Diagnosis and treatment of adult asthma patients in Serbia: a 2022 experts group position statement.

IF 2.9 3区 医学 Q2 RESPIRATORY SYSTEM Expert Review of Respiratory Medicine Pub Date : 2022-11-01 DOI:10.1080/17476348.2022.2153674
Marija Vukoja, Ivan Kopitovic, Zorica Lazic, Branislava Milenkovic, Ivana Stankovic, Vesna Tomic-Spiric, Biljana Zvezdin, Sanja Hromis, Ivan Cekerevac, Aleksandra Ilic, Miodrag Vukcevic, Sanja Dimic-Janjic, Mihailo Stjepanovic
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Abstract

Introduction: Asthma is the most common non-communicable chronic lung condition across all ages. Epidemiological data indicate that many asthma patients in Serbia remain undiagnosed and untreated. The implementation of recent global advances in asthma management is limited due to the lack of a systematic approach, drug availability and regulatory affairs. In addition, the global coronavirus disease pandemic has posed a significant challenge, particularly in resource-limited settings.

Areas covered: In this paper, we propose an algorithm for treating adult asthma patients in Serbia. We performed PubMed database search on published asthma clinical trials and guidelines from 1 January 2015 to 10 March 2020. The consensus process incorporated a modified Delphi method that included two rounds of e-mail questionnaires and three rounds of national asthma expert meetings. We focus on 1) objective diagnosis of asthma, 2) the implementation of up-to-date therapeutic options, and 3) the identification and referral of severe asthma patients to newly established severe asthma centers.

Expert opinion: Regional specificities and variations in healthcare systems require the adaptation of evidence-based knowledge. Practical, clinically oriented algorithms designed to overcome local barriers in healthcare delivery may facilitate timely and adequate asthma diagnosis and the local implementation of current advances in asthma management.

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塞尔维亚成人哮喘患者的诊断和治疗:2022年专家组立场声明。
哮喘是所有年龄段中最常见的非传染性慢性肺部疾病。流行病学数据表明,塞尔维亚的许多哮喘患者仍未得到诊断和治疗。由于缺乏系统的方法、药物可获得性和监管事务,最近全球哮喘管理进展的实施受到限制。此外,全球冠状病毒病大流行构成了重大挑战,特别是在资源有限的情况下。领域涵盖:在这篇论文中,我们提出了一种算法治疗成人哮喘患者在塞尔维亚。我们对2015年1月1日至2020年3月10日发表的哮喘临床试验和指南进行了PubMed数据库检索。共识过程采用了一种改进的德尔菲法,其中包括两轮电子邮件问卷调查和三轮国家哮喘专家会议。我们专注于1)哮喘的客观诊断,2)最新治疗方案的实施,以及3)重症哮喘患者的识别和转诊到新成立的重症哮喘中心。专家意见:卫生保健系统的区域特殊性和差异要求采用循证知识。实用的、以临床为导向的算法,旨在克服医疗保健服务中的当地障碍,可能有助于及时和充分的哮喘诊断,并在当地实施哮喘管理方面的最新进展。
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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
90
期刊介绍: Coverage will include the following key areas: - Prospects for new and emerging therapeutics - Epidemiology of disease - Preventive strategies - All aspects of COPD, from patient self-management to systemic effects of the disease and comorbidities - Improved diagnostic methods, including imaging techniques, biomarkers and physiological tests. - Advances in the treatment of respiratory infections and drug resistance issues - Occupational and environmental factors - Progress in smoking intervention and cessation methods - Disease and treatment issues for defined populations, such as children and the elderly - Respiratory intensive and critical care - Updates on the status and advances of specific disease areas, including asthma, HIV/AIDS-related disease, cystic fibrosis, COPD and sleep-disordered breathing morbidity
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