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Specialist Perception of Severe Asthma in Korea: A Questionnaire Survey

Allergy, Asthma & Immunology Research : AAIR 2021년 13권 3호 p.507 ~ 514
김미애, 박흥우, 김병근, 박소영, 반가영, 이지향, 안진, 심지수, 이영수, 원하경, 이화영, 손경희, 강성윤, 박소영, 이현, 김민혜, 권재우, 윤선영, 이재현, 이진국, 문지용, 이태훈, 김소리, 박종숙, 김상헌, 정재원, 김상훈, 고영일, 오연목, 장안수,
소속 상세정보
김미애 ( Kim Mi-Ae ) - CHA University CHA Bundang Medical Center Department of Pulmonology, Allergy and Critical Care Medicine
박흥우 ( Park Heung-Woo ) - Seoul National University College of Medicine Department of Internal Medicine
김병근 ( Kim Byung-Keun ) - Korea University College of Medicine Department of Internal Medicine
박소영 ( Park So-Young ) - Konkuk University School of Medicine Department of Internal Medicine
반가영 ( Ban Ga-Young ) - Hallym University College of Medicine Kangdong Sacred Heart Hospital Department of Pulmonary, Allergy and Critical Care Medicine
이지향 ( Lee Ji-Hyang ) - University of Ulsan College of Medicine Asan Medical Center Department of Allergy and Clinical Immunology
안진 ( An Jin ) - University of Ulsan College of Medicine Asan Medical Center Department of Allergy and Clinical Immunology
심지수 ( Shim Ji-Su ) - Ewha Womans University College of Medicine Department of Internal Medicine
이영수 ( Lee Young-Soo ) - Ajou University School of Medicine Department of Allergy and Clinical Immunology
원하경 ( Won Ha-Kyeong ) - Veterans Health Service Medical Center Department of Internal Medicine
이화영 ( Lee Hwa-Young ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Internal Medicine
손경희 ( Sohn Kyoung-Hee ) - Kyung Hee University Medical Center Department of Internal Medicine
강성윤 ( Kang Sung-Yoon ) - Gachon University Gil Medical Center Department of Internal Medicine
박소영 ( Park So-Young ) - Eulji University School of Medicine Eulji General Hospital Department of Internal Medicine
이현 ( Lee Hyun ) - Hanyang University College of Medicine Department of Internal Medicine
김민혜 ( Kim Min-Hye ) - Ewha Womans University College of Medicine Department of Internal Medicine
권재우 ( Kwon Jae-Woo ) - Kangwon National University School of Medicine Department of Allergy and Clinical Immunology
윤선영 ( Yoon Sun-Young ) - Chungnam National University Hospital Department of Internal Medicine
이재현 ( Lee Jae-Hyun ) - Yonsei University College of Medicine Department of Internal Medicine
이진국 ( Rhee Chin-Kook ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Internal Medicine
문지용 ( Moon Ji-Yong ) - Hanyang University College of Medicine Department of Internal Medicine
이태훈 ( Lee Tae-Hoon ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Internal Medicine
김소리 ( Kim So-Ri ) - Chonbuk National University Medical School Department of Internal Medicine
박종숙 ( Park Jong-Sook ) - Soonchunhyang University Bucheon Hospital Department of Internal Medicine
김상헌 ( Kim Sang-Heon ) - Hanyang University College of Medicine Department of Internal Medicine
정재원 ( Jeong Jae-Won ) - Inje University College of Medicine Department of Internal Medicine
김상훈 ( Kim Sang-Hoon ) - Eulji University School of Medicine Eulji General Hospital Department of Internal Medicine
고영일 ( Koh Young-Il ) - Chonnam National University Medical School Department of Internal Medicine
오연목 ( Oh Yeon-Mok ) - University of Ulsan College of Medicine Asan Medical Center Department of Pulmonary and Critical Care Medicine
장안수 ( Jang An-Soo ) - Soonchunhyang University Bucheon Hospital Department of Internal Medicine

Abstract


The Working Group on Severe Asthma of the Korean Academy of Allergy and Clinical Immunology recently published an expert opinion paper on the management of severe asthma in Korea. When developing a consensus, the working group encountered several diagnostic and treatment issues and decided to perform a questionnaire survey of Korean specialists with regard to severe asthma. An e-mail with a uniform resource locator link to the questionnaire was sent to 121 asthma specialists, of whom 44.6% responded. The most commonly accepted definitions of severe asthma were a history of fatal exacerbation or an asthma-triggered need for mechanical ventilation, 3?4 oral corticosteroid (OCS) bursts/year, and maintenance of OCS therapy for 3?6 months per year. Before diagnosing severe asthma, most physicians contemplate chest computed tomography, seek to control chronic rhinosinusitis, and consider poor inhaler compliance. For patients with uncontrolled severe asthma accompanied by type 2 (T2)-high inflammation, most biologics available in Korea were considered appropriate, but gaps were apparent in terms of T2-low asthma treatments. These findings about specialist perception of diagnosis and treatment of severe asthma will inform the use of emerging new drugs and facilitate personalized therapy.

키워드

Asthma; diagnosis; therapeutics; disease management; surveys and questionnaires; biological products; standards; consensus

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