Asunto(s)
Asma , Telemedicina , Humanos , Asma/diagnóstico , Asma/terapia , Personal de Salud , EspirometríaAsunto(s)
Asma/epidemiología , Ansiedad/epidemiología , Bronquiectasia/epidemiología , Comorbilidad , Consenso , Técnica Delphi , Progresión de la Enfermedad , Disnea/epidemiología , Femenino , Reflujo Gastroesofágico/epidemiología , Humanos , Pólipos Nasales/epidemiología , Obesidad/epidemiología , Embarazo , Fumar/epidemiología , Encuestas y CuestionariosAsunto(s)
Asma/terapia , Evaluación de Procesos, Atención de Salud/normas , Mejoramiento de la Calidad/normas , Indicadores de Calidad de la Atención de Salud/normas , Asma/diagnóstico , Asma/fisiopatología , Consenso , Prioridades en Salud/normas , Humanos , Pautas de la Práctica en Medicina/normas , Valor Predictivo de las Pruebas , España , Resultado del TratamientoRESUMEN
OBJECTIVE: To understand the perception of family doctors, pulmonologists and allergists about the current approach to chronic cough and its impact on patients' quality of life. MATERIAL AND METHODS: Cross-sectional and anonymous survey disseminated through the scientific societies SEAIC, SEMERGEN, semFYC, SEMG and SEPAR. The participants were 620 family doctors, 92 pulmonologists and 62 allergists. A descriptive analysis of the answers was conducted. Response percentages, medians and interquartile intervals were presented. The differences in the percentages between specialties were evaluated with the chi-square. RESULTS: Only half of the respondents chose a duration greater than 8 weeks as a criterion for diagnosing chronic cough, and less than half considered refractory/unexplained chronic cough a disease in itself. Family doctors perceived that chronic cough had less impact on patients than did pulmonologists or allergists. After a diagnosis of refractory/unexplained chronic cough, all 3specialties considered the most common approach to be to initiate treatment and to do the follow-up of the patient themselves. Most stated that they had no protocols for managing chronic cough, and more than 90% considered these to be necessary. CONCLUSIONS: The management of patients with chronic cough by family doctors, pulmonologists or allergists seems to be heterogeneous. There is a need for protocols that standardise diagnosis, referral and treatment criteria to optimise patients' management and reduce the impact of chronic cough.