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A Structured Approach to Specialist-referred Difficult Asthma Patients Improves Control of Comorbidities and Enhances Asthma Outcomes  Tunn Ren Tay, MRCP,

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Presentation on theme: "A Structured Approach to Specialist-referred Difficult Asthma Patients Improves Control of Comorbidities and Enhances Asthma Outcomes  Tunn Ren Tay, MRCP,"— Presentation transcript:

1 A Structured Approach to Specialist-referred Difficult Asthma Patients Improves Control of Comorbidities and Enhances Asthma Outcomes  Tunn Ren Tay, MRCP, Joy Lee, FRACP, Naghmeh Radhakrishna, FRACP, Fiona Hore-Lacy, BSc, Robert Stirling, FRACP, Ryan Hoy, FRACP, Eli Dabscheck, FRACP, Robyn O'Hehir, PhD, Mark Hew, PhD  The Journal of Allergy and Clinical Immunology: In Practice  Volume 5, Issue 4, Pages e3 (July 2017) DOI: /j.jaip Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

2 Figure 1 Systematic evaluation and delivery of a multidimensional assessment at protocol visit 1. The Journal of Allergy and Clinical Immunology: In Practice 2017 5, e3DOI: ( /j.jaip ) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

3 Figure 2 Flowchart of patients included in study analysis.
The Journal of Allergy and Clinical Immunology: In Practice 2017 5, e3DOI: ( /j.jaip ) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

4 Figure 3 Prevalence of comorbidities and referrals made for each respective comorbidity. Referrals for the respective comorbidities: obesity, dietician and/or metabolic clinic; obstructive sleep apnea, sleep clinic; CRS, ear, nose and throat (ENT) specialists; vocal cord dysfunction, voice clinic; DB, physiotherapist; anxiety or depression, psychologists; gastroesophageal reflux, gastroenterologists. *No referrals were made for allergic rhinitis because it was managed by allergists within the difficult asthma service, who delivered medical treatment for CRS as well. **Only patients thought to require sinus surgery were referred to ENT. The Journal of Allergy and Clinical Immunology: In Practice 2017 5, e3DOI: ( /j.jaip ) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

5 Figure 4 Comparison of ACT and AQLQ scores at visit 1 and visit 3. Error bars indicate 1 SD. The Journal of Allergy and Clinical Immunology: In Practice 2017 5, e3DOI: ( /j.jaip ) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

6 Figure 5 Changes in SNOT-22, Nijmegen scores, and BMI between visit 1 and visit 3. Error bars indicate 1 SD. BMI, Body mass index; SNOT-22, 22-item Sino-Nasal Outcome Test. The Journal of Allergy and Clinical Immunology: In Practice 2017 5, e3DOI: ( /j.jaip ) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

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