica
Milenkovic, Bran ...
Dimic-Janjic, Sa ...
Yasinska, Valent ...
Dahlen, Barbro
Bossios, Apostol ...
Lazarinis, Nikol ...
Aronsson, D.
Egesten, A.
Munir, Abul Kash ...
Ahlbeck, Lars
Janson, Christer
Skrgat, Sabina
Edelbaher, Natal ...
Leuppi, Joerg
Jaun, Fabienne
Rudiger, Jochen
Pavlov, Nikolay
Gianella, Pietro
Fischer, Reta
Charbonnier, Flo ...
Chaudhuri, Rekha
Smith, Steven Ja ...
Doe, Simon
Fawdon, Michelle
Masoli, Matthew
Heaney, Liam
Haitchi, Hans Mi ...
Kurukulaaratchy, ...
Fulton, Olivia
Frankemolle, Bet ...
Gibson, Toni
Needham, Karen
Howarth, Peter
Djukanovic, Ratk ...
Bel, Elisabeth
Hyland, Michael
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About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Respiratory Medi ...
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Health Sciences
and Health Care Serv ...
Articles in the publication
ERJ Open Researc ...
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Uppsala University
Karolinska Institutet
Lund University

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