Source: International Congress 2014 – Management of asthma and other respiratory diseases in primary care
Disease area: Airway diseases

Abstract

Clinical practice guidelines for asthma management in Australia were last published in 2006, as a 144-page print and pdf document (Asthma Management Handbook, National Asthma Council Australia, Melbourne). Since then, there have been substantial changes not only in evidence but also in guideline methodology and online publishing.Planning began with an online survey of guideline users (n=1071, 71% GPs). Over 80 primary care and specialist contributors formed the working groups and Guidelines Committee, chaired by a GP. An initial scoping review identified >350 clinical questions. Working groups developed recommendations using standardised methods, including systematic review (5 key clinical questions), examination of peer-reviewed evidence, adaptation of existing guidance, and consensus based on best-available evidence and clinical experience. Two independent experts reviewed the draft Handbook, and stakeholders including patient advocates and professional bodies were invited to comment.The Handbook was published as an innovative, interactive website: www.asthmahandbook.org.au. Using a clear content hierarchy, recommendations (written as direct actions for primary practitioners), clinical decision pathways and summary tables were presented prominently, with more detailed information available at a deeper layer, and hyperlinks to all cited sources. A quick reference guide of the key advice and figures was printed.Our experience has highlighted the value of involving primary carers in every aspect, to ensure practical and implementable guidelines for the local context. Feedback from reviewers and stakeholders indicates that the guidelines are perceived as innovative, comprehensive and clear.

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H. Reddel, N. Fenton, J. Gowan, J. Marr, J. Rimmer, P. van Asperen, P. Wark, S. Brophy, J. Harman, M. Olszewski, A. Barnard (Melbourne, Australia). The Australian asthma handbook: Practical and accessible guidelines for primary care. Eur Respir J 2014; 44: Suppl. 58, 3018

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