Academic Journal

Expert Consensus on SABA Use for Asthma Clinical Decision-Making: A Delphi Approach

التفاصيل البيبلوغرافية
العنوان: Expert Consensus on SABA Use for Asthma Clinical Decision-Making: A Delphi Approach
المؤلفون: Lugogo, Njira, O’Connor, Maeve, George, Maureen, Merchant, Rajan, Bensch, Greg, Portnoy, Jay, Oppenheimer, John, Castro, Mario
المساهمون: This study and medical writing support of this article were funded by Teva Pharmaceuticals.
المصدر: Current Allergy and Asthma Reports ; volume 23, issue 11, page 621-634 ; ISSN 1529-7322 1534-6315
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2023
الوصف: Purpose of Review A modified Delphi process was undertaken to provide a US expert-led consensus to guide clinical action on short-acting beta 2 -agonist (SABA) use. This comprised an online survey (Phase 1), forum discussion and statement development (Phase 2), and statement adjudication (Phase 3). Recent Findings In Phase 1 ( n = 100 clinicians), 12% routinely provided patients with ≥4 SABA prescriptions/year, 73% solicited SABA use frequency at every patient visit, and 21% did not consult asthma guidelines/expert reports. Phase 3 experts ( n = 8) reached consensus (median Likert score, interquartile range) that use of ≥3 SABA canisters/year is associated with increased risk of exacerbation and asthma-related death (5, 4.75–5); SABA use history should be solicited at every patient visit (5, 4.75–5); usage patterns over time, not absolute thresholds, should guide response to SABA overuse (5, 4.5–5). Summary Future asthma guidelines should include clear recommendations regarding SABA usage, using expert-led thresholds for action.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1007/s11882-023-01111-z
DOI: 10.1007/s11882-023-01111-z.pdf
DOI: 10.1007/s11882-023-01111-z/fulltext.html
الاتاحة: http://dx.doi.org/10.1007/s11882-023-01111-z
https://link.springer.com/content/pdf/10.1007/s11882-023-01111-z.pdf
https://link.springer.com/article/10.1007/s11882-023-01111-z/fulltext.html
Rights: https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0
رقم الانضمام: edsbas.37A96C21
قاعدة البيانات: BASE
الوصف
DOI:10.1007/s11882-023-01111-z