ERS/EAACI statement on adherence to international adult asthma guidelines

Alexander Mathioudakis, Olympia Tsilochristou, Ian M Adcock, Andras Bikov, Enrico M Clini, Breda Flood, Ildiko Horvath, Nikolaos Papadopoulos, Dermot Ryan, Silvia Sánchez-García, Jaime Correia de Sousa, Thomy Tonia, Hilary Pinnock, Ioana Agache, Christer Janson

Research output: Contribution to journalArticlepeer-review

Abstract

Guidelines aim to standardize and optimize asthma diagnosis and management. Nevertheless, adherence to guidelines is suboptimal and may vary across different healthcare professional (HCP) groups. Further to these concerns, this ERS/EAACI Statement aims (1) via an international online survey, to evaluate the understanding of and adherence to international asthma guidelines by HCPs of different specialties, (2) via systematic reviews, to assess strategies focused at improving implementation of guideline-recommended interventions, and compare process and clinical outcomes in patients managed by HCP of different specialties. 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 optimize and maintain guidelines adherence. Validated referral pathways for uncontrolled asthma or uncertain diagnosis are needed.
Original languageEnglish
Article number210132
JournalEuropean Respiratory Review
Volume30
DOIs
Publication statusPublished - 30 Sep 2021

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