Evidence map›Paper›PMID 29169365›Full record

ArticleBMC pulmonary medicine2017

Physician perspectives on the burden and management of asthma in six countries: The Global Asthma Physician Survey (GAPS).

Kenneth R Chapman, David Hinds, Peter Piazza, Chantal Raherison, Michael Gibbs, Timm Greulich, Kenneth Gaalswyk, Jiangtao Lin, Mitsuru Adachi, Kourtney J Davis

Abstract readComparative Study
In one paragraph

Article in BMC pulmonary medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review
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  9. Using 21NPJ primary care respiratory medicine · 2025
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  12. Adoption and implementation of maintenance and reliever therapy for adults with moderate-to-severe asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Article
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  14. The Role of ICS-Containing Rescue Therapy Versus SABA Alone in Asthma Management Today.The journal of allergy and clinical immunology. In practice · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kenneth R ChapmanUniversity of Toronto, Toronto, Canada.
David HindsReal World Evidence & Epidemiology, GlaxoSmithKline, 1250 South Collegeville Road, Collegeville, PA, 19426, USA. david.r.hinds@gsk.com.
Peter PiazzaFive Dock Family Medical Practice, Five Dock, Australia.
Chantal RaherisonBordeaux University, Bordeaux, France.
Michael GibbsGlobal Respiratory Franchise, GlaxoSmithKline, Brentford, UK.
Timm GreulichUniversity Medical Centre Giessen and Marburg, Philipps-University Marburg, Marburg, Germany.
Kenneth GaalswykAbt SRBI, Silver Spring, MD, USA.
Jiangtao LinChina-Japan Friendship Hospital, Beijing, China.
Mitsuru AdachiInternational University of Health and Welfare, Tokyo, Japan.
Kourtney J DavisReal World Evidence & Epidemiology, GlaxoSmithKline, 1250 South Collegeville Road, Collegeville, PA, 19426, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite recognition of asthma as a growing global issue and development of global guidelines, asthma treatment practices vary between countries. Several studies have reported patients' perspectives on asthma control. This study presents physicians' perspectives and strategies for asthma management.

methodsPhysicians seeing ≥4 adult patients with asthma per month in Australia, Canada, China, France, Germany, and Japan were surveyed (N=1809; ≈300 per country). A standardised questionnaire was developed for this study and administered by telephone, online or face-to-face. Statistics were weighted to account for the sampling scheme.

resultsPhysicians estimated that 71% of their adult patients received maintenance medication, with adherence monitored by 76-97% of physicians. Perceived major barriers to patient adherence included: patients taking treatment as needed; acceptance of symptoms; and patients not perceiving treatment benefits. Written action plans (37%) and technology (15%) were seldom employed by physicians to aid patients' asthma management. Physicians rarely (10%) used validated patient-reported questionnaires to monitor asthma control, instead monitoring selected symptoms, exacerbations, and/or lung function measurements. Awareness of single maintenance and reliever therapy (SMART/MART) varied among countries (56-100%); although most physicians (72%) had prescribed SMART/MART, the majority (91%) co-prescribed a short-acting bronchodilator at least some of the time.

conclusionsThese results show that physicians generally do not employ standardised tools to monitor asthma control or to manage its treatment and that despite high awareness of SMART/MART, the strategy appears to be commonly misapplied. Better education for patients and physicians is required to improve asthma management and resulting patient outcomes.

Indexed as

Disease ManagementGuideline AdherencePatient ComplianceAdultAgedAsthmaCross-Sectional StudiesFemaleHumansInternationalityMaleMiddle AgedPractice Patterns, Physicians'Surveys and QuestionnairesAsthmadisease managementguideline adherencepatient compliancephysicians’ practice patternssurveys and questionnaires

Identifiers

PMID29169365
PMCPMC5701503

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.