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Asthma remission one, none and one-hundred thousand: the relevance of the patient's view.

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Title: Asthma remission one, none and one-hundred thousand: the relevance of the patient's view.
Authors: Bonini, Matteo (AUTHOR), Barbaglia, Simona (AUTHOR), Camiciottoli, Gianna (AUTHOR), Del Giacco, Stefano (AUTHOR), Di Marco, Fabiano (AUTHOR), Matucci, Andrea (AUTHOR), Micheletto, Claudio (AUTHOR), Papi, Alberto (AUTHOR), Pasqualetti, Patrizio (AUTHOR), Pelaia, Girolamo (AUTHOR), Ricciardolo, Fabio Luigi Massimo (AUTHOR), Rogliani, Paola (AUTHOR), Senna, Gianenrico (AUTHOR), Triggiani, Massimo (AUTHOR), Vancheri, Carlo (AUTHOR), Canonica, Giorgio Walter (AUTHOR)
Source: Journal of Asthma. Nov2024, Vol. 61 Issue 11, p1535-1544. 10p.
Subjects: Patients' attitudes, Therapeutic alliance, Patient preferences, Disease management, Individualized medicine
Abstract: Objective: Achieving remission in severe asthma holds paramount importance in elevating patient quality of life and reducing both individual and societal burdens associated with this chronic condition. This study centers on identifying pivotal patient-relevant endpoints through standardized, reproducible methods, while also developing a patient-centric definition of remission, essential for effective disease management. Methods: A discrete choice experiment (DCE) was conducted to assess patients' perceptions on the four primary criteria for defining severe asthma remission, as outlined by the SANI survey. Additionally, it investigated the correlation between these perceptions and improvements in the doctor-patient therapeutic alliance during treatment decision-making. Results: 249 patients (70% aged between 31–60, 59% women and 82% without other pathologies requiring corticosteroids) prioritize the use of oral corticosteroids (OCS, 48%) and the Asthma Control Test (ACT, 27%) in defining their condition, ranking these above lung function and exacerbations. This preference for OCS stems from its direct role in treatment, tangible tracking, immediate symptom relief, and being a concrete measure of disease severity compared to the less predictable and quantifiable exacerbations. Conclusions: This study explores severe asthma remission from patients' perspectives using clinician-evaluated parameters. The DCE revealed that most patients highly value OCS and the ACT, prefer moderate improvement, and avoid cortisone cycles. No definitive preference was found for lung function status. Integrating patient-reported information with professional insights is crucial for effective management and future research. Personalized treatment plans focusing on patient preferences, adherence, and alternative therapies aim to achieve remission and enhance quality of life. [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: Asthma remission one, none and one-hundred thousand: the relevance of the patient's view.
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  Data: <searchLink fieldCode="AR" term="%22Bonini%2C+Matteo%22">Bonini, Matteo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barbaglia%2C+Simona%22">Barbaglia, Simona</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Camiciottoli%2C+Gianna%22">Camiciottoli, Gianna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Del+Giacco%2C+Stefano%22">Del Giacco, Stefano</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Di+Marco%2C+Fabiano%22">Di Marco, Fabiano</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Matucci%2C+Andrea%22">Matucci, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Micheletto%2C+Claudio%22">Micheletto, Claudio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Papi%2C+Alberto%22">Papi, Alberto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pasqualetti%2C+Patrizio%22">Pasqualetti, Patrizio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pelaia%2C+Girolamo%22">Pelaia, Girolamo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ricciardolo%2C+Fabio+Luigi+Massimo%22">Ricciardolo, Fabio Luigi Massimo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rogliani%2C+Paola%22">Rogliani, Paola</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Senna%2C+Gianenrico%22">Senna, Gianenrico</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Triggiani%2C+Massimo%22">Triggiani, Massimo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vancheri%2C+Carlo%22">Vancheri, Carlo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Canonica%2C+Giorgio+Walter%22">Canonica, Giorgio Walter</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Asthma%22">Journal of Asthma</searchLink>. Nov2024, Vol. 61 Issue 11, p1535-1544. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutic+alliance%22">Therapeutic alliance</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+preferences%22">Patient preferences</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+management%22">Disease management</searchLink><br /><searchLink fieldCode="DE" term="%22Individualized+medicine%22">Individualized medicine</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: Achieving remission in severe asthma holds paramount importance in elevating patient quality of life and reducing both individual and societal burdens associated with this chronic condition. This study centers on identifying pivotal patient-relevant endpoints through standardized, reproducible methods, while also developing a patient-centric definition of remission, essential for effective disease management. Methods: A discrete choice experiment (DCE) was conducted to assess patients' perceptions on the four primary criteria for defining severe asthma remission, as outlined by the SANI survey. Additionally, it investigated the correlation between these perceptions and improvements in the doctor-patient therapeutic alliance during treatment decision-making. Results: 249 patients (70% aged between 31–60, 59% women and 82% without other pathologies requiring corticosteroids) prioritize the use of oral corticosteroids (OCS, 48%) and the Asthma Control Test (ACT, 27%) in defining their condition, ranking these above lung function and exacerbations. This preference for OCS stems from its direct role in treatment, tangible tracking, immediate symptom relief, and being a concrete measure of disease severity compared to the less predictable and quantifiable exacerbations. Conclusions: This study explores severe asthma remission from patients' perspectives using clinician-evaluated parameters. The DCE revealed that most patients highly value OCS and the ACT, prefer moderate improvement, and avoid cortisone cycles. No definitive preference was found for lung function status. Integrating patient-reported information with professional insights is crucial for effective management and future research. Personalized treatment plans focusing on patient preferences, adherence, and alternative therapies aim to achieve remission and enhance quality of life. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=180522719
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        Value: 10.1080/02770903.2024.2366523
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        Text: English
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