Is Bronchiectasis (BE) Properly Investigated in Patients with Severe Asthma? A Real-Life Report from Eight Italian Centers
Introduction: Asthma and bronchiectasis are often partners in a complex but uneven relationship with asthma receiving more attention. The aim of this study is to describe how bronchiectasis is investigated in some Severe Asthma (SA) Centers, scattered throughout the Italian territory. Materials and...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Journal of Respiration |
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| Online Access: | https://www.mdpi.com/2673-527X/3/4/17 |
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| author | Giovanna Elisiana Carpagnano Vitaliano Nicola Quaranta Claudia Crimi Pierachille Santus Francesco Menzella Corrado Pelaia Giulia Scioscia Cristiano Caruso Elena Bargagli Nicola Scichilone Eva Polverino |
| author_facet | Giovanna Elisiana Carpagnano Vitaliano Nicola Quaranta Claudia Crimi Pierachille Santus Francesco Menzella Corrado Pelaia Giulia Scioscia Cristiano Caruso Elena Bargagli Nicola Scichilone Eva Polverino |
| author_sort | Giovanna Elisiana Carpagnano |
| collection | DOAJ |
| description | Introduction: Asthma and bronchiectasis are often partners in a complex but uneven relationship with asthma receiving more attention. The aim of this study is to describe how bronchiectasis is investigated in some Severe Asthma (SA) Centers, scattered throughout the Italian territory. Materials and Methods: We enrolled 92 patients with SA and bronchiectasis from eight Italian SA Centers and recorded diagnostic approaches to investigate SA and bronchiectasis at the time of enrollment (T0), at the 6-month (T1), and at the 12-month (T2) follow-up visits. Results: A statistically significant heterogeneous diagnostic approach emerged across the centers under study. In fact, while, as expected, all involved centers made an in-depth investigation of SA, only a few of them provided a complete investigation of bronchiectasis in order to provide specific treatment. Discussion: This real-life multicenter study confirmed that patients with coexistent SA and bronchiectasis are mainly investigated for pheno-endotyping asthma but rarely for the complete assessment of bronchiectasis. We believe that the diagnostic flowchart of SA patients with suspicion or confirmed bronchiectasis needs to be clarified and implemented as the association of these conditions strongly influences the final outcome and management of these patients. |
| first_indexed | 2024-03-08T20:37:18Z |
| format | Article |
| id | doaj.art-ea26be7b6ccf4f05aa486da1a068bd4d |
| institution | Directory Open Access Journal |
| issn | 2673-527X |
| language | English |
| last_indexed | 2024-03-08T20:37:18Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Respiration |
| spelling | doaj.art-ea26be7b6ccf4f05aa486da1a068bd4d2023-12-22T14:19:32ZengMDPI AGJournal of Respiration2673-527X2023-10-013417819010.3390/jor3040017Is Bronchiectasis (BE) Properly Investigated in Patients with Severe Asthma? A Real-Life Report from Eight Italian CentersGiovanna Elisiana Carpagnano0Vitaliano Nicola Quaranta1Claudia Crimi2Pierachille Santus3Francesco Menzella4Corrado Pelaia5Giulia Scioscia6Cristiano Caruso7Elena Bargagli8Nicola Scichilone9Eva Polverino10Department of Basic Medical Sciences, Neuroscience and Sense Organs, Section of Respiratory Disease, University “Aldo Moro” of Bari, 70124 Bari, ItalyDepartment of Basic Medical Sciences, Neuroscience and Sense Organs, Section of Respiratory Disease, University “Aldo Moro” of Bari, 70124 Bari, ItalyDepartment of Internal Medicine and Specialistic Medicine, Section of Respiratory Diseases, University of Catania, 95100 Catania, ItalyDepartment of Clinical and Biomedical Sciences, Università degli Studi di Milano, Division of Respiratory Diseases, “L. Sacco” University Hospital, ASST Fatebenefratelli-Sacco, 20019 Milan, ItalyPulmonology Unit, S. Valentino Hospital, Montebelluna (TV), AULSS 2 Marca Trevigiana, 31044 Montebelluna, ItalyDepartment of Health Sciences, Section of Respiratory Disease, University ‘‘Magna Græcia’’ of Catanzaro, 31044 Catanzaro, ItalyDepartment of Medical and Surgical Sciences, University of Foggia, University Hospital Policlinico Riuniti of Foggia, 71100 Foggia, ItalyUOSD DH Internal Medicine and Digestive Diseases, Policlinico Gemelli Foundation IRCCS, 00100 Rome, ItalyRespiratory Diseases Unit, Department of Medical, Surgical Sciences and Neurosciences, University of Siena, 53100 Siena, ItalyPROMISE Department, University of Palermo, 90100 Palermo, ItalyDepartment of Basic Medical Sciences, Neuroscience and Sense Organs, Section of Respiratory Disease, University “Aldo Moro” of Bari, 70124 Bari, ItalyIntroduction: Asthma and bronchiectasis are often partners in a complex but uneven relationship with asthma receiving more attention. The aim of this study is to describe how bronchiectasis is investigated in some Severe Asthma (SA) Centers, scattered throughout the Italian territory. Materials and Methods: We enrolled 92 patients with SA and bronchiectasis from eight Italian SA Centers and recorded diagnostic approaches to investigate SA and bronchiectasis at the time of enrollment (T0), at the 6-month (T1), and at the 12-month (T2) follow-up visits. Results: A statistically significant heterogeneous diagnostic approach emerged across the centers under study. In fact, while, as expected, all involved centers made an in-depth investigation of SA, only a few of them provided a complete investigation of bronchiectasis in order to provide specific treatment. Discussion: This real-life multicenter study confirmed that patients with coexistent SA and bronchiectasis are mainly investigated for pheno-endotyping asthma but rarely for the complete assessment of bronchiectasis. We believe that the diagnostic flowchart of SA patients with suspicion or confirmed bronchiectasis needs to be clarified and implemented as the association of these conditions strongly influences the final outcome and management of these patients.https://www.mdpi.com/2673-527X/3/4/17asthmabronchiectasissevere asthma |
| spellingShingle | Giovanna Elisiana Carpagnano Vitaliano Nicola Quaranta Claudia Crimi Pierachille Santus Francesco Menzella Corrado Pelaia Giulia Scioscia Cristiano Caruso Elena Bargagli Nicola Scichilone Eva Polverino Is Bronchiectasis (BE) Properly Investigated in Patients with Severe Asthma? A Real-Life Report from Eight Italian Centers Journal of Respiration asthma bronchiectasis severe asthma |
| title | Is Bronchiectasis (BE) Properly Investigated in Patients with Severe Asthma? A Real-Life Report from Eight Italian Centers |
| title_full | Is Bronchiectasis (BE) Properly Investigated in Patients with Severe Asthma? A Real-Life Report from Eight Italian Centers |
| title_fullStr | Is Bronchiectasis (BE) Properly Investigated in Patients with Severe Asthma? A Real-Life Report from Eight Italian Centers |
| title_full_unstemmed | Is Bronchiectasis (BE) Properly Investigated in Patients with Severe Asthma? A Real-Life Report from Eight Italian Centers |
| title_short | Is Bronchiectasis (BE) Properly Investigated in Patients with Severe Asthma? A Real-Life Report from Eight Italian Centers |
| title_sort | is bronchiectasis be properly investigated in patients with severe asthma a real life report from eight italian centers |
| topic | asthma bronchiectasis severe asthma |
| url | https://www.mdpi.com/2673-527X/3/4/17 |
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