The final results of the ASSA-II study: the knowledge of therapeutic doctors on the subject of bronchial asthma
Background: Bronchial asthma (BA) is one of the leading and socially significant diseases of the respiratory system. In recent years, the proportion of this disease has been steadily increasing, especially in developed countries. In some regions, the prevalence of BA reaches 10-15%. Despite the development and regular updating of clinical guidelines by the GINA Committee members and national societies, the problem of rational management of this disease remains relevant in practical healthcare. In a number of basic questions, the level of specialists' knowledge remains insufficient. The aim of the study: To determine the basic level of knowledge on BA among doctors of therapeutic profile in different regions. Materials and methods: Analysis of the results of the second stage of the ASSA project (the full name of the project is «Assessment of senior medical students (physicians) in the field of bronchial asthma») – a multicenter anonymous questionnaire conducted in 2017-2019 in 10 regions of Russia and Ukraine. Results: The study revealed a fairly high level of basic knowledge of BA, with an average of 84.5%. However, the level of correct answers to a number of questions was relatively low. Only 59.7% of doctors were able to choose the most correct definition of BA from the proposed options, 73.3% of respondents correctly indicated the appropriate instrumental and laboratory markers of BA, 80.6% were able to determine the correct variants of the severity of BA, and 91.2% were able to choose the correct scheme of basic therapy of BA depending on the severity. Conclusion: The results obtained during the survey showed a satisfactory level of basic knowledge of physicians’ basic knowledge on the key issues of BA. However, a number of problematic issues were identified, and statistically significant differences in knowledge levels between different centers that conducted the survey were identified. It may indicate the need for the introduction of uniform systematic and expanded programs for BA teaching.