Asia Pacific survey of physicians on asthma and allergic rhinitis (ASPAIR): data from China.

Authors:
David Hinds
David Hinds
University of California-Davis
United States
Bhumika Aggarwal
Bhumika Aggarwal
Medical Services
Xin Du
Xin Du
Beijing Anzhen Hospital
China
Aruni Mulgirigama
Sumitra Shantakumar
Sumitra Shantakumar
University of North Carolina School of Public Health
United States

Chin Med J (Engl) 2019 Jun;132(11):1264-1271

Real World Evidence and Epidemiology, GSK, 139234, Singapore.

Background: In China, the prevalence of allergic rhinitis (AR) and asthma has increased in the past decade. As these two diseases frequently coexist, the Asia-Pacific Survey of Physicians on Asthma and Allergic Rhinitis (ASPAIR) study aimed to assess physicians' beliefs and treatment patterns of coexistent asthma-AR across six Asian countries. This analysis presents the results from China.

Methods: The 200 hospital-based general physicians and pediatricians were interviewed from five cities in China. Physicians were questioned in-person about their knowledge, beliefs and management practices for patients with coexistent asthma-AR.

Results: Approximately 70% of the physicians interviewed routinely evaluated their patients with asthma or AR for signs of coexistent disease. While the majority of physicians (>90% of physicians) recognized the increased burden of coexistent asthma-AR vs. one condition alone and that coexistent disease requires additional treatment, most physicians (96%) also believed that patients with coexistent asthma-AR were well managed if either condition alone improved. Similarly, although 71% of physicians selected a combination of intranasal and inhaled corticosteroids as their preferred treatment for coexistent asthma-AR, in line with treatment guidelines, two fifths of physicians indicated that treatment for coexistent disease requires too much medication and that their patients prefer oral medications and a third of physicians believed that corticosteroids should be delayed in children.

Conclusions: This survey demonstrates that physicians interviewed in China have a broad understanding of coexistent asthma-AR and its impact on patients. A holistic approach to patient management with informed decisions regarding patients' overall treatment will benefit patients who suffer from coexistent disease.

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Source
http://dx.doi.org/10.1097/CM9.0000000000000229DOI Listing
June 2019
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