Aim: To evaluate the impact of a medical education course (MEC) on the behaviour of general practitioners (GPs) to treat asthma and allergic rhinitis (AR). Methods: Data on 1820 patients (mean age 41yrs ± 17yrs) with asthma or AR were collected by 107 Italian GPs: 50% attended a MEC and 50% didn't (group B). The adherence for AR and asthma treatment was evaluated according to ARIA and GINA guidelines (GL). Results: AR and asthma were diagnosed in 78% and 56% of patients; 34% had concomitant AR and asthma. Regardless of the MEC, the adherence to GL was significantly higher for AR than for asthma treatment (52 versus 19%). Group B GPs were more compliant to ARIA guidelines in the treatment of mild AR, whereas group A were more compliant in the treatment of moderate-severe AR; the adherence didn't differ between the groups for AR patients with comorbid asthma. Adherence to GINA GL for asthma treatment did not differ between GPs of groups A and B, independently from concomitant AR. Though insignificantly, group A were more compliant to GINA GL in the treatment of patients with only severe persistent asthma (63 versus 46%) as group B were for patients with severe persistent asthma and concomitant AR. Conclusions: GPs often tend to treat patients independently from GL. The impact of a single MEC did not improve adherence to GL in treating less severe AR and asthma patients, while there was a trend towards the opposite attitude in more severe AR patients without concomitant asthma. © 2012 Elsevier Ltd. All rights reserved.




S., B., S., M., M., S., S., C., G., S., P., S., … G., V. (2012). The ARGA study with general practitioners: Impact of medical education on asthma/rhinitis management. Respiratory Medicine, 106(6), 777–785. https://doi.org/10.1016/j.rmed.2012.02.013 LK  - http://limo.libis.be/resolver?&sid=EMBASE&issn=09546111&id=doi:10.1016%2Fj.rmed.2012.02.013&atitle=The+ARGA+study+with+general+practitioners%3A+Impact+of+medical+education+on+asthma%2Frhinitis+management&stitle=Respir.+Med.&title=Respiratory+Medicine&volume=106&issue=6&spage=777&epage=785&aulast=Baldacci&aufirst=Sandra&auinit=S.&aufull=Baldacci+S.&coden=RMEDE&isbn=&pages=777-785&date=2012&auinit1=S&auinitm=

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