Survey of the management of patients with bronchiectasis: a pilot investigation in Asian populations

Background/Aims Although international guidelines for bronchiectasis management have been published in Western countries, there is a lack of data about their application in Asian populations including patients with different phenotypes. We aimed to investigate the current status of bronchiectasis ma...

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Autores principales:	Ho Cheol Kim, Masaru Suzuki, Hui Fang Lim, Le Thi Tuyet Lan, Ho Lam Nguyen, Jeng-Shing Wang, Kang-Yun Lee, Jae Seung Lee, Yeon-Mok Oh, Sang Do Lee, Hayoung Choi, Hyun Lee, Sei Won Lee
Formato:	article
Lenguaje:	EN
Publicado:	The Korean Association of Internal Medicine 2021
Materias:	bronchiectasis survey asia Medicine R
Acceso en línea:	https://doaj.org/article/769b8ae3b0fc4359871433d4873fbd70
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spelling	oai:doaj.org-article:769b8ae3b0fc4359871433d4873fbd702021-11-08T00:59:06ZSurvey of the management of patients with bronchiectasis: a pilot investigation in Asian populations1226-33032005-664810.3904/kjim.2020.223https://doaj.org/article/769b8ae3b0fc4359871433d4873fbd702021-11-01T00:00:00Zhttp://www.kjim.org/upload/pdf/kjim-2020-223.pdfhttps://doaj.org/toc/1226-3303https://doaj.org/toc/2005-6648Background/Aims Although international guidelines for bronchiectasis management have been published in Western countries, there is a lack of data about their application in Asian populations including patients with different phenotypes. We aimed to investigate the current status of bronchiectasis management in Asian populations. Methods A nationwide questionnaire survey was performed of Asian respiratory specialists from South Korea, Japan, Taiwan, Singapore, Vietnam, and Sri Lanka. Participants were invited by e-mail to answer a questionnaire comprising 25 questions based on international guidelines for the management of bronchiectasis. Results A total of 221 physicians participated in the survey. About half of them were Korean (50.2%), with the next most common nationalities being Japanese (23.1%), Taiwanese (13.6%), and Singaporean (7.7%). Only 18 (8.1%) responders had local guidelines for bronchiectasis. While 85 (38.5%) responders checked sputum acid-fast bacillus smear/culture about 1 to 3 times per year, only a small proportion of responders routinely performed a serum immunoglobulin test (36/221, 16.3%) or evaluated for allergic bronchopulmonary aspergillosis (41/221, 18.6%). Less than half (43.4%) of responders performed eradication treatment in patients with drug-sensitive Pseudomonas aeruginosa infection, mainly due to the limited availability of inhaled antibiotics (34.8%). In addition, 58.6% of responders considered physiotherapy such as airway clearance and pulmonary rehabilitation. Conclusions Discrepancies might exist between guideline recommendations and practice for bronchiectasis management in Asian populations, partly due to the limited availability of treatment in each country. The development of local guidelines that consider the phenotypes and situation will help to standardize and improve the management of bronchiectasis.Ho Cheol KimMasaru SuzukiHui Fang LimLe Thi Tuyet LanHo Lam NguyenJeng-Shing WangKang-Yun LeeJae Seung LeeYeon-Mok OhSang Do LeeHayoung ChoiHyun LeeSei Won LeeThe Korean Association of Internal MedicinearticlebronchiectasissurveyasiaMedicineRENThe Korean Journal of Internal Medicine, Vol 36, Iss 6, Pp 1402-1409 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	bronchiectasis survey asia Medicine R
spellingShingle	bronchiectasis survey asia Medicine R Ho Cheol Kim Masaru Suzuki Hui Fang Lim Le Thi Tuyet Lan Ho Lam Nguyen Jeng-Shing Wang Kang-Yun Lee Jae Seung Lee Yeon-Mok Oh Sang Do Lee Hayoung Choi Hyun Lee Sei Won Lee Survey of the management of patients with bronchiectasis: a pilot investigation in Asian populations
description	Background/Aims Although international guidelines for bronchiectasis management have been published in Western countries, there is a lack of data about their application in Asian populations including patients with different phenotypes. We aimed to investigate the current status of bronchiectasis management in Asian populations. Methods A nationwide questionnaire survey was performed of Asian respiratory specialists from South Korea, Japan, Taiwan, Singapore, Vietnam, and Sri Lanka. Participants were invited by e-mail to answer a questionnaire comprising 25 questions based on international guidelines for the management of bronchiectasis. Results A total of 221 physicians participated in the survey. About half of them were Korean (50.2%), with the next most common nationalities being Japanese (23.1%), Taiwanese (13.6%), and Singaporean (7.7%). Only 18 (8.1%) responders had local guidelines for bronchiectasis. While 85 (38.5%) responders checked sputum acid-fast bacillus smear/culture about 1 to 3 times per year, only a small proportion of responders routinely performed a serum immunoglobulin test (36/221, 16.3%) or evaluated for allergic bronchopulmonary aspergillosis (41/221, 18.6%). Less than half (43.4%) of responders performed eradication treatment in patients with drug-sensitive Pseudomonas aeruginosa infection, mainly due to the limited availability of inhaled antibiotics (34.8%). In addition, 58.6% of responders considered physiotherapy such as airway clearance and pulmonary rehabilitation. Conclusions Discrepancies might exist between guideline recommendations and practice for bronchiectasis management in Asian populations, partly due to the limited availability of treatment in each country. The development of local guidelines that consider the phenotypes and situation will help to standardize and improve the management of bronchiectasis.
format	article
author	Ho Cheol Kim Masaru Suzuki Hui Fang Lim Le Thi Tuyet Lan Ho Lam Nguyen Jeng-Shing Wang Kang-Yun Lee Jae Seung Lee Yeon-Mok Oh Sang Do Lee Hayoung Choi Hyun Lee Sei Won Lee
author_facet	Ho Cheol Kim Masaru Suzuki Hui Fang Lim Le Thi Tuyet Lan Ho Lam Nguyen Jeng-Shing Wang Kang-Yun Lee Jae Seung Lee Yeon-Mok Oh Sang Do Lee Hayoung Choi Hyun Lee Sei Won Lee
author_sort	Ho Cheol Kim
title	Survey of the management of patients with bronchiectasis: a pilot investigation in Asian populations
title_short	Survey of the management of patients with bronchiectasis: a pilot investigation in Asian populations
title_full	Survey of the management of patients with bronchiectasis: a pilot investigation in Asian populations
title_fullStr	Survey of the management of patients with bronchiectasis: a pilot investigation in Asian populations
title_full_unstemmed	Survey of the management of patients with bronchiectasis: a pilot investigation in Asian populations
title_sort	survey of the management of patients with bronchiectasis: a pilot investigation in asian populations
publisher	The Korean Association of Internal Medicine
publishDate	2021
url	https://doaj.org/article/769b8ae3b0fc4359871433d4873fbd70
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Survey of the management of patients with bronchiectasis: a pilot investigation in Asian populations

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