The University of Southampton
×
Filter your search:
University of Southampton Institutional Repository

The effect of the COVID-19 pandemic on severe asthma care in Europe: will care change for good?

The effect of the COVID-19 pandemic on severe asthma care in Europe: will care change for good?
The effect of the COVID-19 pandemic on severe asthma care in Europe: will care change for good?
Background: the coronavirus disease 2019 (COVID-19) pandemic has put pressure on healthcare services, forcing the reorganisation of traditional care pathways. We investigated how physicians taking care of severe asthma patients in Europe reorganised care, and how these changes affected patient satisfaction, asthma control and future care.

Methods: in this European-wide cross-sectional study, patient surveys were sent to patients with a physician-diagnosis of severe asthma, and physician surveys to severe asthma specialists between November 2020 and May 2021.

Results: 1101 patients and 268 physicians from 16 European countries contributed to the study. Common physician-reported changes in severe asthma care included use of video/phone consultations (46%), reduced availability of physicians (43%) and change to home-administered biologics (38%). Change to phone/video consultations was reported in 45% of patients, of whom 79% were satisfied or very satisfied with this change. Of 709 patients on biologics, 24% experienced changes in biologic care, of whom 92% were changed to home-administered biologics and of these 62% were satisfied or very satisfied with this change. Only 2% reported worsening asthma symptoms associated with changes in biologic care. Many physicians expect continued implementation of video/phone consultations (41%) and home administration of biologics (52%).

