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ERS/EAACI statement...
ERS/EAACI statement on adherence to international adult asthma guidelines
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- Mathioudakis, Alexander G. (author)
- Wythenshawe Hospital,Univ Manchester, Sch Biol Sci, Div Infect Immun & Resp Med, Manchester, Lancs, England.;Manchester Univ NHS Fdn Trust, Wythenshawe Hosp, North West Lung Ctr, Manchester, Lancs, England
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- Tsilochristou, Olympia (author)
- Guy's and St Thomas' NHS Foundation Trust,Guys & St Thomas Fdn Trust, Dept Allergy, London, England.;Kings Coll London, Peter Gorer Dept Immunobiol, London, England
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- Adcock, Ian M. (author)
- Imperial College London,Imperial Coll London, Natl Heart & Lung Inst, London, England.;NIHR Imperial Biomed Res Ctr, London, England
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- Bikov, Andras (author)
- Wythenshawe Hospital,Univ Manchester, Sch Biol Sci, Div Infect Immun & Resp Med, Manchester, Lancs, England.;Manchester Univ NHS Fdn Trust, Wythenshawe Hosp, North West Lung Ctr, Manchester, Lancs, England
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- Bjermer, Leif (author)
- Lund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Klinisk lungmedicin,Forskargrupper vid Lunds universitet,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Clinical Respiratory Medicine,Lund University Research Groups,Lund Univ, Dept Clin Sci, Resp Med & Allergol, Lund, Sweden
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- Clini, Enrico (author)
- University Hospital of Modena,Univ Modena & Reggio Emilia, Univ Hosp Modena, Dept Med Special, Modena, Italy
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- Flood, Breda (author)
- European Federat Allergy & Airways Dis Patients A, Dublin, Ireland
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- Herth, Felix (author)
- Heidelberg University,Heidelberg Univ, Dept Pneumol & Crit Care Med, Thoraxklin & Translat Lung Res Ctr Heidelberg, Heidelberg, Germany
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- Horvath, Ildiko (author)
- National Korányi Institute for Tuberculosis and Pulmonology, Hungary,Semmelweis University,Natl Koranyi Inst Pulmonol, Budapest, Hungary.;Semmelweis Univ, Inst Publ Hlth, Budapest, Hungary
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- Kalayci, Omer (author)
- Hacettepe University,Hacettepe Univ, Sch Med, Ankara, Turkey
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- Papadopoulos, Nikolaos G. (author)
- National and Kapodistrian University of Athens,Univ Manchester, Sch Biol Sci, Div Infect Immun & Resp Med, Manchester, Lancs, England.;Natl & Kapodistrian Univ Athens, Dept Allergy, Paediat Clin, Athens, Greece
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- Ryan, Dermot (author)
- University of Edinburgh,Univ Edinburgh, Usher Inst, Asthma UK Ctr Appl Res, Edinburgh, Midlothian, Scotland
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- Garcia, Silvia Sanchez (author)
- Hospital Infantil Universitario Niño Jesús,Univ Childrens Hosp Nino Jesus, Dept Allergy, Madrid, Spain
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- Correia-De-sousa, Jaime (author)
- University of Minho,Univ Minho, Life & Hlth Sci Res Inst ICVS, Sch Med, Braga, Portugal.;ICVS 3Bs PT Govt Associate Lab, Guimaraes, Portugal
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- Tonia, Thomy (author)
- University of Bern,Univ Bern, Inst Social & Prevent Med, Bern, Switzerland
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- Pinnock, Hillary (author)
- University of Edinburgh,Univ Edinburgh, Usher Inst, Asthma UK Ctr Appl Res, Edinburgh, Midlothian, Scotland
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- Agache, Ioana (author)
- Transylvania University Brasov,Transylvania Univ, Allergy & Clin Immunol, Brasov, Romania
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- Janson, Christer (author)
- Uppsala universitet,Uppsala University,Lung- allergi- och sömnforskning,Univ Hosp, Uppsala, Sweden
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Wythenshawe Hospital Univ Manchester, Sch Biol Sci, Div Infect Immun & Resp Med, Manchester, Lancs, England;Manchester Univ NHS Fdn Trust, Wythenshawe Hosp, North West Lung Ctr, Manchester, Lancs, England (creator_code:org_t)
- 2021-09-15
- 2021
- English.
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In: European Respiratory Review. - : European Respiratory Society (ERS). - 0905-9180 .- 1600-0617. ; 30:161
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http://dx.doi.org/10... (free)
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https://err.ersjourn...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
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- Guidelines aim to standardise and optimise asthma diagnosis and management. Nevertheless, adherence to guidelines is suboptimal and may vary across different healthcare professional (HCP) groups. Further to these concerns, this European Respiratory Society (ERS)/European Academy of Allergy and Clinical Immunology (EAACI) statement aims to: 1) evaluate the understanding of and adherence to international asthma guidelines by HCPs of different specialties via an international online survey; and 2) assess strategies focused at improving implementation of guideline-recommended interventions, and compare process and clinical outcomes in patients managed by HCPs of different specialties via systematic reviews. The online survey identified discrepancies between HCPs of different specialties which may be due to poor dissemination or lack of knowledge of the guidelines but also a reflection of the adaptations made in different clinical settings, based on available resources. The systematic reviews demonstrated that multifaceted quality improvement initiatives addressing multiple challenges to guidelines adherence are most effective in improving guidelines adherence. Differences in outcomes between patients managed by generalists or specialists should be further evaluated. Guidelines need to consider the heterogeneity of real-life settings for asthma management and tailor their recommendations accordingly. Continuous, multifaceted quality improvement processes are required to optimise and maintain guidelines adherence. Validated referral pathways for uncontrolled asthma or uncertain diagnosis are needed.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
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- By the author/editor
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Mathioudakis, Al ...
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Tsilochristou, O ...
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Adcock, Ian M.
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Bikov, Andras
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Bjermer, Leif
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Clini, Enrico
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Flood, Breda
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Herth, Felix
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Horvath, Ildiko
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Kalayci, Omer
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Papadopoulos, Ni ...
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Ryan, Dermot
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Garcia, Silvia S ...
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Correia-De-sousa ...
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Tonia, Thomy
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Pinnock, Hillary
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Agache, Ioana
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Janson, Christer
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Respiratory Medi ...
- Articles in the publication
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European Respira ...
- By the university
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Lund University
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Uppsala University