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KMID : 1225720210130030507
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Allergy, Asthma & Immunology Research : AAIR
2021 Volume.13 No. 3 p.507 ~ p.514
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Specialist Perception of Severe Asthma in Korea: A Questionnaire Survey
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Kim Mi-Ae
Park Heung-Woo
Kim Byung-Keun
Park So-Young
Ban Ga-Young
Lee Ji-Hyang
An Jin
Shim Ji-Su
Lee Young-Soo
Won Ha-Kyeong
Lee Hwa-Young
Sohn Kyoung-Hee
Kang Sung-Yoon
Park So-Young
Lee Hyun
Kim Min-Hye
Kwon Jae-Woo
Yoon Sun-Young
Lee Jae-Hyun
Rhee Chin-Kook
Moon Ji-Yong
Lee Tae-Hoon
Kim So-Ri
Park Jong-Sook
Kim Sang-Heon
Jeong Jae-Won
Kim Sang-Hoon
Koh Young-Il
Oh Yeon-Mok
Jang An-Soo
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Abstract
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The Working Group on Severe Asthma of the Korean Academy of Allergy and Clinical Immunology recently published an expert opinion paper on the management of severe asthma in Korea. When developing a consensus, the working group encountered several diagnostic and treatment issues and decided to perform a questionnaire survey of Korean specialists with regard to severe asthma. An e-mail with a uniform resource locator link to the questionnaire was sent to 121 asthma specialists, of whom 44.6% responded. The most commonly accepted definitions of severe asthma were a history of fatal exacerbation or an asthma-triggered need for mechanical ventilation, 3?4 oral corticosteroid (OCS) bursts/year, and maintenance of OCS therapy for 3?6 months per year. Before diagnosing severe asthma, most physicians contemplate chest computed tomography, seek to control chronic rhinosinusitis, and consider poor inhaler compliance. For patients with uncontrolled severe asthma accompanied by type 2 (T2)-high inflammation, most biologics available in Korea were considered appropriate, but gaps were apparent in terms of T2-low asthma treatments. These findings about specialist perception of diagnosis and treatment of severe asthma will inform the use of emerging new drugs and facilitate personalized therapy.
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KEYWORD
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Asthma, diagnosis, therapeutics, disease management, surveys and questionnaires, biological products, standards, consensus
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