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Practice of spirometry among physicians caring for children with asthma in Portugal – The EspiroPed survey

Carolina Constant, Joana Cosme, Ricardo M. Fernandes, Pedro Fonte, João A. Fonseca, Carlos Alves, Teresa Bandeira
European Respiratory Journal 2016 48: PA1314; DOI: 10.1183/13993003.congress-2016.PA1314
Carolina Constant
1Pediatrics; Lung Function Tests, Sleep and Ventilation Laboratory, Pediatric Respiratory Unit, Hospital Santa Maria, CHLN, Lisbon, Portugal
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Joana Cosme
2Allergy and Immunology, Hospital Santa Maria, CHLN, Lisbon, Portugal
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Ricardo M. Fernandes
1Pediatrics; Lung Function Tests, Sleep and Ventilation Laboratory, Pediatric Respiratory Unit, Hospital Santa Maria, CHLN, Lisbon, Portugal
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Pedro Fonte
3Family Health Unit of Minho, Portuguese General Practitioners Association, Study Group for Respiratory Disease, Braga, Portugal
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João A. Fonseca
4Allergy and Immunology, CUF Porto Hospital and Institute, Portuguese Clinical Allergy and Immunology Society, Oporto, Portugal
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Carlos Alves
5Respiratory Medicine, Centro Hospitalar Barreiro Montijo, Portuguese Respiratory Society, Barreiro, Portugal
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Teresa Bandeira
1Pediatrics; Lung Function Tests, Sleep and Ventilation Laboratory, Pediatric Respiratory Unit, Hospital Santa Maria, CHLN, Lisbon, Portugal
6Pediatrics, Portuguese Pediatrics Society, Lisbon, Portugal
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Abstract

Aims: to evaluate and compare current knowledge and practice in spirometry(SPR) prescription and interpretation among 4 physician groups caring for children/adolescents with asthma in Portugal: pediatricians(Ped), pulmonologists(Pn), allergy and immunology doctors(AI) and general practitioners(GP).

Methods: Electronic survey sent to members of the 4 national societies. Only completed surveys from doctors following asthmatic children/adolescents were considered. Survey items addressed knowledge, accessibility, practices, interpretation and limitations regarding SPR. Survey Monkey® platform was used, with modified Dillman's technique and anonymized data. Descriptive and comparative analysis was done (χ2 test). A local ethics committee gave approval.

Results: Data from 423 doctors (89Ped, 40Pn, 30AI and 364GP) was analysed; 4% referred training in Pediatric Respiratory Medicine. 30%Ped, 90%Pn, 93%AI and 19%GP knew about SPR ATS/ERS guidelines (p<0.001); with no differences among groups in knowledge of national asthma guidelines. Regarding SPR execution/interpretation, 7%/10%Ped, 53%/65%Pn, 37%/70%AI and 3%/5%GP referred having very good knowledge of these items (p<0.001/p<0.001). As to using SPR in asthma diagnosis/severity stratification, 42%/43%Ped, 75%/68%Pn, 80%/68%AI and 53%/28%GP reported its use (p=0.001/p<0.001). 19%Ped, 25%Pn, 50%AI and 23%GP agreed that SPR results influence therapeutic decisions (p=0.003). Were interested in further training >60%Pn and >85%Ped/AI/GP.

Conclusions: Ped/GP report less familiarity with SPR in asthmatic children than Pn/AI. Acknowledging these gaps will allow implementation of specific SPR dissemination strategies adjusted to each specialty.

  • Children
  • Spirometry
  • Asthma - diagnosis
  • Copyright ©the authors 2016
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Practice of spirometry among physicians caring for children with asthma in Portugal – The EspiroPed survey
Carolina Constant, Joana Cosme, Ricardo M. Fernandes, Pedro Fonte, João A. Fonseca, Carlos Alves, Teresa Bandeira
European Respiratory Journal Sep 2016, 48 (suppl 60) PA1314; DOI: 10.1183/13993003.congress-2016.PA1314

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Practice of spirometry among physicians caring for children with asthma in Portugal – The EspiroPed survey
Carolina Constant, Joana Cosme, Ricardo M. Fernandes, Pedro Fonte, João A. Fonseca, Carlos Alves, Teresa Bandeira
European Respiratory Journal Sep 2016, 48 (suppl 60) PA1314; DOI: 10.1183/13993003.congress-2016.PA1314
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