Conclusions: change to video/phone consultations and home administration of biologics was common in severe asthma care during the COVID-19 pandemic and was associated with high satisfaction levels in most but not all cases. Many physicians expect these changes to continue in future severe asthma care, though satisfaction levels may change after the pandemic.
2312-0541
Eger, Katrien
395899ce-1775-45c0-b26e-cbd019a118f3
Paroczai, Dora
77d4b061-669e-40e6-9919-e95704ecc366
Bacon, Alison
43f37525-3477-4c38-a135-6506c01658a1
Schleich, Florence
0359e952-7702-4fc3-9cb4-5df0c098d888
Sergejeva, Svetlana
6d72beb6-ef6a-458c-8b04-98177718688d
Bourdin, Arnaud
c713f79c-75ac-4aa1-8ee5-c86127688d6e
Vachier, Isabelle
c968a16b-edae-4354-b07a-923385e297d7
Zervas, Eleftherios
bbd71ccf-33fa-48eb-b6bf-3b1abbc5c2c9
Katsoulis, Konstantinos
36e12f4b-915f-48f5-8890-04f206628c5e
Papapetrou, Dimosthenis
de7f17e5-aba4-4640-92fd-0d1a36e710e0
Kostikas, Konstantinos
265c6feb-ec8e-4659-af21-efc7bf111be8
Csoma, Zsuzsanna
0c4203bb-566e-4e76-82d0-191f355dbe96
Heffler, Enrico
7a57ad4f-7f86-4cc6-9ea9-939d260d2a70
Canonica, Giorgio Walter
b7491121-d90b-449c-9b7b-9f12b45af832
Grisle, Ineta
4b8c09eb-21d1-450b-a68b-6a6cb4298b76
Bieksiene, Kristina
5b2c49df-ebb4-45da-bbe2-a43e03444962
Palacionyte, Jolita
55a514c0-b29a-45d3-bd0e-698a084edfad
Ten Brinke, Anneke
49ec2aa4-bbd9-4d3f-828d-762c5dd6695a
Hashimoto, Simone
c96d186c-3ca9-483f-99cc-6f3e6eb2e9f3
Smeenk, Frank W.j.m.
8ab7eca3-277e-431b-81d8-b2f5e3b540d2
Braunstahl, Gert-jan
89fdced3-eee6-462e-8d73-50004ce07cda
Van Der Sar, Simone
619126a4-0b0e-4149-a173-707d36afd6ed
Mihălţan, Florin
e5a22fbd-44df-44be-826e-9dd77f317994
Nenasheva, Natalia
323742a3-644b-4838-a1e8-97f5787290c8
Peredelskaya, Marina
70b92afb-1673-4fb7-9ddf-4257b647da57
Zvezdin, Biljana
f9648e76-7efa-41e1-b7ea-8a56e09b04f4
Čekerevac, Ivan
f8297ead-7b92-4e0d-9608-18236349b376
Hromiš, Sanja
f1343c67-e34e-4d4d-96a7-bdf9368e88d6
Ćupurdija, Vojislav
7b4e4890-563c-4c63-a970-c24c706aae1f
Lazic, Zorica
0fdb5b2c-259c-436f-b39b-41a8f7f16ca6
Milenkovic, Branislava
c7f0d49c-020f-4f32-b044-c2ad39243811
Dimic-janjic, Sanja
3f781f25-4130-489f-947e-f12c67977978
Yasinska, Valentyna
6f9963b5-11bb-4461-bc45-dea5d0dfbe2b
Dahlén, Barbro
9a1ebc34-9a8e-46a3-9933-fda2cbdd4ab9
Bossios, Apostolos
ac46fa89-b83e-44e5-b5fd-6bdf9316ab04
Lazarinis, Nikolaos
3f403c79-d586-47c9-96f4-d7659e890a5c
Aronsson, David
6b7139ee-4ab7-48e4-aec0-5fdc8f31a36b
Egesten, Arne
549a31ab-4638-4a6b-977f-7355587aefdc
Munir, Abul Kashem Mohammad
74ee4d2f-a7b3-4fd6-9f84-e38842f22569
Ahlbeck, Lars
32ceedfc-46f3-463a-b55f-320d2ce95696
Janson, Christer
5181a17f-78ab-48c1-97d3-80dd711d7784
Škrgat, Sabina
bee8173e-bd51-4016-ae01-fc48166c1d6b
Edelbaher, Natalija
0e6bc63d-1f49-4d80-90db-b6fbdad4b78c
Leuppi, Joerg
1e6a0b7d-be02-465b-b8b8-2d5ab04bff41
Jaun, Fabienne
a5e38285-4d2c-4936-9665-b0d23d57265e
Rüdiger, Jochen
4e51348c-7818-4b52-8f4f-a025a4dfa40a
Pavlov, Nikolay
7709476d-f369-493a-9c37-98514f240a9a
Gianella, Pietro
caca9bce-1567-474d-96b3-e1399297c506
Fischer, Reta
286b5c3a-ae3e-47da-ba9e-0a5a1c6c5dc4
Charbonnier, Florian
adf6aac3-859d-4b06-809b-e8b4b8f4305b
Chaudhuri, Rekha
25061dc1-b61f-40d5-a6b0-40840d701aea
Smith, Steven James
244a6d21-146d-47e4-93f0-63a278d4eb28
Doe, Simon
725586e7-9cea-4240-a8fa-c90ac2ec7d1e
Fawdon, Michelle
58976c42-84b1-4082-9750-09bbf7d1797b
Masoli, Matthew
68a9a9bc-3141-4752-a8be-2923f01960a5
Heaney, Liam
80e8956f-63cb-4637-b916-9b13f3420761
Haitchi, Hans Michael
68dadb29-305d-4236-884f-e9c93f4d78fe
Kurukulaaratchy, Ramesh
9c7b8105-2892-49f2-8775-54d4961e3e74
Fulton, Olivia
22cb99c7-f088-4a64-9a20-1c4cd429820c
Frankemölle, Betty
76f5fdb2-c1dd-4d94-81af-fcbb4b8560ed
Gibson, Toni
8b793a8c-3521-42d0-9551-690a9ca2da66
Needham, Karen
e86f3b96-2978-408e-8ea8-ece770ab3c08
Howarth, Peter
