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A survey of management practices in coexistent allergic rhinitis and asthma (Asia-pacific Survey of Physicians on Asthma and allergic Rhinitis): results from Thailand
Asia Pacific Allergy ; (4): e24-2019.
Artigo em Inglês | WPRIM | ID: wpr-750187
ABSTRACT

BACKGROUND:

Underdiagnosis and undertreatment of allergic rhinitis (AR) in patients with asthma can worsen treatment outcomes. There is limited evidence of clinical practices for management of coexistent AR-asthma in Thailand.

METHODS:

A multicountry, cross-sectional study (Asia-pacific Survey of Physicians on Asthma and allergic Rhinitis) to evaluate physician perceptions and management practices related to AR-asthma overlap in 6 Asian countries was conducted. For Thailand specifically, AR-asthma linkage questionnaires were developed and translated to Thailaland. General physicians (GPs) or pediatricians, randomly selected from hospitals in urban cities, routinely treating >10 asthma patients/month were interviewed. Here we present the results for Thailand.

RESULTS:

Two hundred physicians (100 GPs and 100 pediatricians), of whom 70% worked in government hospitals, were interviewed. In their experience, 50% of asthma patients had AR and 28% of AR patients had asthma. Among diagnosed asthma patients, 65% of physicians routinely asked for any AR symptoms at every visit. Among diagnosed AR patients, 63% of physicians routinely asked for any asthma symptoms at every visit. In patients with coexisting AR-asthma, 91% of physicians treated both diseases simultaneously, while 6% of physicians treated asthma as a chronic disease but managed AR symptomatically. The most preferred treatment options for patients with AR-asthma were inhaled corticosteroids with intranasal steroids (46% in GPs, 71% in pediatricians).

CONCLUSION:

The physicians interviewed in Thailand are aware about coexistent asthma-AR. There is a need to increase the awareness further for coexistent AR-asthma and to educate nonspecialist physicians in the proper management of AR-asthma patients.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Asma / Esteroides / Tailândia / Comorbidade / Doença Crônica / Estudos Transversais / Corticosteroides / Povo Asiático / Rinite Alérgica Tipo de estudo: Estudo observacional / Estudo de prevalência / Fatores de risco Limite: Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Asia Pacific Allergy Ano de publicação: 2019 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Asma / Esteroides / Tailândia / Comorbidade / Doença Crônica / Estudos Transversais / Corticosteroides / Povo Asiático / Rinite Alérgica Tipo de estudo: Estudo observacional / Estudo de prevalência / Fatores de risco Limite: Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Asia Pacific Allergy Ano de publicação: 2019 Tipo de documento: Artigo