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Approximately, 38% physicians always used spirometry for diagnosis and only 12% physicians always recommended Peak flow meter (PFM) for home-monitoring. Salmeterol/fluticasone (71%) followed by formoterol/budesonide (38%) were the most preferred ICS/longacting beta2-agonists (LABA); Salbutamol (78%) was the most preferred reliever medication. 60% physicians said \u003e40% of their patients were apprehensive to use inhalers. 72% physicians preferred a pressurized metered-dose inhaler (pMDI) to a dry powder inhaler (DPI) with only a third of them using a spacer with the pMDI. 71% physicians believed that using similar device for controller and reliever can be beneficial to patients. Skipping medicines in absence of symptoms (64%), incorrect inhaler technique (48%) and high cost of medication (49%) were considered as major reasons for non-adherence by most physicians. Incorrect inhaler technique (66%) and nonadherence (59%) were considered the most common causes of poor asthma control.\nConclusions: There are opportunities to improve the use of diagnostic and monitoring tools for asthma. Non-adherence, incorrect inhaler technique and cost remain a challenge to achieve good asthma control. Asthma education, including correct demonstration of inhaler, can potentially help to improve inhaler adherence."}]}, "item_1583103108160": {"attribute_name": "Keywords", "attribute_value_mlt": [{"interim": "Survey"}, {"interim": "prevalence"}, {"interim": "diagnosis"}, {"interim": "adherence"}, {"interim": "devices"}]}, "item_1583103120197": {"attribute_name": "Files", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2021-08-11"}], "displaytype": "preview", "download_preview_message": "", "fileDate": [{"fileDateValue": "2020-04-17"}], "file_order": 0, "filename": "Knowledge practice pattern and attitude toward asthma management amongst physicians from Nepal Malaysia Lebanon Myanmar and Morocco.pdf", "filesize": [{"value": "2.3 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensefree": "© 2020 Taylor \u0026 Francis Group, LLC", "licensetype": "license_free", "mimetype": "application/pdf", "size": 2300000.0, "url": {"url": "https://meral.edu.mm/record/8039/files/Knowledge practice pattern and attitude toward asthma management amongst physicians from Nepal Malaysia Lebanon Myanmar and Morocco.pdf"}, "version_id": "01477fd9-13c6-4dd8-ba92-4907f7d542bb"}]}, "item_1583103131163": {"attribute_name": "Journal articles", "attribute_value_mlt": [{"subitem_issue": "7", "subitem_journal_title": "Journal of Asthma", "subitem_pages": "1-11", "subitem_volume": "58"}]}, "item_1583105942107": {"attribute_name": "Authors", "attribute_value_mlt": [{"subitem_authors": [{"subitem_authors_fullname": "Chokhani, Ramesh"}, {"subitem_authors_fullname": "Razak, Abdul"}, {"subitem_authors_fullname": "Waked, Mirna"}, {"subitem_authors_fullname": "Win Naing"}, {"subitem_authors_fullname": "Bakhatar, Abdelaziz"}, {"subitem_authors_fullname": "Khorani, Urvi"}, {"subitem_authors_fullname": "Gaur, Vaibhav"}, {"subitem_authors_fullname": "Gogtay, Jaideep"}]}]}, "item_1583108359239": {"attribute_name": "Upload type", "attribute_value_mlt": [{"interim": "Publication"}]}, "item_1583108428133": {"attribute_name": "Publication type", "attribute_value_mlt": [{"interim": "Journal article"}]}, "item_1583159729339": {"attribute_name": "Publication date", "attribute_value": "2020-04-17"}, "item_1583159847033": {"attribute_name": "Identifier", "attribute_value": "DOI: 10.1080/02770903.2020.1742351"}, "item_title": "Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco", "item_type_id": "21", "owner": "7", "path": ["1597649727009"], "permalink_uri": "https://meral.edu.mm/records/8039", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2021-08-11"}, "publish_date": "2021-08-11", "publish_status": "0", "recid": "8039", "relation": {}, "relation_version_is_last": true, "title": ["Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco"], "weko_shared_id": -1}
Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco
https://meral.edu.mm/records/8039
https://meral.edu.mm/records/8039e5f86613-8301-4dcf-9829-7ab2c2dcb2e3
965f024d-4d86-4f07-ba98-ad8b93c020bf
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© 2020 Taylor & Francis Group, LLC
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Publication type | ||||||
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Journal article | ||||||
Upload type | ||||||
Publication | ||||||
Title | ||||||
Title | Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco | |||||
Language | en | |||||
Publication date | 2020-04-17 | |||||
Authors | ||||||
Chokhani, Ramesh | ||||||
Razak, Abdul | ||||||
Waked, Mirna | ||||||
Win Naing | ||||||
Bakhatar, Abdelaziz | ||||||
Khorani, Urvi | ||||||
Gaur, Vaibhav | ||||||
Gogtay, Jaideep | ||||||
Description | ||||||
Objective: This survey aimed to understand the physicians’ practice pattern and challenges faced while treating their patients with asthma in five countries-Malaysia, Nepal, Myanmar, Morocco and Lebanon. Methods: Questionnaire-based data was gathered from internal medicine doctors (209), general practitioners (206), chest physicians (152) and pediatricians (58) from 232 locations from across the five countries. Results: Of the 816 physicians, 374 physicians encountered at least 5 asthma patients daily. Approximately, 38% physicians always used spirometry for diagnosis and only 12% physicians always recommended Peak flow meter (PFM) for home-monitoring. Salmeterol/fluticasone (71%) followed by formoterol/budesonide (38%) were the most preferred ICS/longacting beta2-agonists (LABA); Salbutamol (78%) was the most preferred reliever medication. 60% physicians said >40% of their patients were apprehensive to use inhalers. 72% physicians preferred a pressurized metered-dose inhaler (pMDI) to a dry powder inhaler (DPI) with only a third of them using a spacer with the pMDI. 71% physicians believed that using similar device for controller and reliever can be beneficial to patients. Skipping medicines in absence of symptoms (64%), incorrect inhaler technique (48%) and high cost of medication (49%) were considered as major reasons for non-adherence by most physicians. Incorrect inhaler technique (66%) and nonadherence (59%) were considered the most common causes of poor asthma control. Conclusions: There are opportunities to improve the use of diagnostic and monitoring tools for asthma. Non-adherence, incorrect inhaler technique and cost remain a challenge to achieve good asthma control. Asthma education, including correct demonstration of inhaler, can potentially help to improve inhaler adherence. |
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Keywords | ||||||
Survey, prevalence, diagnosis, adherence, devices | ||||||
Identifier | DOI: 10.1080/02770903.2020.1742351 | |||||
Journal articles | ||||||
7 | ||||||
Journal of Asthma | ||||||
1-11 | ||||||
58 |