The ARGA study with general practitioners: Impact of medical education on asthma/rhinitis management

Sandra Baldacci, Sara Maio, Marzia Simoni, Sonia Cerrai, Giuseppe Sarno, Patrizia Silvi, Francesco Di Pede, Marco Borbotti, Anna Paola Pala, Megon Bresciani, Giovanni Viegi, Anna Antonietta Angino, Laura Carrozzi, Maurizio Mangione, Franca Martini, Bona Barbara Piegaia, Francesco Pistelli, Elena Bacci, Lorenza Bancalari, Federico DenteMaria Pia Foschino, Gianna Moscato, Pierluigi Paggiaro, Andrea Pelucchi, Pasquale Pierimarchi, Barbara Brunetto, Patrizia Iacovacci, Carlo Pini, Raffaella Tinghino, Francesco Forastiere, Carlo Alberto Perucci, Riccardo Pistelli, Daniela Porta, Laura Ancona, Sara Protasi, Barbara Lazazzera, Valentina Ziroli, Eleonora D'Armini, Sabella Festa Campanile, Monica Ferri, Paola Lorusso, Rita Salotti, Marco Santagati, Elisabetta Agea, Chiara Casciari, Nicola Murgia, Fabrizio Spinozzi, Floriano Bonifazi, Leonardo Antonicelli, Maria Chiara Braschi, Valeria Conti, Amelia Filippelli, Grazia Maria Corbi, Giusy Russomanno, Fulvio Braido, Walter Canonica, Ilaria Baiardini, Balbi Francesco, Isa Cerveri, Angelo Corsico, Amelia Grosso

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: To evaluate the impact of a medical education course (MEC) on the behaviour of general practitioners (GPs) to treat asthma and allergic rhinitis (AR). Methods: Data on 1820 patients (mean age 41yrs ± 17yrs) with asthma or AR were collected by 107 Italian GPs: 50% attended a MEC and 50% didn't (group B). The adherence for AR and asthma treatment was evaluated according to ARIA and GINA guidelines (GL). Results: AR and asthma were diagnosed in 78% and 56% of patients; 34% had concomitant AR and asthma. Regardless of the MEC, the adherence to GL was significantly higher for AR than for asthma treatment (52 versus 19%). Group B GPs were more compliant to ARIA guidelines in the treatment of mild AR, whereas group A were more compliant in the treatment of moderate-severe AR; the adherence didn't differ between the groups for AR patients with comorbid asthma. Adherence to GINA GL for asthma treatment did not differ between GPs of groups A and B, independently from concomitant AR. Though insignificantly, group A were more compliant to GINA GL in the treatment of patients with only severe persistent asthma (63 versus 46%) as group B were for patients with severe persistent asthma and concomitant AR. Conclusions: GPs often tend to treat patients independently from GL. The impact of a single MEC did not improve adherence to GL in treating less severe AR and asthma patients, while there was a trend towards the opposite attitude in more severe AR patients without concomitant asthma.

Original languageEnglish
Pages (from-to)777-785
Number of pages9
JournalRespiratory Medicine
Volume106
Issue number6
DOIs
Publication statusPublished - Jun 2012

Keywords

  • Allergic rhinitis
  • ARIA guidelines
  • Asthma
  • Drugs
  • GINA guidelines
  • Prescription adherence

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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