Physicians' attitudes towards step-down asthma treatment in Turkey: a nationwide perspective.

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Libyan Journal of Medicine Pub Date : 2025-12-01 Epub Date: 2025-05-04 DOI:10.1080/19932820.2025.2500192
Müge Erbay, Olcay Ayçiçek, Deha Çebi Öztürk
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引用次数: 0

Abstract

The cornerstone of asthma management is the stepwise approach recommended by both national and international guidelines. In this study, we aim to investigate physicians' attitudes and approaches towards step-down treatment in asthma management in Turkey. In this cross-sectional study, questionnaire-based data were gathered from pulmonologists, immunology and allergy specialists and immunology and allergy fellows in November-December 2024. Of the 225 physicians, the median years of service in their speciality was 5 (min1-max51) years. Nearly 35% of survey participants rarely step down asthma medication (12.9% and 52.4% of participants always and frequently, respectively). The two most selected barriers were 'I am afraid the patient will get worse' (50.9%) and 'patients don't want to' (29.9%). Participants whose primary concern regarding step-down asthma treatment was fear of patient deterioration were found to use step-down approaches less frequently (66.7%, p < 0.001). Working in educational and research hospitals, the fear that the patient may worsen, and infrequent adherence to guideline updates were significantly associated with the rare implementation of step-down treatment in asthma management. Our study identified that the fear of potential disease worsening and infrequent adherence to updated guidelines were significantly associated with the limited implementation of step-down treatment in asthma management.

土耳其医生对逐步减少哮喘治疗的态度:全国视角。
哮喘管理的基石是国家和国际指南所推荐的逐步方法。在这项研究中,我们的目的是调查医生的态度和方法降压治疗在土耳其哮喘管理。在这项横断面研究中,研究人员在2024年11月至12月期间从肺科医生、免疫学和过敏专家以及免疫学和过敏研究员那里收集了基于问卷的数据。在225名医生中,他们专业的服务年数中位数为5年(最小-最大51年)。近35%的调查参与者很少停药(12.9%的参与者总是停药,52.4%的参与者经常停药)。选择最多的两个障碍是“我担心病人病情恶化”(50.9%)和“病人不想”(29.9%)。对逐步降压哮喘治疗的主要担忧是担心患者病情恶化的参与者使用逐步降压方法的频率较低(66.7%,p
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来源期刊
Libyan Journal of Medicine
Libyan Journal of Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.20%
发文量
20
审稿时长
>12 weeks
期刊介绍: Libyan Journal of Medicine (LJM) is a peer-reviewed, Open Access, international medical journal aiming to promote heath and health education by publishing high-quality medical research in the different disciplines of medicine. LJM was founded in 2006 by a group of enthusiastic Libyan medical scientists who looked at the contribution of Libyan publications to the international medical literature and saw that a publication outlet was missing. To fill this gap they launched LJM as a tool for transferring current medical knowledge to and from colleagues in developing countries, particularly African countries, as well as internationally.The journal is still led by a group of Libyan physicians inside and outside Libya, but it also enjoys support and recognition from the international medical community.
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