ff19c8c4-86b0-4a88-8f76-b3d87f142a21
Djukanovic, Ratko
d9a45ee7-6a80-4d84-a0ed-10962660a98d
Bel, Elisabeth
2129da95-9ea8-47db-985a-aef7348e3484
Hyland, Michael
1d620384-b39a-4e3e-8d2a-7f42d5e65e22
Eger, Katrien
395899ce-1775-45c0-b26e-cbd019a118f3
Paroczai, Dora
77d4b061-669e-40e6-9919-e95704ecc366
Bacon, Alison
43f37525-3477-4c38-a135-6506c01658a1
Schleich, Florence
0359e952-7702-4fc3-9cb4-5df0c098d888
Sergejeva, Svetlana
6d72beb6-ef6a-458c-8b04-98177718688d
Bourdin, Arnaud
c713f79c-75ac-4aa1-8ee5-c86127688d6e
Vachier, Isabelle
c968a16b-edae-4354-b07a-923385e297d7
Zervas, Eleftherios
bbd71ccf-33fa-48eb-b6bf-3b1abbc5c2c9
Katsoulis, Konstantinos
36e12f4b-915f-48f5-8890-04f206628c5e
Papapetrou, Dimosthenis
de7f17e5-aba4-4640-92fd-0d1a36e710e0
Kostikas, Konstantinos
265c6feb-ec8e-4659-af21-efc7bf111be8
Csoma, Zsuzsanna
0c4203bb-566e-4e76-82d0-191f355dbe96
Heffler, Enrico
7a57ad4f-7f86-4cc6-9ea9-939d260d2a70
Canonica, Giorgio Walter
b7491121-d90b-449c-9b7b-9f12b45af832
Grisle, Ineta
4b8c09eb-21d1-450b-a68b-6a6cb4298b76
Bieksiene, Kristina
5b2c49df-ebb4-45da-bbe2-a43e03444962
Palacionyte, Jolita
55a514c0-b29a-45d3-bd0e-698a084edfad
Ten Brinke, Anneke
49ec2aa4-bbd9-4d3f-828d-762c5dd6695a
Hashimoto, Simone
c96d186c-3ca9-483f-99cc-6f3e6eb2e9f3
Smeenk, Frank W.j.m.
8ab7eca3-277e-431b-81d8-b2f5e3b540d2
Braunstahl, Gert-jan
89fdced3-eee6-462e-8d73-50004ce07cda
Van Der Sar, Simone
619126a4-0b0e-4149-a173-707d36afd6ed
Mihălţan, Florin
e5a22fbd-44df-44be-826e-9dd77f317994
Nenasheva, Natalia
323742a3-644b-4838-a1e8-97f5787290c8
Peredelskaya, Marina
70b92afb-1673-4fb7-9ddf-4257b647da57
Zvezdin, Biljana
f9648e76-7efa-41e1-b7ea-8a56e09b04f4
Čekerevac, Ivan
f8297ead-7b92-4e0d-9608-18236349b376
Hromiš, Sanja
f1343c67-e34e-4d4d-96a7-bdf9368e88d6
Ćupurdija, Vojislav
7b4e4890-563c-4c63-a970-c24c706aae1f
Lazic, Zorica
0fdb5b2c-259c-436f-b39b-41a8f7f16ca6
Milenkovic, Branislava
c7f0d49c-020f-4f32-b044-c2ad39243811
Dimic-janjic, Sanja
3f781f25-4130-489f-947e-f12c67977978
Yasinska, Valentyna
6f9963b5-11bb-4461-bc45-dea5d0dfbe2b
Dahlén, Barbro
9a1ebc34-9a8e-46a3-9933-fda2cbdd4ab9
Bossios, Apostolos
ac46fa89-b83e-44e5-b5fd-6bdf9316ab04
Lazarinis, Nikolaos
3f403c79-d586-47c9-96f4-d7659e890a5c
Aronsson, David
6b7139ee-4ab7-48e4-aec0-5fdc8f31a36b
Egesten, Arne
549a31ab-4638-4a6b-977f-7355587aefdc
Munir, Abul Kashem Mohammad
74ee4d2f-a7b3-4fd6-9f84-e38842f22569
Ahlbeck, Lars
32ceedfc-46f3-463a-b55f-320d2ce95696
Janson, Christer
5181a17f-78ab-48c1-97d3-80dd711d7784
Škrgat, Sabina
bee8173e-bd51-4016-ae01-fc48166c1d6b
Edelbaher, Natalija
0e6bc63d-1f49-4d80-90db-b6fbdad4b78c
Leuppi, Joerg
1e6a0b7d-be02-465b-b8b8-2d5ab04bff41
Jaun, Fabienne
a5e38285-4d2c-4936-9665-b0d23d57265e
Rüdiger, Jochen
4e51348c-7818-4b52-8f4f-a025a4dfa40a
Pavlov, Nikolay
7709476d-f369-493a-9c37-98514f240a9a
Gianella, Pietro
caca9bce-1567-474d-96b3-e1399297c506
Fischer, Reta
286b5c3a-ae3e-47da-ba9e-0a5a1c6c5dc4
Charbonnier, Florian
adf6aac3-859d-4b06-809b-e8b4b8f4305b
Chaudhuri, Rekha
25061dc1-b61f-40d5-a6b0-40840d701aea
Smith, Steven James
244a6d21-146d-47e4-93f0-63a278d4eb28
Doe, Simon
725586e7-9cea-4240-a8fa-c90ac2ec7d1e
Fawdon, Michelle
58976c42-84b1-4082-9750-09bbf7d1797b
Masoli, Matthew
68a9a9bc-3141-4752-a8be-2923f01960a5
Heaney, Liam
80e8956f-63cb-4637-b916-9b13f3420761
Haitchi, Hans Michael
68dadb29-305d-4236-884f-e9c93f4d78fe
Kurukulaaratchy, Ramesh
9c7b8105-2892-49f2-8775-54d4961e3e74
Fulton, Olivia
22cb99c7-f088-4a64-9a20-1c4cd429820c
Frankemölle, Betty
76f5fdb2-c1dd-4d94-81af-fcbb4b8560ed
Gibson, Toni
8b793a8c-3521-42d0-9551-690a9ca2da66
Needham, Karen
e86f3b96-2978-408e-8ea8-ece770ab3c08
Howarth, Peter
ff19c8c4-86b0-4a88-8f76-b3d87f142a21
Djukanovic, Ratko
d9a45ee7-6a80-4d84-a0ed-10962660a98d
Bel, Elisabeth
2129da95-9ea8-47db-985a-aef7348e3484
Hyland, Michael
1d620384-b39a-4e3e-8d2a-7f42d5e65e22

