Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco

Chokhani, Ramesh; Razak, Abdul; Waked, Mirna; Naing, Win; Bakhatar, A.; Khorani, Urvi; Gaur, Vaibhav; Gogtay, Jaideep

doi:10.1080/02770903.2020.1742351

Cited by 8 publications

(8 citation statements)

References 25 publications

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“…Our results are quite similar to the other studies from the region, like Myanmar, where just 6% of the healthcare providers always used spirometry for the diagnosis of asthma [ 20 ]. Our study shows that the diagnosis of asthma in our children is based on only the recurrence of the symptoms/signs and the subjective assessment of the reversibility of the bronchoconstriction.…”

Section: Discussionsupporting

confidence: 90%

“…Pre-hospital emergency care providers in South Africa used peak meters in only 8% of patients to manage acute asthma [ 19 ]. A study involving 816 internal medicine doctors, general physicians, chest physicians, and pediatricians from five countries (Morocco, Lebanon, Nepal, Malaysia, and Myanmar), showed that only 38% of them always used spirometry for diagnosing asthma [ 20 ]. In a national survey of primary care clinicians/physicians in America, the use of spirometry was reported to range from 6.8% to 16.8% at various centers [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

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How Do Pediatricians Diagnose Asthma in Tertiary Care Hospitals?

Mustafa¹

2022

Cureus

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Objective: There is a lot of disparity in the guidelines and the practice of pediatricians globally for diagnosing asthma in children. To find out if pediatricians are diagnosing asthma in children according to best standard practices.Methodology: A cross-sectional study was conducted at tertiary care hospitals' emergency and outpatient departments (OPDs). All the parents accompanying the asthmatic children to the emergency or outpatient departments of the tertiary care hospitals were asked questions regarding the diagnosis of their children's asthma on a prescribed performa. This performa had all the components of the best standard practices for the diagnosis of asthma in children. The data were entered into SPSS version 27 (SPSS Inc., Chicago, IL) and analyzed.Results: Among the 234 children, the diagnosis of asthma was based on only one component out of three, i.e., recurrence (100%) of symptoms or signs. The objective measurement of the second component, i.e., reversibility with a peak flow meter (PFM) or spirometry, was assessed in only 6% of children. The third component, i.e., the presence of inflammation, was not assessed at all (0.0%).Conclusions: The diagnosis of asthma in children lacks precision. This is far from the evidence-based best standard practices. There is a need to provide motivation, training, and equipment to the staff.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

How Do Pediatricians Diagnose Asthma in Tertiary Care Hospitals?

Mustafa¹

2022

Cureus

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“…Patient's perception of asthma control, treatment non-compliance, treatment optimization, intrinsic nature of the disease, physician factors and the healthcare system are some of the noteworthy barriers in achieving optimum asthma control [19,20,22,23,27,29,30,38,39].…”

Section: F I G U R E 1 Factors Contributing To Uncontrolled Asthmamentioning

confidence: 99%

“…With the overall adherence to treatment being low for chronic diseases, the objective of MTAC was to achieve an increase in treatment adherence among such patients [34,36,37]. In a survey in 2017 that included Malaysian Healthcare Professionals (HCPs), incorrect inhaler techniques followed by non-compliance to treatment remained to be the biggest contributors to uncontrolled asthma [38]. Additionally, over 60% of physicians reported that more than 40% of their patients were anxious about using inhalers due to various reasons including social stigma, misbeliefs, awareness, cost etc [38].…”

Section: Non-compliance To Treatmentmentioning

confidence: 99%

Burden and unmet needs in asthma care in the Asia‐Pacific region

Wadhawan¹,

Muthukumaru

Loh

2022

Public Health Challenges

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Asthma is a chronic respiratory disease with increasing global prevalence. It affects approximately 300 million people globally and more than a third of these patients have uncontrolled asthma. The burden of poorly controlled asthma is considerable both for the individuals and the society. The World Health Organization (WHO) estimates that, 455,000 people died from asthma worldwide in 2019, the majority in low and low‐middle‐income countries. This article highlights the unmet needs and burden of asthma in the Asia‐Pacific region where many patients have poorly controlled asthma despite advances in asthma care and treatment. A mismatch between patients’ (and physicians’) perception of asthma control and optimal asthma control as defined by the Global Initiative for Asthma (GINA) is a challenge in the real‐life management of many patients. Consequently, treatment adherence and optimization are affected. In many of these aspects, patients with asthma in the Asia‐Pacific region are comparatively worse than those from Europe and North America. In future, cooperation of all stakeholders is needed in improving awareness, education, and goal‐directed management of asthma with meaningful improvement in quality of life. This article draws attention to some of the important gaps in asthma management in the Asia‐Pacific region and suggests some measures to address these unmet needs.

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“…Multiple studies worldwide have assessed the knowledge and practice of physician towards asthma including the adherence of physicians to the guidelines. [20][21][22] However, in Saudi Arabia little is known about the knowledge and practice of physicians towards asthma and the adherence of medical practitioners to the national and international asthma guidelines. Therefore, the aim of this study is to explore the characteristics of knowledge and practice of physicians towards asthma in Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

Physicians’ Knowledge and Practices Regarding Asthma: A Cross-Sectional Study in Saudi Arabia

Dairi¹

2022

IJGM

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Objective This study aimed to explore the characteristics of knowledge and practice of physicians towards asthma in Saudi Arabia. Methods An online cross-sectional study was conducted in Saudi Arabia between 28 August and 10 November 2021. Convenience sampling technique was applied in this study through social media websites. Previously developed 10-items questionnaire was used to assess the knowledge about asthma among the participating physicians. Descriptive statistics were used to describe the participants’ demographic characteristics. Binary logistic regression analysis was conducted to identify factors associated with being adherent to asthma practices guidelines. Results Overall, participants’ knowledge was moderate. The average percentage of physicians who reported practicing asthma management based on recommended guidelines 63.7%. Younger age (30–34 years) and having a work experience of (6–10 years) were significant predictors of being adherent to asthma practices guidelines (OR: 1.96 (95% CI: 1.21–3.17) (p=0.006) and OR: 1.67 (95% CI 1.05–2.67) (p=0.031), receptively). Conclusion This study showed that the percentage of physicians who reported practicing asthma management based on recommended guidelines in Saudi Arabia are moderate. Future studies to investigate factors associated with improvement in knowledge about asthma and adherence to guidelines are needed.

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Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco

Cited by 8 publications

References 25 publications

How Do Pediatricians Diagnose Asthma in Tertiary Care Hospitals?

How Do Pediatricians Diagnose Asthma in Tertiary Care Hospitals?

Burden and unmet needs in asthma care in the Asia‐Pacific region

Physicians’ Knowledge and Practices Regarding Asthma: A Cross-Sectional Study in Saudi Arabia

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