Multidisciplinary consensus on inhaled therapy in asthma
Valero, A.L. (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Trigueros, J.A. (Centro de Salud Menasalbas)
Plaza, Vicente (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Data:	2021
Resum:	Background: Asthma is managed by health professionals from different specialties. We aim to reach a consensus on the optimal use of inhaled therapy and the initial steps of asthma treatment, taking into account the opinions of the involved specialists. Methods: A modified Delphi approach was used. A scientific committee provided 52 controversial statements, which were submitted to primary care physicians, allergists, and pulmonologists. Discrepancies among specialties were evaluated. Results: A total of 209 specialists completed the questionnaire (20. 2 ± 9. 3 years of asthma management experience). A consensus was reached on 37 statements (71. 1%), discrepancies among specialties were found in 14. The most recommended maintenance treatment for mild persistent asthma in adults/adolescents was low-dose-inhaled corticosteroids daily. MART (Maintenance and Reliever Therapy) was recommended as salvage treatment for moderate persistent asthma. Panelists agreed on the most frequent critical errors with pressurized Metered-Dose Inhalers or Dry-Powder Inhalers, and considered that Breath-Actuated Inhalers are a suitable option for all patients with the ability to inhale voluntarily. Conclusions: The experts endorse the main guidelines recommendations; however, do not fully agree on recent GINA recommendations about the treatment of the initial steps of the disease. The experts value positively the differential characteristics of BAI over other devices.
Nota:	Altres ajuts: Mundipharma Pharmaceuticals SL.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Asthma ; Breath-actuated inhalers ; Consensus
Publicat a:	Expert Review of Respiratory Medicine, Vol. 15 Núm. 3 (2021) , p. 425-434, ISSN 1747-6356

DOI: 10.1080/17476348.2021.1841639
PMID: 33170733

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