Eger, Katrien, Paroczai, Dora, Bacon, Alison, Schleich, Florence, Sergejeva, Svetlana, Bourdin, Arnaud, Vachier, Isabelle, Zervas, Eleftherios, Katsoulis, Konstantinos, Papapetrou, Dimosthenis, Kostikas, Konstantinos, Csoma, Zsuzsanna, Heffler, Enrico, Canonica, Giorgio Walter, Grisle, Ineta, Bieksiene, Kristina, Palacionyte, Jolita, Ten Brinke, Anneke, Hashimoto, Simone, Smeenk, Frank W.j.m., Braunstahl, Gert-jan, Van Der Sar, Simone, Mihălţan, Florin, Nenasheva, Natalia, Peredelskaya, Marina, Zvezdin, Biljana, Čekerevac, Ivan, Hromiš, Sanja, Ćupurdija, Vojislav, Lazic, Zorica, Milenkovic, Branislava, Dimic-janjic, Sanja, Yasinska, Valentyna, Dahlén, Barbro, Bossios, Apostolos, Lazarinis, Nikolaos, Aronsson, David, Egesten, Arne, Munir, Abul Kashem Mohammad, Ahlbeck, Lars, Janson, Christer, Škrgat, Sabina, Edelbaher, Natalija, Leuppi, Joerg, Jaun, Fabienne, Rüdiger, Jochen, Pavlov, Nikolay, Gianella, Pietro, Fischer, Reta, Charbonnier, Florian, Chaudhuri, Rekha, Smith, Steven James, Doe, Simon, Fawdon, Michelle, Masoli, Matthew, Heaney, Liam, Haitchi, Hans Michael, Kurukulaaratchy, Ramesh, Fulton, Olivia, Frankemölle, Betty, Gibson, Toni, Needham, Karen, Howarth, Peter, Djukanovic, Ratko, Bel, Elisabeth and Hyland, Michael (2022) The effect of the COVID-19 pandemic on severe asthma care in Europe: will care change for good? ERJ Open Research, 8 (2). (doi:10.1183/23120541.00065-2022).

