Reducing oral corticosteroids in severe asthma (ROSA Project): a nationwide Portuguese consensus
Reducing oral corticosteroids in severe asthma (ROSA Project): a nationwide Portuguese consensus
Consensus to optimize the use of oral corticosteroids (OCS) in severe asthma in Portugal
Paper
Chaves Loureiro C, Branco Ferreira M, Ferreira J, Lima R, Marques J, Sokolova A, Tonin FS, Duarte Ramos F. Reducing oral corticosteroids in severe asthma (ROSA Project): a nationwide Portuguese consensus. Pulmonology. 2020 Nov 8:S2531-0437(20)30217-8. doi: 10.1016/j.pulmoe.2020.10.002. Epub ahead of print. PMID: 33177008
Modified 3-round Delphi
Eliciting Expert Opinions
A modified 3-round Delphi including 65 statements. A five-point Likert-type scale was used. Consensus threshold was established as a percentage of agreement among participants ≥90% in the 1st round and ≥85% in the 2nd and 3rd rounds. The level of consensus achieved by the panel was discussed with the participants (face-to-face meeting).
Source/Company
Claudia Chaves Loureiro, Manuel Branco Ferreira, Jorge Ferreira, Ricardo Lima, João Marques, Anna Sokolova, Fernanda S Tonin, Filipa Duarte Ramos.
Authors
Novembre, 2020
Published Online
Abstract
We aimed to build a national consensus to optimize the use of oral corticosteroids (OCS) in severe asthma in Portugal.
Materials & Methods
A modified 3-round Delphi including 65 statements (topics on chronic systemic corticotherapy, therapeutic schemes, asthma safety and monitoring) was performed via online platform (October-November 2019). A five-point Likert-type scale was used (1-'strongly disagree'; 5-'strongly agree'). Consensus threshold was established as a percentage of agreement among participants ≥90% in the 1st round and ≥85% in the 2nd and 3rd rounds. The level of consensus achieved by the panel was discussed with the participants (face-to-face meeting).
Conclusions
The results can guide an update on asthma management in Portugal and should be supplemented by studies on therapy access, patients' adherence, and costs.
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