Use of mucoactive agents in cystic fibrosis: A consensus survey of Italian specialists

Abstract Background The goal of mucoactive therapies in cystic fibrosis (CF) is to enhance sputum clearance and to reduce a progressive decline in lung function over the patient's lifetime. We aimed to investigate the level of consensus among specialists from Italian CF Centers on appropriatene...

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Main Authors: Sonia Volpi, Vincenzo Carnovale, Carla Colombo, Valeria Raia, Francesco Blasi, Giovanni Pappagallo, PULMOCARE TEAM
Format: Article
Language:English
Published: Wiley 2022-07-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.604
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author Sonia Volpi
Vincenzo Carnovale
Carla Colombo
Valeria Raia
Francesco Blasi
Giovanni Pappagallo
PULMOCARE TEAM
author_facet Sonia Volpi
Vincenzo Carnovale
Carla Colombo
Valeria Raia
Francesco Blasi
Giovanni Pappagallo
PULMOCARE TEAM
author_sort Sonia Volpi
collection DOAJ
description Abstract Background The goal of mucoactive therapies in cystic fibrosis (CF) is to enhance sputum clearance and to reduce a progressive decline in lung function over the patient's lifetime. We aimed to investigate the level of consensus among specialists from Italian CF Centers on appropriateness of therapeutic use of dornase alfa (rhDNase) for CF patients. Method A consensus on appropriate prescribing in CF mucoactive agents was appraised by an online Delphi method, based on a panel of 27 pulmonologists, coordinated by a Scientific Committee of six experts in medical care of patients with CF. Results Full or very high consensus was reached on several issues related to therapeutic use of dornase alfa for CF patients in clinical practice. Conclusions The consensus reached on a number of topics regarding use of mucoactive agents in patients with CF can help guide clinicians in daily practice based on expert experience and define the most appropriate therapeutic strategy for the individual patient.
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spelling doaj.art-a0efc3f6584d44ef94a25cf714e2611b2022-12-22T02:34:55ZengWileyHealth Science Reports2398-88352022-07-0154n/an/a10.1002/hsr2.604Use of mucoactive agents in cystic fibrosis: A consensus survey of Italian specialistsSonia Volpi0Vincenzo Carnovale1Carla Colombo2Valeria Raia3Francesco Blasi4Giovanni Pappagallo5PULMOCARE TEAMCystic Fibrosis Center Azienda Ospedialiera Universitaria Integrata Verona ItalyFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Cystic Fibrosis Center Milan ItalyDepartment of Translational Medical Science, Cystic Fibrosis Centre, Adult Unit University “Federico II” Naples ItalySection of Pediatrics, Department of Translational Medical Sciences “University Federico II” Naples ItalyDepartment of Internal Medicine Respiratory Unit and Adult Cystic Fibrosis Center Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano Milan ItalyPrivate Epidemiologist Silea ItalyAbstract Background The goal of mucoactive therapies in cystic fibrosis (CF) is to enhance sputum clearance and to reduce a progressive decline in lung function over the patient's lifetime. We aimed to investigate the level of consensus among specialists from Italian CF Centers on appropriateness of therapeutic use of dornase alfa (rhDNase) for CF patients. Method A consensus on appropriate prescribing in CF mucoactive agents was appraised by an online Delphi method, based on a panel of 27 pulmonologists, coordinated by a Scientific Committee of six experts in medical care of patients with CF. Results Full or very high consensus was reached on several issues related to therapeutic use of dornase alfa for CF patients in clinical practice. Conclusions The consensus reached on a number of topics regarding use of mucoactive agents in patients with CF can help guide clinicians in daily practice based on expert experience and define the most appropriate therapeutic strategy for the individual patient.https://doi.org/10.1002/hsr2.604cystic fibrosisDelphi methoddornase alfamucoactive agents
spellingShingle Sonia Volpi
Vincenzo Carnovale
Carla Colombo
Valeria Raia
Francesco Blasi
Giovanni Pappagallo
PULMOCARE TEAM
Use of mucoactive agents in cystic fibrosis: A consensus survey of Italian specialists
Health Science Reports
cystic fibrosis
Delphi method
dornase alfa
mucoactive agents
title Use of mucoactive agents in cystic fibrosis: A consensus survey of Italian specialists
title_full Use of mucoactive agents in cystic fibrosis: A consensus survey of Italian specialists
title_fullStr Use of mucoactive agents in cystic fibrosis: A consensus survey of Italian specialists
title_full_unstemmed Use of mucoactive agents in cystic fibrosis: A consensus survey of Italian specialists
title_short Use of mucoactive agents in cystic fibrosis: A consensus survey of Italian specialists
title_sort use of mucoactive agents in cystic fibrosis a consensus survey of italian specialists
topic cystic fibrosis
Delphi method
dornase alfa
mucoactive agents
url https://doi.org/10.1002/hsr2.604
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