Record type: Article

Abstract

Background: the coronavirus disease 2019 (COVID-19) pandemic has put pressure on healthcare services, forcing the reorganisation of traditional care pathways. We investigated how physicians taking care of severe asthma patients in Europe reorganised care, and how these changes affected patient satisfaction, asthma control and future care.

Methods: in this European-wide cross-sectional study, patient surveys were sent to patients with a physician-diagnosis of severe asthma, and physician surveys to severe asthma specialists between November 2020 and May 2021.

Results: 1101 patients and 268 physicians from 16 European countries contributed to the study. Common physician-reported changes in severe asthma care included use of video/phone consultations (46%), reduced availability of physicians (43%) and change to home-administered biologics (38%). Change to phone/video consultations was reported in 45% of patients, of whom 79% were satisfied or very satisfied with this change. Of 709 patients on biologics, 24% experienced changes in biologic care, of whom 92% were changed to home-administered biologics and of these 62% were satisfied or very satisfied with this change. Only 2% reported worsening asthma symptoms associated with changes in biologic care. Many physicians expect continued implementation of video/phone consultations (41%) and home administration of biologics (52%).

Conclusions: change to video/phone consultations and home administration of biologics was common in severe asthma care during the COVID-19 pandemic and was associated with high satisfaction levels in most but not all cases. Many physicians expect these changes to continue in future severe asthma care, though satisfaction levels may change after the pandemic.

Text
00065-2022.full - Version of Record
Available under License Creative Commons Attribution Non-commercial.
Download (1MB)

More information

Accepted/In Press date: 9 March 2022
Published date: 16 May 2022
Learn more about Institute for Life Sciences research Learn more about Institute for Life Sciences research

Identifiers

Local EPrints ID: 473777
URI: http://eprints.soton.ac.uk/id/eprint/473777
DOI: doi:10.1183/23120541.00065-2022
ISSN: 2312-0541
PURE UUID: 336449ee-e7b3-4222-bbc6-b83198ca7aa7
ORCID for Hans Michael Haitchi: ORCID iD orcid.org/0000-0001-8603-302X
ORCID for Ramesh Kurukulaaratchy: ORCID iD orcid.org/0000-0002-1588-2400
ORCID for Ratko Djukanovic: ORCID iD orcid.org/0000-0001-6039-5612

Catalogue record

Date deposited: 31 Jan 2023 17:44
Last modified: 17 Mar 2024 02:56

Export record

Altmetrics

Contributors

Author: Katrien Eger
Author: Dora Paroczai
Author: Alison Bacon
Author: Florence Schleich
Author: Svetlana Sergejeva
Author: Arnaud Bourdin
Author: Isabelle Vachier
Author: Eleftherios Zervas
Author: Konstantinos Katsoulis
Author: Dimosthenis Papapetrou
Author: Konstantinos Kostikas
Author: Zsuzsanna Csoma
Author: Enrico Heffler
Author: Giorgio Walter Canonica
Author: Ineta Grisle
Author: Kristina Bieksiene
Author: Jolita Palacionyte
Author: Anneke Ten Brinke
Author: Simone Hashimoto
Author: Frank W.j.m. Smeenk
Author: Gert-jan Braunstahl
Author: Simone Van Der Sar
Author: Florin Mihălţan
Author: Natalia Nenasheva
Author: Marina Peredelskaya
Author: Biljana Zvezdin
Author: Ivan Čekerevac
Author: Sanja Hromiš
Author: Vojislav Ćupurdija
Author: Zorica Lazic
Author: Branislava Milenkovic
Author: Sanja Dimic-janjic
Author: Valentyna Yasinska
Author: Barbro Dahlén
Author: Apostolos Bossios
Author: Nikolaos Lazarinis
Author: David Aronsson
Author: Arne Egesten
Author: Abul Kashem Mohammad Munir
Author: Lars Ahlbeck
Author: Christer Janson
Author: Sabina Škrgat
Author: Natalija Edelbaher
Author: Joerg Leuppi
Author: Fabienne Jaun
Author: Jochen Rüdiger
Author: Nikolay Pavlov
Author: Pietro Gianella
Author: Reta Fischer
Author: Florian Charbonnier
Author: Rekha Chaudhuri
Author: Steven James Smith
Author: Simon Doe
Author: Michelle Fawdon
Author: Matthew Masoli
Author: Liam Heaney
Author: Hans Michael Haitchi ORCID iD
Author: Ramesh Kurukulaaratchy ORCID iD
Author: Olivia Fulton
Author: Betty Frankemölle
Author: Toni Gibson
Author: Karen Needham
Author: Peter Howarth
Author: Ratko Djukanovic ORCID iD
Author: Elisabeth Bel
Author: Michael Hyland

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Library staff additional information
Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×