RT Journal Article SR Electronic T1 The effect of the COVID-19 pandemic on severe asthma care in Europe: will care change for good? JF ERJ Open Research JO erjor FD European Respiratory Society SP 00065-2022 DO 10.1183/23120541.00065-2022 VO 8 IS 2 A1 Eger, Katrien A1 Paroczai, Dora A1 Bacon, Alison A1 Schleich, Florence A1 Sergejeva, Svetlana A1 Bourdin, Arnaud A1 Vachier, Isabelle A1 Zervas, Eleftherios A1 Katsoulis, Konstantinos A1 Papapetrou, Dimosthenis A1 Kostikas, Konstantinos A1 Csoma, Zsuzsanna A1 Heffler, Enrico A1 Canonica, Giorgio Walter A1 Grisle, Ineta A1 Bieksiene, Kristina A1 Palacionyte, Jolita A1 ten Brinke, Anneke A1 Hashimoto, Simone A1 Smeenk, Frank W.J.M. A1 Braunstahl, Gert-Jan A1 van der Sar, Simone A1 Mihălţan, Florin A1 Nenasheva, Natalia A1 Peredelskaya, Marina A1 Zvezdin, Biljana A1 Čekerevac, Ivan A1 Hromiš, Sanja A1 Ćupurdija, Vojislav A1 Lazic, Zorica A1 Milenkovic, Branislava A1 Dimic-Janjic, Sanja A1 Yasinska, Valentyna A1 Dahlén, Barbro A1 Bossios, Apostolos A1 Lazarinis, Nikolaos A1 Aronsson, David A1 Egesten, Arne A1 Munir, Abul Kashem Mohammad A1 Ahlbeck, Lars A1 Janson, Christer A1 Škrgat, Sabina A1 Edelbaher, Natalija A1 Leuppi, Joerg A1 Jaun, Fabienne A1 Rüdiger, Jochen A1 Pavlov, Nikolay A1 Gianella, Pietro A1 Fischer, Reta A1 Charbonnier, Florian A1 Chaudhuri, Rekha A1 Smith, Steven James A1 Doe, Simon A1 Fawdon, Michelle A1 Masoli, Matthew A1 Heaney, Liam A1 Haitchi, Hans Michael A1 Kurukulaaratchy, Ramesh A1 Fulton, Olivia A1 Frankemölle, Betty A1 Gibson, Toni A1 Needham, Karen A1 Howarth, Peter A1 Djukanovic, Ratko A1 Bel, Elisabeth A1 Hyland, Michael YR 2022 UL http://openres.ersjournals.com/content/8/2/00065-2022.abstract AB Background The coronavirus disease 2019 (COVID-19) pandemic has put pressure on healthcare services, forcing the reorganisation of traditional care pathways. We investigated how physicians taking care of severe asthma patients in Europe reorganised care, and how these changes affected patient satisfaction, asthma control and future care.Methods In this European-wide cross-sectional study, patient surveys were sent to patients with a physician-diagnosis of severe asthma, and physician surveys to severe asthma specialists between November 2020 and May 2021.Results 1101 patients and 268 physicians from 16 European countries contributed to the study. Common physician-reported changes in severe asthma care included use of video/phone consultations (46%), reduced availability of physicians (43%) and change to home-administered biologics (38%). Change to phone/video consultations was reported in 45% of patients, of whom 79% were satisfied or very satisfied with this change. Of 709 patients on biologics, 24% experienced changes in biologic care, of whom 92% were changed to home-administered biologics and of these 62% were satisfied or very satisfied with this change. Only 2% reported worsening asthma symptoms associated with changes in biologic care. Many physicians expect continued implementation of video/phone consultations (41%) and home administration of biologics (52%).Conclusions Change to video/phone consultations and home administration of biologics was common in severe asthma care during the COVID-19 pandemic and was associated with high satisfaction levels in most but not all cases. Many physicians expect these changes to continue in future severe asthma care, though satisfaction levels may change after the pandemic.Changes in severe asthma care caused by the #COVID19 pandemic include the transition to video/phone consultations and home administration of biologics. Patients are satisfied with the changes and show no evidence of poor asthma control. https://bit.ly/3MV6ywy