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"Tossing a coin:" defining the excessive use of short-acting beta(2)-agonists in asthma-the views of general practitioners and asthma experts in primary and secondary care

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Title: "Tossing a coin:" defining the excessive use of short-acting beta(2)-agonists in asthma-the views of general practitioners and asthma experts in primary and secondary care
Authors: McKibben, S
Bush, A
Thomas, M
Griffiths, C
Item Type: Journal Article
Abstract: The National Review of Asthma Deaths (NRAD) identified high prescribing of short–acting beta2-agonists (SABAs) as a key factor in over 40% of deaths. We interviewed asthma experts from both a hospital background (n = 5) and a primary care background (n = 8), and general practitioners delivering asthma care (n = 8), to identify how SABA use is defined and perceived. We identified disparity in how acceptable SABA use is defined, ranging from 0.5 (100 doses/year) to 12 SABA inhalers (2400 doses/year), and complacency in the perception that over-use did not represent a marker for risk of asthma death. Despite current evidence, these findings suggest clinicians of various backgrounds are complacent about excessive SABA use.
Issue Date: 18-Jul-2018
Date of Acceptance: 12-Jun-2018
URI: http://hdl.handle.net/10044/1/62008
DOI: https://dx.doi.org/10.1038/s41533-018-0096-4
ISSN: 2055-1010
Publisher: Nature Publishing Group
Journal / Book Title: npj Primary Care Respiratory Medicine
Volume: 28
Issue: 1
Copyright Statement: © 2018 The Author(s). This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Science & Technology
Life Sciences & Biomedicine
Primary Health Care
Respiratory System
General & Internal Medicine
AGONIST USE
RISK
Publication Status: Published
Article Number: 26
Online Publication Date: 2018-07-18
Appears in Collections:National Heart and Lung Institute
Faculty of Medicine



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