Multidisciplinary approaches to identifying and managing global airways disease: Expert recommendations based on qualitative discussions
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Multidisciplinary approaches to identifying and managing global airways disease : Expert recommendations based on qualitative discussions. / Backer, Vibeke; Cardell, Lars Olaf; Lehtimäki, Lauri; Toppila-Salmi, Sanna; Bjermer, Leif; Reitsma, Sietze; Hellings, Peter W.; Weinfeld, Dan; Aanæs, Kasper; Ulrik, Charlotte Suppli; Braunstahl, Gert Jan; Aarli, Bernt Bøgvald; Danielsen, Arild; Kankaanranta, Hannu; Steinsvåg, Sverre; Bachert, Claus.
I: Frontiers in allergy, Bind 4, 1052386, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Multidisciplinary approaches to identifying and managing global airways disease
T2 - Expert recommendations based on qualitative discussions
AU - Backer, Vibeke
AU - Cardell, Lars Olaf
AU - Lehtimäki, Lauri
AU - Toppila-Salmi, Sanna
AU - Bjermer, Leif
AU - Reitsma, Sietze
AU - Hellings, Peter W.
AU - Weinfeld, Dan
AU - Aanæs, Kasper
AU - Ulrik, Charlotte Suppli
AU - Braunstahl, Gert Jan
AU - Aarli, Bernt Bøgvald
AU - Danielsen, Arild
AU - Kankaanranta, Hannu
AU - Steinsvåg, Sverre
AU - Bachert, Claus
N1 - Publisher Copyright: 2023 Backer, Cardell, Lehtimäki, Toppila-Salmi, Bjermer, Reitsma, Hellings, Weinfeld, Aanæs, Ulrik, Braunstahl, Aarli, Danielsen, Kankaanranta, Steinsvåg and Bachert.
PY - 2023
Y1 - 2023
N2 - Background: Chronic rhinosinusitis with nasal polyps (CRSwNP) and asthma frequently co-exist and share pathologic features. Taking a “global” treatment approach benefits diagnosis and treatment of both, but care is often siloed by specialty: joined-up clinics are uncommon. Our objectives were to explore expert opinion to give practical suggestions to identify adults needing global airways care; enhance cross-specialty working; and widen knowledge to support diagnosis and management, integrate with existing care pathways, and supplement existing guidelines. Methods: Sixteen practicing physicians from northern Europe were invited for their national and/or international standing in treating asthma and/or chronic rhinosinusitis. Appreciative Inquiry techniques were used to guide their discussions. Results: Key themes arising were screening and referral, collaboration on management, awareness and education, and research. Provided are screening criteria and suggestions for specialist referrals, and pointers for physicians to optimize their knowledge of global airways disease. Collaborative working is underscored, and practical suggestions are given for multidisciplinary teamworking within global airways clinics. Research gaps are identified. Conclusion: This initiative provides practical suggestions for optimizing the care of adults with CRSwNP and asthma. Discussion of the role of allergy and drug exacerbations on these conditions, and care for patients with other global airways diseases were beyond scope; however, we expect some principles of our discussion will likely benefit patients with related conditions. The suggestions bridge asthma and CRSwNP management guidelines, envisioning interdisciplinary, global airway clinics relevant to various clinical settings. They highlight the value of joint screening for early recognition and referral of patients.
AB - Background: Chronic rhinosinusitis with nasal polyps (CRSwNP) and asthma frequently co-exist and share pathologic features. Taking a “global” treatment approach benefits diagnosis and treatment of both, but care is often siloed by specialty: joined-up clinics are uncommon. Our objectives were to explore expert opinion to give practical suggestions to identify adults needing global airways care; enhance cross-specialty working; and widen knowledge to support diagnosis and management, integrate with existing care pathways, and supplement existing guidelines. Methods: Sixteen practicing physicians from northern Europe were invited for their national and/or international standing in treating asthma and/or chronic rhinosinusitis. Appreciative Inquiry techniques were used to guide their discussions. Results: Key themes arising were screening and referral, collaboration on management, awareness and education, and research. Provided are screening criteria and suggestions for specialist referrals, and pointers for physicians to optimize their knowledge of global airways disease. Collaborative working is underscored, and practical suggestions are given for multidisciplinary teamworking within global airways clinics. Research gaps are identified. Conclusion: This initiative provides practical suggestions for optimizing the care of adults with CRSwNP and asthma. Discussion of the role of allergy and drug exacerbations on these conditions, and care for patients with other global airways diseases were beyond scope; however, we expect some principles of our discussion will likely benefit patients with related conditions. The suggestions bridge asthma and CRSwNP management guidelines, envisioning interdisciplinary, global airway clinics relevant to various clinical settings. They highlight the value of joint screening for early recognition and referral of patients.
KW - asthma
KW - chronic rhinosinusitis with nasal polyps (CRSwNP)
KW - global airways disease
KW - interdisciplinary care
KW - nasal polyps
KW - respiratory hypersensitivity
KW - rhinitis
KW - sinusitis
U2 - 10.3389/falgy.2023.1052386
DO - 10.3389/falgy.2023.1052386
M3 - Journal article
C2 - 36895864
AN - SCOPUS:85159888747
VL - 4
JO - Frontiers in allergy
JF - Frontiers in allergy
SN - 2673-6101
M1 - 1052386
ER -
ID: 363061978