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Table 5 Proportion of GPs who consider referring a patient to a respiratory specialist in specific situations (N = 179)

From: Difficult-to-treat and severe asthma in general practice: delivery and evaluation of an educational program

Situation

BEFORE, n (%)

NOW, n (%)

Difference, p value

I believe the patient may have severe asthma and may be a candidate for treatment with a biologic therapy

42 (24%)

176 (98%)

+ 75%, p ≤ 0.001

I suspect the patient has occupational asthma

101 (56%)

152 (85%)

+ 29%, p ≤ 0.001

The patient is at high risk of future adverse asthma-related outcomes

109 (61%)

159 (89%)

+ 28%, p ≤ 0.001

I have addressed comorbidities I can treat and have not seen an improvement in asthma control

116 (65%)

159 (89%)

+ 24%, p ≤ 0.001

The patient requires high-dose inhaled corticosteroids to maintain asthma control despite correct inhaler technique and good adherence

117 (65%)

145 (81%)

+ 16%, p ≤ 0.001

I am unsure of the asthma diagnosis (e.g., patients with features of both asthma and COPDa)

132 (74%)

151 (84%)

+ 11%, p = 0.018

I have been treating the patient for 12 months or more with little to no improvement in symptoms

146 (82%)

158 (88%)

+ 7%, No significant difference

  1. aChronic obstructive pulmonary disease