The effect of the COVID-19 pandemic on severe asthma care in Europe: will care change for good?
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Published:2022-04
Issue:2
Volume:8
Page:00065-2022
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ISSN:2312-0541
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Container-title:ERJ Open Research
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language:en
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Short-container-title:ERJ Open Res
Author:
Eger KatrienORCID, Paroczai Dora, Bacon AlisonORCID, Schleich Florence, Sergejeva Svetlana, Bourdin ArnaudORCID, Vachier Isabelle, Zervas EleftheriosORCID, Katsoulis Konstantinos, Papapetrou Dimosthenis, Kostikas KonstantinosORCID, Csoma Zsuzsanna, Heffler Enrico, Canonica Giorgio WalterORCID, Grisle Ineta, Bieksiene Kristina, Palacionyte Jolita, ten Brinke Anneke, Hashimoto SimoneORCID, Smeenk Frank W.J.M., Braunstahl Gert-JanORCID, van der Sar Simone, Mihălţan Florin, Nenasheva Natalia, Peredelskaya Marina, Zvezdin Biljana, Čekerevac Ivan, Hromiš Sanja, Ćupurdija Vojislav, Lazic Zorica, Milenkovic Branislava, Dimic-Janjic Sanja, Yasinska Valentyna, Dahlén Barbro, Bossios ApostolosORCID, Lazarinis Nikolaos, Aronsson David, Egesten Arne, Munir Abul Kashem Mohammad, Ahlbeck Lars, Janson ChristerORCID, Škrgat Sabina, Edelbaher Natalija, Leuppi Joerg, Jaun Fabienne, Rüdiger Jochen, Pavlov Nikolay, Gianella Pietro, Fischer Reta, Charbonnier Florian, Chaudhuri Rekha, Smith Steven James, Doe Simon, Fawdon Michelle, Masoli MatthewORCID, Heaney Liam, Haitchi Hans MichaelORCID, Kurukulaaratchy Ramesh, Fulton OliviaORCID, Frankemölle Betty, Gibson ToniORCID, Needham Karen, Howarth PeterORCID, Djukanovic Ratko, Bel Elisabeth, Hyland Michael
Abstract
BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has put pressure on healthcare services, forcing the reorganisation of traditional care pathways. We investigated how physicians taking care of severe asthma patients in Europe reorganised care, and how these changes affected patient satisfaction, asthma control and future care.MethodsIn this European-wide cross-sectional study, patient surveys were sent to patients with a physician-diagnosis of severe asthma, and physician surveys to severe asthma specialists between November 2020 and May 2021.Results1101 patients and 268 physicians from 16 European countries contributed to the study. Common physician-reported changes in severe asthma care included use of video/phone consultations (46%), reduced availability of physicians (43%) and change to home-administered biologics (38%). Change to phone/video consultations was reported in 45% of patients, of whom 79% were satisfied or very satisfied with this change. Of 709 patients on biologics, 24% experienced changes in biologic care, of whom 92% were changed to home-administered biologics and of these 62% were satisfied or very satisfied with this change. Only 2% reported worsening asthma symptoms associated with changes in biologic care. Many physicians expect continued implementation of video/phone consultations (41%) and home administration of biologics (52%).ConclusionsChange to video/phone consultations and home administration of biologics was common in severe asthma care during the COVID-19 pandemic and was associated with high satisfaction levels in most but not all cases. Many physicians expect these changes to continue in future severe asthma care, though satisfaction levels may change after the pandemic.
Funder
European Respiratory Society
Publisher
European Respiratory Society (ERS)
Subject
Pulmonary and Respiratory Medicine
Cited by
6 articles.
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