Academic Journal
Expert Consensus on SABA Use for Asthma Clinical Decision-Making: A Delphi Approach
العنوان: | Expert Consensus on SABA Use for Asthma Clinical Decision-Making: A Delphi Approach |
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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 |
DOI: | 10.1007/s11882-023-01111-z |
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