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Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco.

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Title: Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco.
Authors: Chokhani, Ramesh (AUTHOR), Razak, Abdul (AUTHOR), Waked, Mirna (AUTHOR), Naing, Win (AUTHOR), Bakhatar, Abdelaziz (AUTHOR), Khorani, Urvi (AUTHOR), Gaur, Vaibhav (AUTHOR), Gogtay, Jaideep (AUTHOR)
Source: Journal of Asthma. Jul2021, Vol. 58 Issue 7, p979-989. 11p.
Subjects: Physicians, Asthma, Metered-dose inhalers, Physician practice patterns, General practitioners, Wheeze
Geographic Terms: Nepal, Lebanon, Myanmar
Abstract: 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. 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. 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/long-acting 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. 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Asthma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco.
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  Data: <searchLink fieldCode="AR" term="%22Chokhani%2C+Ramesh%22">Chokhani, Ramesh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Razak%2C+Abdul%22">Razak, Abdul</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Waked%2C+Mirna%22">Waked, Mirna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Naing%2C+Win%22">Naing, Win</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bakhatar%2C+Abdelaziz%22">Bakhatar, Abdelaziz</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Khorani%2C+Urvi%22">Khorani, Urvi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gaur%2C+Vaibhav%22">Gaur, Vaibhav</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gogtay%2C+Jaideep%22">Gogtay, Jaideep</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Asthma%22">Journal of Asthma</searchLink>. Jul2021, Vol. 58 Issue 7, p979-989. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Physicians%22">Physicians</searchLink><br /><searchLink fieldCode="DE" term="%22Asthma%22">Asthma</searchLink><br /><searchLink fieldCode="DE" term="%22Metered-dose+inhalers%22">Metered-dose inhalers</searchLink><br /><searchLink fieldCode="DE" term="%22Physician+practice+patterns%22">Physician practice patterns</searchLink><br /><searchLink fieldCode="DE" term="%22General+practitioners%22">General practitioners</searchLink><br /><searchLink fieldCode="DE" term="%22Wheeze%22">Wheeze</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Nepal%22">Nepal</searchLink><br /><searchLink fieldCode="DE" term="%22Lebanon%22">Lebanon</searchLink><br /><searchLink fieldCode="DE" term="%22Myanmar%22">Myanmar</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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. 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. 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/long-acting 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. 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Asthma is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/02770903.2020.1742351
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 979
    Subjects:
      – SubjectFull: Physicians
        Type: general
      – SubjectFull: Asthma
        Type: general
      – SubjectFull: Metered-dose inhalers
        Type: general
      – SubjectFull: Physician practice patterns
        Type: general
      – SubjectFull: General practitioners
        Type: general
      – SubjectFull: Wheeze
        Type: general
      – SubjectFull: Nepal
        Type: general
      – SubjectFull: Lebanon
        Type: general
      – SubjectFull: Myanmar
        Type: general
    Titles:
      – TitleFull: Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco.
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            NameFull: Chokhani, Ramesh
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            NameFull: Waked, Mirna
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            NameFull: Khorani, Urvi
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            – D: 01
              M: 07
              Text: Jul2021
              Type: published
              Y: 2021
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