PT - JOURNAL ARTICLE AU - Mathioudakis, Alexander G. AU - Tsilochristou, Olympia AU - Adcock, Ian M AU - Bikov, Andras AU - Bjermer, Leif AU - Clini, Enrico AU - Flood, Breda AU - Herth, Felix AU - Horvath, Ildiko AU - Kalayci, Omer AU - Papadopoulos, Nikolaos G. AU - Ryan, Dermot AU - Sanchez Garcia, Silvia AU - Correia-de-Sousa, Jaime AU - Tonia, Thomy AU - Pinnock, Hillary AU - Agache, Ioana AU - Janson, Christer TI - ERS/EAACI statement on adherence to international adult asthma guidelines AID - 10.1183/16000617.0132-2021 DP - 2021 Sep 30 TA - European Respiratory Review PG - 210132 VI - 30 IP - 161 4099 - https://publications.ersnet.org//content/30/161/210132.short 4100 - https://publications.ersnet.org//content/30/161/210132.full SO - EUROPEAN RESPIRATORY REVIEW2021 Sep 30; 30 AB - Guidelines aim to standardise and optimise asthma diagnosis and management. Nevertheless, adherence to guidelines is suboptimal and may vary across different healthcare professional (HCP) groups.Further to these concerns, this European Respiratory Society (ERS)/European Academy of Allergy and Clinical Immunology (EAACI) statement aims to: 1) evaluate the understanding of and adherence to international asthma guidelines by HCPs of different specialties via an international online survey; and 2) assess strategies focused at improving implementation of guideline-recommended interventions, and compare process and clinical outcomes in patients managed by HCPs of different specialties via systematic reviews.The online survey identified discrepancies between HCPs of different specialties which may be due to poor dissemination or lack of knowledge of the guidelines but also a reflection of the adaptations made in different clinical settings, based on available resources. The systematic reviews demonstrated that multifaceted quality improvement initiatives addressing multiple challenges to guidelines adherence are most effective in improving guidelines adherence. Differences in outcomes between patients managed by generalists or specialists should be further evaluated.Guidelines need to consider the heterogeneity of real-life settings for asthma management and tailor their recommendations accordingly. Continuous, multifaceted quality improvement processes are required to optimise and maintain guidelines adherence. Validated referral pathways for uncontrolled asthma or uncertain diagnosis are needed.@EuroRespSoc @AllergyEAACI statement: Guidelines need to account for differences in resource availability across various asthma care settings. Continuous, multifaceted quality improvement processes are needed to optimise and maintain guidelines adherence. https://bit.ly/2UZK5rJ