European physician perspectives on multimorbidity in severe asthma: findings from SHARP CRC

<bold>Introduction:</bold> Severe asthma (SA) is often accompanied by several comorbidities, which can negatively impact both asthma control and quality of life. Multimorbidity (MM) refers to the presence of at least 2 co-existing conditions and can present significant clinical challenges but is often under recognised. Available resources to address MM in SA and Physician perspectives of MM in SA are unclear. <bold>Aim:</bold> To investigate available multidisciplinary team (MDT) resources for SA and physician perspectives on MM in patients with SA across Europe. <bold>Methods:</bold> An online survey was circulated via National Respiratory Societies within SHARP to assess available resources to address MM and physician perspectives about MM across Europe. <bold>Results:</bold> 296 responses were recorded from 21 European countries – 37% SA specialists, 43% general respiratory physicians and 20% other physicians. 38% of physicians had access to an MDT to support asthma care. The main limitations for MDT availability were lack of time (26%) and funding (23%). Most physicians rated MM as highly impacting both global health (84%) and adverse asthma outcomes (78%) and 83% reported considering MM when managing SA. However, only 52% felt highly experienced to manage MM in SA and high training needs were reported. Only 29% felt that primary care awareness of MM in SA was good and 20% felt that patient learning resources about MM were adequate. <bold>Conclusion:</bold> Awareness in European respiratory physicians about MM in SA patients is high but access to MDT support resources to address MM, training to manage MM optimally, primary care awareness of MM and inadequate patient learning resources about MM in SA were identified as key gaps that need to be addressed.

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Published
2024-09-14
DOI
https://doi.org/10.1183/13993003.congress-2024.pa2149
Primary Topic
Chronic Disease Management Strategies
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article
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article

European physician perspectives on multimorbidity in severe asthma: findings from SHARP CRC

Florin Mihălţan, Piotr Kuna, Ramesh Kurukulaaratchy, Anneke Ten Brinke et al.
Chronic Disease Management Strategies
article

European physician perspectives on multimorbidity in severe asthma: findings from SHARP CRC

Florin Mihălţan, Piotr Kuna, Ramesh Kurukulaaratchy, Anneke Ten Brinke, Bilun Gemicioğlu, Sabina Škrgat, Jacob K. Sont, Aruna T. Bansal, Georgio Walter Canonica, Florence Schleich, Betty Frankemölle, Εleftherios Ζervas, Cláudia Loureiro, Zsuzsanna Csoma, ARNAUD AB BOURDIN, Svetlana Sergejeva, Saša Rink, Apostolos Bossios, K Bieksiene, Stephanie Korn, Valentyna Yasinska, Sanja Grle Popović, David Ramos‐Barbón, Sanja Hromiš, Celeste Porsbjerg, Mehar Singh, Louis Renaud, Anna Freeman, Ineta Grisle
article en

Abstract

<bold>Introduction:</bold> Severe asthma (SA) is often accompanied by several comorbidities, which can negatively impact both asthma control and quality of life. Multimorbidity (MM) refers to the presence of at least 2 co-existing conditions and can present significant clinical challenges but is often under recognised. Available resources to address MM in SA and Physician perspectives of MM in SA are unclear. <bold>Aim:</bold> To investigate available multidisciplinary team (MDT) resources for SA and physician perspectives on MM in patients with SA across Europe. <bold>Methods:</bold> An online survey was circulated via National Respiratory Societies within SHARP to assess available resources to address MM and physician perspectives about MM across Europe. <bold>Results:</bold> 296 responses were recorded from 21 European countries – 37% SA specialists, 43% general respiratory physicians and 20% other physicians. 38% of physicians had access to an MDT to support asthma care. The main limitations for MDT availability were lack of time (26%) and funding (23%). Most physicians rated MM as highly impacting both global health (84%) and adverse asthma outcomes (78%) and 83% reported considering MM when managing SA. However, only 52% felt highly experienced to manage MM in SA and high training needs were reported. Only 29% felt that primary care awareness of MM in SA was good and 20% felt that patient learning resources about MM were adequate. <bold>Conclusion:</bold> Awareness in European respiratory physicians about MM in SA patients is high but access to MDT support resources to address MM, training to manage MM optimally, primary care awareness of MM and inadequate patient learning resources about MM in SA were identified as key gaps that need to be addressed.

Lithuanian University of Health Sciences (LT), Humanitas University (IT), University Hospital Centre Zagreb (HR), University of Liège (BE), St. John's College of Nursing (US), Johannes Gutenberg University Mainz (DE), Université de Montpellier (FR), Leiden University Medical Center (NL), House of Representatives (NL), Ljubljana University Medical Centre (SI), Hospital de Sant Pau (ES), Bispebjerg Hospital (DK), Hospitais da Universidade de Coimbra (PT), Medisch Centrum Leeuwarden (NL), Karolinska Institutet (SE), Centre Hospitalier Universitaire de Montpellier (FR), Chest Diseases Hospital (KW), Riga East University Hospital (LV), Svenska Örtmedicinska Institute (SE), Istanbul University-Cerrahpaşa (TR), Clinica de Pneumologie Iaşi (RO), Medical University of Lodz (PL), Montpellier Business School (FR), Swedish Asthma and Allergy Association (SE), Institute for Pulmonary Diseases of Vojvodina (RS), Surin Hospital (TH), Országos Korányi Tbc és Pulmonológiai Intézet (HU), University of Southampton (GB), University of Tartu (EE), Istanbul University (TR)
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Chronic Disease Management Strategies
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