How is difficult asthma managed?

Nicola J. Roberts, D.S. Robinson, Martyn R. Partridge

    Research output: Contribution to journalArticle

    Abstract

    Most patients with asthma can be easily treated. Some have difficult asthma; in some because the diagnosis is erroneous, in others because of comorbidity or noncompliance. A European Respiratory Society Task Force has called for an integrated approach for these patients, and positive results have been reported using protocols. In the UK, there is no overall understanding of the size of this problem, or how these patients are managed.
    A postal survey of 683 consultant members of the British Thoracic Society designed to elicit respondents' views on how they would manage four clinical scenarios was conducted.
    There was a 50.4% response rate. Few reported a uniform approach to the investigation of such patients. The availability of allied healthcare professionals was variable. The 21 consultant respiratory physicans, reporting a special interest in difficult asthma, were significantly more likely to objectively assess compliance, perform skin-prick tests and to utilise a liaison psychiatrist than those without an expressed special interest in asthma. Many reported difficulty in accessing psychologists, liaison psychiatrists and social workers. Approaches to the diagnosis and management of “vocal cord dysfunction” were variable.
    The results of this postal survey of specialist thoracic physicians in the UK suggest that a protocol for difficult asthma is not in widespread use and that access to necessary allied healthcare professionals is not uniform. Pulmonologists with a declared special interest in difficult asthma may have configured their services and approaches more in line with that proposed by the European Respiratory Society Task Force.
    Original languageEnglish
    Pages (from-to)968-973
    Number of pages6
    JournalEuropean Respiratory Journal
    Volume28
    Issue number5
    DOIs
    Publication statusPublished - 1 Nov 2006

    Keywords

    • healthcare delivery
    • difficult asthma
    • liaison psychiatry
    • patient surveys

    Fingerprint Dive into the research topics of 'How is difficult asthma managed?'. Together they form a unique fingerprint.

  • Cite this