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Schayck, C.P. van; Stephenson, Paul; Sheikh, Aziz

doi:10.1016/j.pcrj.2005.12.003

Cited by 12 publications

(9 citation statements)

References 22 publications

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“…More recently, integrated -as opposed to disease-specific -guidelines, have also been developed for use in resource-rich settings. [5][6][7] The Practical Approach to Lung Health in South Africa (PALSA) initiative is a local adaptation and expansion of the World Health Organisation's (WHO) Practical Approach to Lung Health (PAL) strategy. [8][9][10] PALSA aims to strengthen the health system through the implementation of locally applicable integrated symptom-and sign-based (syndromic) algorithms for the detection and management of respiratory disease conditions in primary care.…”

Section: Introductionmentioning

confidence: 99%

Development of a South African integrated syndromic respiratory disease guideline for primary care

English

Bateman

Zwarenstein

et al. 2008

Primary Care Respiratory Journal

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Aims: The Practical Approach to Lung Health in South Africa (PALSA) initiative aimed to develop an integrated symptom-and sign-based (syndromic) respiratory disease guideline for nurse care practitioners working in primary care in a developing country.Methods: A multidisciplinary team developed the guideline after reviewing local barriers to respiratory health care provision, relevant health care policies, existing respiratory guidelines, and literature. Guideline drafts were evaluated by means of focus group discussions. Existing evidence-based guideline development methodologies were tailored for development of the guideline.Results: A locally-applicable guideline based on syndromic diagnostic algorithms was developed for the management of patients 15 years and older who presented to primary care facilities with cough or difficulty breathing.Conclusions: PALSA has developed a guideline that integrates and presents diagnostic and management recommendations for priority respiratory diseases in adults using a symptom-and sign-based algorithmic guideline for nurses in developing countries.

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Section: Introductionmentioning

confidence: 99%

Development of a South African integrated syndromic respiratory disease guideline for primary care

English

Bateman

Zwarenstein

et al. 2008

Primary Care Respiratory Journal

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“…However, whatever the nature of guidelines -be they national, 1 global, 2 disease-specific, [1][2][3] integrated, [3][4][5][6] primary carebased, [3][4][5][6] intended for resource-rich 1,2,3,5 or for resource-poor [3][4][5][6] settings -dissemination and implementation is the crucial step. 1,2,4,7,8 In most countries, primary care clinicians treat the vast majority of patients with asthma and other chronic respiratory diseases.…”

Section: Paul Stephensonmentioning

confidence: 99%

“…1,2,4,7,8 In most countries, primary care clinicians treat the vast majority of patients with asthma and other chronic respiratory diseases. 9,10 The GPIAG has been represented on many of the 2008 BTS/SIGN guideline working groups -including the dissemination group -and has liaised closely with the BTS/SIGN Executive regarding dissemination and implementation of the key guideline messages into primary care.…”

Section: Paul Stephensonmentioning

confidence: 99%

“…4,5 The diagnosis of asthma is based on the clinical history and subsequent findings, complicated further by the absence of standardised diagnostic tests; "there is no standardised definition of the type, severity or frequency of symptoms, nor of the findings on investigation". 1 The guideline therefore encourages clinicians to use their knowledge and deductive skills to determine the 'probability' of someone having asthma when they present with symptoms.…”

Section: An Integrated Approach To Diagnosismentioning

confidence: 99%

“…Doubling the ICS dose during an exacerbation is not recommended. 4. Theophylline and nedocromil therapy should be considered only after working through a pathway involving ICS, LABA and LTRA.…”

Section: Stepping Downmentioning

confidence: 99%

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Summary of the 2008 BTS/SIGN British Guideline on the Management of Asthma

Levy

Thomas

Small

et al. 2009

Primary Care Respiratory Journal

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SummaryThe 2008 BTS/SIGN British Guideline on the management of asthma provides comprehensive updated evidence-based guidance on asthma management for healthcare professionals. This primary care-focussed summary has been produced to aid dissemination and implementation of the key guideline messages into primary care. The section on diagnosis emphasises the new integrated symptombased approach with clinicians using their deductive skills to determine the probability that the patient has asthma. The various tools used for monitoring asthma are discussed. There are sections on both non-pharmacological and pharmacological management of chronic asthma in adults and children. Treatment options for children are subdivided into the under-5s and children aged 5-12 years. Poor asthma control is manifested by exacerbations and acute asthma. Personalised asthma action plans for guided self management should be provided and used when levels of asthma control change. There are sections on difficult asthma and the treatment of exacerbations and acute severe asthma. Various outcome measures for auditing the quality of asthma care are discussed.

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GINA guidelines on asthma and beyond^*

Bousquet

Clark

Hurd³

et al. 2007

Allergy

283

248

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Clinical guidelines are systematically developed statements designed to help practitioners and patients make decisions regarding the appropriate health care for specific circumstances. Guidelines are based on the scientific evidence on therapeutic interventions. The first asthma guidelines were published in the mid 1980s when asthma became a recognized public health problem in many countries. The Global Initiative on Asthma (GINA) was launched in 1995 as a collaborative effort between the NHLBI and the World Health Organization (WHO). The first edition was opinion‐based but updates were evidence‐based. A new update of the GINA guidelines was recently available and it is based on the control of the disease. Asthma guidelines are prepared to stimulate the implementation of practical guidelines in order to reduce the global burden of asthma. Although asthma guidelines may not be perfect, they appear to be the best vehicle available to assist primary care physicians and patients to receive the best possible care of asthma.

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What's in this issue?

Cited by 12 publications

References 22 publications

Development of a South African integrated syndromic respiratory disease guideline for primary care

Development of a South African integrated syndromic respiratory disease guideline for primary care

Summary of the 2008 BTS/SIGN British Guideline on the Management of Asthma

GINA guidelines on asthma and beyond^*

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What's in this issue?

Cited by 12 publications

References 22 publications

Development of a South African integrated syndromic respiratory disease guideline for primary care

Development of a South African integrated syndromic respiratory disease guideline for primary care

Summary of the 2008 BTS/SIGN British Guideline on the Management of Asthma

GINA guidelines on asthma and beyond*

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Product

Resources

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GINA guidelines on asthma and beyond^*