ArticleInternational journal of general medicine2017
Implementation of GINA guidelines in asthma management by primary care physicians in Vietnam.
Article in International journal of general medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 21 citations in OpenAlex.
- Stepped treatment algorithm using budesonide-formoterol for chronic respiratory diseases: A single arm interventional study.PloS one · 2022Trial
- Current status of bronchial asthma and results of asthma control in patients after 3 months of treatment: A longitudinal follow-up study.Asia Pacific allergy · 2026Article
- Vietnamese Consensus on the Structure and Content of Asthma Action Plan.Journal of clinical medicine · 2025Article
- The Feasibility and Impact of Implementing Interventions to Reduce Short-Acting βAdvances in therapy · 2025Review
- APPaRENT 3: Asthma Patients' and Physicians' Perspectives on the Burden and Management of Asthma in Seven Countries.Advances in therapy · 2024Article
- Real-world treatment trajectories of adults with newly diagnosed asthma or COPD.BMJ open respiratory research · 2024Article
- The Effectiveness of Some Chronic Pulmonary Management Units for Patients With COPD and Asthma in Vietnam.Materia socio-medica · 2024Article
- Short-acting βNPJ primary care respiratory medicine · 2022Article
- Factors affecting healthcare pathways for chronic lung disease management in Vietnam: a qualitative study on patients' perspectives.BMC public health · 2021Article
- A Survey on the Management of Children with Asthma in Primary Care Setting in Italy.Pediatric allergy, immunology, and pulmonology · 2021Article
- A syndromic approach to assess diagnosis and management of patients presenting with respiratory symptoms to healthcare facilities in Vietnam.ERJ open research · 2021Article
- Are the Global Initiative for Asthma (GINA) Guidelines Being Correctly Used to Diagnose Severe Asthma in the UAE?Cureus · 2020Article
- Correlation between fractional exhaled nitric oxide and Asthma Control Test score and spirometry parameters in on-treatment-asthmatics in Ho Chi Minh City.Journal of thoracic disease · 2020Article
- Knowledge and practice of the Global Initiative for Asthma report among community pharmacists in a Nigerian State.The Pan African medical journal · 2020Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAsthma control is suboptimal in Vietnam. Lack of knowledge of primary care physicians (PCPs) for asthma management may potentially be one of the causes. PURPOSE: The aim of this study was to assess the knowledge and practice of PCPs' asthma management based on the Global Initiative for Asthma (GINA) guidelines (2015 update).
methodsA cross-sectional study with convenience sampling was conducted among PCPs in an urban and rural area of Vietnam using questionnaires related to asthma patients daily practice: use of spirometry and the asthma control test (ACT), prescription of asthma medications, and frequency of consultations. Five asthma case scenarios were also used to ask participants to classify GINA-defined levels of asthma control and to choose the initial or adjusted treatment options based on the current situation. All scenarios are common in Vietnam, ie, three cases for adults, one case for children, and one case for pregnant women.
resultsOf the 327 completed questionnaires, 201 questionnaires could be analyzed. Most PCPs consulted their asthma patients on a weekly to monthly basis. Approximately 50% used spirometry for asthma care and only 25% used ACT. For asthma treatment, oral short-acting beta agonists and oral steroids were still commonly used and long-acting beta agonists alone were prescribed by 70%. Regarding GINA-defined levels of asthma control, 24% of the responders had ≥50% of correct answers, 21% had no correct answers, 2% had all five correct answers, and 20-42% had a correct answer for each of the five questions. Regarding treatment choice, 22% had ≥50% of correct answers, 14% had a wrong answer for all nine questions, and no respondent had a correct answer for ≥8 questions.
conclusionThe percentage of PCPs in Vietnam who had implemented GINA 2015 was low. Some drugs with a high risk of side effects were still being prescribed. There is a need to improve both knowledge and daily practice. Additional studies should determine why these guidelines are not largely adopted by PCPs in Vietnam.
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