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    Attack, flare-up, or exacerbation? The terminology preferences of patients with severe asthma

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    Authors
    Jones, KA
    Gibson, PG
    Yorke, Janelle
    Niven, R
    Smith, A
    McDonald, VM
    Affiliation
    National Health and Medical Research Council Centre of Excellence in Severe Asthma , Newcastle , Australia
    Issue Date
    2019
    
    Metadata
    Show full item record
    Abstract
    Background: People with severe asthma experience frequent life-threatening acute asthma events. A Lancet commission recently highlighted that terms "exacerbations" and "flare-ups" are seen to trivialize these episodes and recommended use of the term "attacks." Clinicians however, preferentially use the term "exacerbation" and some guidelines recommend the use of "exacerbation" with patients. Objective: This descriptive qualitative study aimed to understand the patient's experience and perspectives of these events and language used to describe them. Methods: Semi-structured one-on-one interviews were conducted in Australia and the UK in 18 people with severe asthma and 10 with mild-moderate asthma regarding their usage and preferences for such terminologies. Additionally, nine people with severe asthma participated in two focus groups in which use of preferred terminology was explored. Results: Mean age of participants was 57?±?14.03?yr and 65% were female. A total 67 quotes were recorded in which 16 participants with severe asthma spontaneously used either the term "attack," "flare-up" and/or "exacerbation." Of these quotes, all 16 participants used "attack," one used all three terms and two used both "exacerbation" and "attack." The term "attack" was used to describe frightening events having major impacts on participant's lives, whereas "exacerbation" and "flare-up" were used to refer to both severe and mild, transient asthma-related events. Conclusion: Usage of the term "attack" was preferred by patients with severe asthma. Adoption of this language may assist in patient-clinician communication and disease management and outcomes. Wider stakeholder engagement is needed to confirm this suggestion. Abbreviations FEV1 forced expiratory volume in 1?second ATS American Thoracic Society ERS European Respiratory Society ACQ Asthma Control Questionnaire ICS inhaled corticosteroids OCS oral corticosteroids BTS British Thoracic Society SIGN Scottish Intercollegiate Guidelines Network WAP written action plan.
    Citation
    Jones KA, Gibson PG, Yorke J, Niven R, Smith A, McDonald VM. Attack, flare-up, or exacerbation? The terminology preferences of patients with severe asthma. J Asthma. 2019 Sep 16:1-10.
    Journal
    Journal of Asthma
    URI
    http://hdl.handle.net/10541/622181
    DOI
    10.1080/02770903.2019.1665064
    PubMed ID
    31490698
    Additional Links
    https://dx.doi.org/10.1080/02770903.2019.1665064
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1080/02770903.2019.1665064
    Scopus Count
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