• M Roman-Rodriguez, J Molina-Paris, A Fernandez-Sanchez, en nombre del grupo de investigación GAP-asma, and Participantes en el estudio.
• Centro de Salud Son Pisa, Instituto de Investigación Sanitaria de Baleares, Palma de Mallorca, Baleares, España. Electronic address: miguelroman@ibsalut.caib.es.
• Rev Clin Esp. 2021 Apr 1; 221 (4): 207216207-216.

ObjectiveTo assess the degree of compliance with the recommendations of the 2009 and 2015 versions of the Spanish guidelines for managing asthma (Guía Española para el Manejo del Asma [GEMA]) and the effect of this compliance on controlling the disease.Material And MethodsWe conducted an observational ambispective study between September 2015 and April 2016 in which 314 primary care physicians and 2864 patients participated.ResultsUsing retrospective data, we found that 81 of the 314 physicians (25.8%; 95% CI 21.3-30.9) stated that they complied with the GEMA2009 recommendations. At the start of the study, 88 of the 314 physicians (28.0%; 95% CI 23.4-33.2) complied with the GEMA2015 recommendations. Poorly controlled asthma (OR, 0.19; 95% CI 0.13-0.28) and persistent severe asthma at the start of the study (OR, 0.20; 95% CI 0.12-0.34) were negatively associated with having well-controlled asthma by the end of the follow-up. In contrast, compliance with the GEMA2015 recommendations was positively associated with a greater likelihood that the patient would have well-controlled asthma by the end of the follow-up (OR, 1.70; 95% CI 1.40-2.06).ConclusionsLow compliance with the clinical guidelines for managing asthma is a common problem among primary care physicians. Compliance with these guidelines is associated with better asthma control. Actions need to be taken to improve primary care physician compliance with the asthma management guidelines.Copyright © 2020 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

11 keywords...

hide…