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Perceptions of Severe Asthma and Asthma-COPD Overlap Syndrome Among Specialists: A Questionnaire Survey

Title
Perceptions of Severe Asthma and Asthma-COPD Overlap Syndrome Among Specialists: A Questionnaire Survey
Authors
Oh, Yeon-MokLee, Byung-JaeJang, An-SooCho, Sang-NeonPark, Hae-SimPark, Choon-SikYoon, Ho JooSevere Asthma Work GrpKim, Sang-HeonMoon, Ji YongLee, Jae HyunBan, Ga-YoungKim, SujeongKim, Mi-AeKim, Joo-HeeKim, Min-HyePark, Chan -SunPark, So -YoungKwon, Hyouk-SooKwon, Jae -WooJung, Jae -WooKang, Hye-RyunPark, Jong-SookKim, Tae-BumPark, Heung-WooCho, You SookYoo, Kwang-Ha
Ewha Authors
김민혜
SCOPUS Author ID
김민혜scopus
Issue Date
2018
Journal Title
ALLERGY ASTHMA & IMMUNOLOGY RESEARCH
ISSN
2092-7355JCR Link2092-7363JCR Link
Citation
vol. 10, no. 3, pp. 225 - 235
Keywords
Severe asthmaasthma-chronic obstructive pulmonary disease overlap syndromeperception
Publisher
KOREAN ACAD ASTHMA ALLERGY & CLINICAL IMMUNOLOGY
Indexed
SCIE; SCOPUS; KCI WOS scopus
Abstract
Purpose: Severe asthma and asthma-chronic obstructive pulmonary disease (COPD) overlap syndrome (ACOS) are difficult to control and are often associated with poor clinical outcomes. However, much is not understood regarding the diagnosis and treatment of severe asthma and ACOS. To evaluate the current perceptions of severe asthma and COPD among asthma and COPD specialists, we designed an e-mail and intemet-based questionnaire survey. Methods: Subjects were selected based on clinical specialty from among the members of the Korean Academy of Asthma, Allergy and Clinical Immunology and the Korean Academy of Tuberculosis and Respiratory Diseases. Of 432 subjects who received an e-mail invitation to the survey, 95 subjects, including 58 allergists and 37 pulmonologists, responded and submitted their answers online. Results: The specialists estimated that the percentage of severe cases among total asthma patients in their practice was 13.9%+/- 11.0%. Asthma aggravation by stepping down treatment was the most common subtype, followed by frequent exacerbation, uncontrolled asthma despite higher treatment steps, and serious exacerbation. ACOS was estimated to account for 20.7% of asthma, 38.0% of severe asthma, and 30.1% of COPD cases. A history of smoking, persistently low forced expiratory volume in 1 second (FEV1), and low FEV1 variation were most frequently classified as the major criteria for the diagnosis of ACOS among asthma patients. Among COPD patients, the highly selected major criteria for ACOS were high FEV1 variation, positive bronchodilator response, a personal history of allergies and positive airway hyperresponsiveness. Allergists and pulmonologists showed different assessments and opinions on asthma phenotyping, percentage, and diagnostic criteria for ACOS. Conclusions: Specialists had diverse perceptions and clinical practices regarding severe asthma and ACOS patients. This heterogeneity must be considered in future studies and strategy development for severe asthma and ACOS.
DOI
10.4168/aair.2018.10.3.225
Appears in Collections:
의료원 > 의료원 > Journal papers
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