• 作者：Fernando Caballero Martí ; nez^a ; Vicente Plaza^b ; ^{vplaza@santpau.cat} ; Santiago Quirce Gancedo^c ; Margarita Ferná ; ndez Bení ; tez^d ; Fernando Gó ; mez Ruiz^e ; Antolí ; n Ló ; pez Viñ ; a^f ; Jesú ; s Molina Parí ; s^g ; José ; Antonio Quintano Jimé ; nez^h ; Ramona Soler Vilarrasaⁱ ; José ; Ramó ; n Villa Asensi^j ; Santiago Balmes Estrada^b
• 关键词：Asma ; Gu&iacute ; a Prá ; ctica Cl&iacute ; nica ; Consenso profesional ; Delphi
• 刊名：Archivos de Bronconeumolog¨ªa
• 出版年：2010
• 出版时间：August 2010
• 年：2010
• 卷：46
• 期：8
• 页码：411-419
• 全文大小：292 K

Objectives

To assess the level of agreement on the GEMA 2009 clinical recommendations by a Spanish expert panel on asthma.

Materials and methods

The study was divided into four stages: 1) establishment of a 9 member scientific committee (GEMA authors) for selection of GEMA recommendations to use in the survey; 2) formation of a panel of 74 professionals with expertise in this field (pulmonologists, allergists, family doctors, ear, nose and throat and paediatric specialists); 3) Delphi survey in two rounds, sent by mail, with intermediate processing of opinions and a report to the panel members; and 4) analysis and discussion of results for the Scientific Committee.

Results

Seventy four participants completed the two rounds of survey. During the first round, a consensus was reached in 49 out of 56 questions analysed. Following discussion by the panel, the consensus was increased to a total of 53 items in the survey. With respect to the remaining questions, Insufficient consensus was obtained on the rest of the questions, due to differing views between sub-specialists, or lack of criteria by most of the experts.

Conclusions

The external analysis by asthma experts from different specialities showed a high level of professional agreement with the GEMA 2009 recommendations in Spain (96.5 % ). The disagreement shown in three recommendations reflect the lack of a high level evidence. These issues represent areas of interest for future research.