Specialist perception of severe asthma in Korea: A questionnaire survey

Korean Academy of Asthma, Allergy, and Clinical Immunology (KAACI), the Working Group on Severe Asthma

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

The Working Group on Severe Asthma of the Korean Academy of Allergy and Clinical Immunology recently published an expert opinion paper on the management of severe asthma in Korea. When developing a consensus, the working group encountered several diagnostic and treatment issues and decided to perform a questionnaire survey of Korean specialists with regard to severe asthma. An e-mail with a uniform resource locator link to the questionnaire was sent to 121 asthma specialists, of whom 44.6% responded. The most commonly accepted definitions of severe asthma were a history of fatal exacerbation or an asthma-triggered need for mechanical ventilation, 3-4 oral corticosteroid (OCS) bursts/year, and maintenance of OCS therapy for 3-6 months per year. Before diagnosing severe asthma, most physicians contemplate chest computed tomography, seek to control chronic rhinosinusitis, and consider poor inhaler compliance. For patients with uncontrolled severe asthma accompanied by type 2 (T2)-high inflammation, most biologics available in Korea were considered appropriate, but gaps were apparent in terms of T2-low asthma treatments. These findings about specialist perception of diagnosis and treatment of severe asthma will inform the use of emerging new drugs and facilitate personalized therapy.

Original languageEnglish
Pages (from-to)507-514
Number of pages8
JournalAllergy, Asthma and Immunology Research
Volume13
Issue number3
DOIs
StatePublished - May 2021

Bibliographical note

Funding Information:
This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HC19C0318).

Publisher Copyright:
© 2021 The Korean Academy of Asthma, Allergy and Clinical Immunology.

Keywords

  • Asthma
  • Biological products
  • Consensus
  • Diagnosis
  • Disease management
  • Standards
  • Surveys and questionnaires
  • Therapeutics

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