Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Oct 26;11(4):e45.
doi: 10.5415/apallergy.2021.11.e45. eCollection 2021 Oct.

Physician's experience on managing asthma in adolescents: results of the International AMADO (Asthma Management in ADOlescents) survey

Kevin Chong-Fah-Shen  1 , Roxana Bumbacea  2 , Cintia Bassani  3 , Cesar Fireth Pozo Beltran  4 , Duy Pham  5 , Sebastien Lefevre  6 , Elena Brandatan  7 , Maria João Vasconcelos  8 , Raquel Baldaçara  9 , Silvana Monsell  10 , Ivana Djuric-Filipovic  11 , Razvigor Darlenski  12 , Guillaume Pouessel  13 , Alexei Gonzalez-Estrada  14 , Marco Caminati  15 , Luciana Kase Tanno  1   16
Affiliations

Physician's experience on managing asthma in adolescents: results of the International AMADO (Asthma Management in ADOlescents) survey

Kevin Chong-Fah-Shen et al. Asia Pac Allergy. .

Abstract

Background: Worldwide prevalence of asthma seems to be increasing in adolescents, but limited data is available regarding the management of asthma in this age group.

Objective: Therefore, we conducted an international survey focused on physicians who manage asthma in order to understand how Asthma Management in ADOlescents (AMADO) is currently performed.

Methods: The AMADO survey is a web-based global survey of physician's attitudes towards the management of asthma in adolescents, circulated for 17 weeks. The survey had an anonymous and voluntary standard. The questionnaire consisted in 27 questions covering the training background of respondents, difficulties in diagnosis, and in management of asthma in adolescents.

Results: Two hundred forty-four responses were received from 46 countries, from all continents. Most (65%) of participants indicated allergy as being their main specialty. The majority of participants (62%) had more than 5 years of clinical practice, but 62% have no formal training in management of adolescents with asthma. Most of participants (96%) indicated having at least one case of asthma in adolescents per month. 60% of respondents mentioned that the asthmatic adolescents only had the consultation due to the family imposition. All respondents mentioned having difficulties in the management of asthma in adolescents due to patient poor adherence. Overall, 44% of participants have no specific health care resources for adolescents in their departments. Main suggestions from the participants were: optimization of time and personalized communication to these cohort, and standardization of multidisciplinary actions to improve adherence to asthma control treatment.

Conclusion: Management of asthma in adolescents is still a challenge in clinical practice. The results from this survey helped us to identify the key issues to improve clinical outcomes in the future. This survey is the first step of the international AMADO initiative, which intends to optimize diagnosis and control of asthma and prevent avoidable deaths.

Keywords: Adolescence; Asthma; Management; Prevention; Survey.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: The authors have no financial conflicts of interest.

Figures

Fig. 1
Fig. 1. Demographic data of respondents to the AMADO (Asthma Management in ADOlescents) survey.
Fig. 2
Fig. 2. Why do the adolescents come in consultation(214 answers).
Fig. 3
Fig. 3. Situation in which it is easier to approach the diagnosis of asthma (230 answers).
Fig. 4
Fig. 4. Main reason of difficulties in their follow-up (221 answers).
Fig. 5
Fig. 5. How to better manage asthma in adolescence (153 answers).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Global Initiative for Asthma. The global asthma report 2018 [Internet] Fontana (WI): Global Initiative for Asthma; 2019. [cited 2019 Mar 6]. Available from: http://www.globalasthmareport.org/
    1. World Health Organization [Internet] Geneva (Switzerland): World Health Organization; 2019. [cited 2019 May 6]. Available from: https://www.who.int/respiratory/asthma/definition/en/
    1. Mallol J, Crane J, von Mutius E, Odhiambo J, Keil U, Stewart A ISAAC Phase Three Study Group. The International Study of Asthma and Allergies in Childhood (ISAAC) phase three: a global synthesis. Allergol Immunopathol (Madr) 2013;41:73–85. - PubMed
    1. World Health Organization [Internet] Geneva (Switzerland): World Health Organization; 2019. [cited 2019 Oct 6]. Available from: http://apps.who.int/adolescent/second-decade/section2/page1/recognizing-....
    1. Martin M, Beebe J, Lopez L, Faux S. A qualitative exploration of asthma self-management beliefs and practices in Puerto Rican families. J Health Care Poor Underserved. 2010;21:464–474. - PubMed