Evidence map›Paper›PMID 41419519›Full record

ReviewNPJ primary care respiratory medicine2025

A guide for a patient-centric approach to asthma management: results of a European Delphi consensus programme.

Fulvio Braido, Ilaria Baiardini, Simona Barbaglia, Susanna Palkonen, Armando Ruiz, Ioanna Tsiligianni, Johann Christian Virchow, Tonya Winders

Abstract readConsensus StatementReview
In one paragraph

Review in NPJ primary care respiratory medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Fulvio BraidoRCCS Ospedale Policlinico San Martino, Genoa, Italy; Università di Genova, DiMI, Genoa, Italy. fulvio.braido@unige.it.
Ilaria BaiardiniRespiratory Diseases and Allergy Department, Department of Internal Medicine, University of Genoa, Genoa, Italy.
Simona BarbagliaAssociazione Nazionale Pazienti Respiriamo Insieme APS, Padova, Italy.
Susanna PalkonenEuropean Federation of Allergy and Airways Diseases Patients Associations (EFA), Stockholm, Sweden.
Armando RuizSpanish Federation of Allergy and Airways Diseases Patients' Associations (FENAER), Alicante, Spain.
Ioanna TsiligianniClinic of Social and Family Medicine, Department of Social Medicine, Faculty of Medicine, University of Crete, Rethymno, Greece.
Johann Christian VirchowDepartments of Pneumology, Intensive Care Medicine, University of Rostock, Rostock, Germany.
Tonya WindersGlobal Allergy & Airways Patient Platform (GAAPP), Tennessee, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Global Initiative for Asthma 2024 report recommends a shared decision-making approach to guide treatment choice, encompassing patients' goals, beliefs and concerns about asthma and medications (GINA. Global Strategy for Asthma Management and Prevention, 2024). There is limited guidance on ways to achieve this goal. This consensus programme aimed to create recommendations on optimal selection of inhaler treatment while considering patient perspectives and needs.

methodsA literature review was conducted on literature published between 01/01/2014 and 23/04/2024 using agreed keywords and search parameters in PubMed and Cochrane databases. Evidence on impact of patient factors on adherence and asthma control, plus inhaler preference data, was analysed. A consensus voting panel was selected via screening questionnaire, with 50 patients with asthma duration ≥5 years and 39 healthcare professionals with expertise in asthma from five European countries (Germany, France, Czechia, Italy, Greece). A two-round Delphi method was used.

results40/135 papers were considered relevant. From these, 20 consensus statements were developed in four areas: patient-centred treatment selection, medication/asthma beliefs, patient preference + shared decision-making, and tools for patient-centred care. 18/20 consensus statements were accepted with an agreement threshold >85% on the first round of voting. Two revised statements underwent a second Delphi round, again failing to reach consensus.

conclusionsThis important initiative generated much-needed guidance on integrating patient views and needs into treatment decision-making following a well-established methodology through 18 consensus statements, with nearly equal input from patients and healthcare professionals.

Indexed as

Anti-Asthmatic AgentsAsthmaPatient-Centered CareDecision Making, SharedDelphi TechniqueEuropeHumansNebulizers and VaporizersPatient PreferenceAnti-Asthmatic Agents

Identifiers

PMID41419519
PMCPMC12770437

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.