TY - JOUR T1 - Spanish multidisciplinary consensus on the characteristics of severe asthma patients on biologic treatment who are candidates for at-home administration JO - Revista Clínica Española (English Edition) T2 - AU - Cisneros-Serrano,C. AU - Rial,M.J. AU - Gómez-Bastero-Fernández,A. AU - Igea,J.M. AU - Martínez-Meca,A. AU - Fernández-Lisón,L.C. AU - López-Carrasco,V. AU - Villamañán-Bueno,E. AU - Plá-Martí,M.J. AU - Chiner,E. SN - 22548874 M3 - 10.1016/j.rceng.2022.11.001 DO - 10.1016/j.rceng.2022.11.001 UR - https://revclinesp.es/en-spanish-multidisciplinary-consensus-on-characteristics-articulo-S2254887422001035 AB - Background and objectiveBiologic therapies are known to reduce exacerbations and improve severe uncontrolled asthma management. The at-home administration of biologics has increased during the COVID-19 pandemic, but the characteristics of severe uncontrolled asthma patients who may benefit from at-home administration of biologic therapy have yet to be identified. Materials and methodsThis project is based on the Delphi method, designed to reach an expert consensus through a multidisciplinary scientific committee addressing the following questions: clinical characteristics, treatment adherence, patient or caregiver administration ability, patient self-care, relationship with the healthcare professional, patient preference, and access to the hospital. ResultsOne hundred and thirty-one healthcare professionals (pulmonologists, allergists, nurses, and hospital pharmacists) completed two Delphi consensus questionnaires. Fourteen items were identified as priority characteristics, the first five being: 1. The patient follows the healthcare team’s indications/recommendations to control their disease, 2. The patient is capable of detecting any deterioration in their disease and of identifying exacerbation triggers, 3. The patient receives biologic therapy and has stable disease with no vital risk, 4. The patient takes responsibility for their self-care, 5. The patient has occupational/educational obligations that prevent them from going to the hospital regularly. ConclusionDisease stability and control plus the ability to identify exacerbation triggers are the most important characteristics when opting for at-home administration for a patient with severe uncontrolled asthma on biologic therapy. These recommendations could be applicable in clinical practice. ER -