Physician perspectives on the burden and management of asthma in six countries: The Global Asthma Physician Survey (GAPS)

Kenneth R. ChapmanDavid Hinds, Peter Piazza,Chantal Raherison,Michael Gibbs,Timm Greulich,Kenneth Gaalswyk,Jiangtao Lin,Mitsuru Adachi and Kourtney J. Davis

Abstract

Background

Despite recognition of asthma as a growing global issue and development of global guidelines, asthma treatment practices vary between countries. Several studies have reported patients’ perspectives on asthma control. This study presents physicians’ perspectives and strategies for asthma management.

Methods

Physicians seeing ≥4 adult patients with asthma per month in Australia, Canada, China, France, Germany, and Japan were surveyed (N=1809; ≈300 per country). A standardised questionnaire was developed for this study and administered by telephone, online or face-to-face. Statistics were weighted to account for the sampling scheme.

Results

Physicians estimated that 71% of their adult patients received maintenance medication, with adherence monitored by 76–97% of physicians. Perceived major barriers to patient adherence included: patients taking treatment as needed; acceptance of symptoms; and patients not perceiving treatment benefits. Written action plans (37%) and technology (15%) were seldom employed by physicians to aid patients’ asthma management. Physicians rarely (10%) used validated patient-reported questionnaires to monitor asthma control, instead monitoring selected symptoms, exacerbations, and/or lung function measurements. Awareness of single maintenance and reliever therapy (SMART/MART) varied among countries (56–100%); although most physicians (72%) had prescribed SMART/MART, the majority (91%) co-prescribed a short-acting bronchodilator at least some of the time.

Conclusions

These results show that physicians generally do not employ standardised tools to monitor asthma control or to manage its treatment and that despite high awareness of SMART/MART, the strategy appears to be commonly misapplied. Better education for patients and physicians is required to improve asthma management and resulting patient outcomes.

Download PDF

(You must be logged in to add and reply comments)

Interasma on Twitter

Interasma RT @worldallergy: The AAAAI/WAO Joint Congress is only 1 week away. Be sure to follow #AAAAIWAO18 to hear about all the latest research in…
2hreplyretweetfavorite
Interasma RT @Aller_MD: Study: Researchers Retrained Immune Systems of Mice to Switch Off Anaphylaxis https://t.co/NEjS1hZxDt https://t.co/GixFWhWvoC
3hreplyretweetfavorite
Interasma RT @Aller_MD: Integration of eHealth Tools in the Process of Workplace Health Promotion: Proposal for Design and Implementation https://t.c…
3hreplyretweetfavorite
Interasma RT @Aller_MD: Aimmune's Peanut Allergy Drug Meets Main Goal, Shares Surge https://t.co/cSVVr9Cm48 https://t.co/OQZVlq8Wfx
3hreplyretweetfavorite
Interasma RT @Aller_MD: Top story: EUFOREA on Twitter: "The EU summit 2018 on #mhealth, air pollution &… https://t.co/yZWlx0YgdD, see more https://t.…
3hreplyretweetfavorite

Editor: Juan C. Ivancevich, MD

Copyright © Interasma 2003-2017  •  Terms of Use  •  Privacy Policy  •  Contact Us  •  Sitemap

Powered by FREI SA

InterAsma