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Implementation of a Joint Pulmonologist and ENT Consultation in the Care Pathway of Patients Suffering From Asthma and Chronic Rhinosinusitis With Nasal Polyposis: Effectiveness Compared With Consultations by Specialty (CON-PO Study).

RecruitingNAAges 18 Years - anyAllAssistance Publique Hopitaux De Marseille
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In plain words

What the trial is, and whether it could suit you

Asthma affects the lower respiratory tract (bronchi), whereas chronic rhinosinusitis with nasal polyposis (CRSwNP) involves the upper airways. Despite this anatomical distinction, the upper and lower airways form a continuous respiratory tract and share common pathophysiological mechanisms. Consequently, asthma and CRSwNP frequently coexist, and several therapeutic strategies are effective for both conditions. Given these overlaps, we hypothesize that a multidisciplinary consultation involving both a pulmonologist and an ENT specialist could be more effective than separate consultations for patient care. We also believe that this innovative organization that would benefit the healthcare system. To test this hypothesis, we are conducting a study whose primary objective is to assess whether joint consultations lead to a reduction in oral corticosteroid need over the year following the in

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Male or female, 18 years of age or older; * With a diagnosis of asthma; * With a diagnosis of chronic rhinosinusitis with nasal polyposis; * Whose asthma and/or chronic rhinosinusitis is/are not controlled according to SNOT-22 and ACQ-6 scores; * Having used systemic corticosteroids in the previous year to treat symptoms related to one of these conditions at least; Exclusion Criteria: * Patient in a period of exclusion from another research protocol at the time of consent signature; * Subjects covered by articles L1121-5 to 1121-8 of the French Public Health Code (adult patients under guardianship or curatorship, patients deprived of their liberty, pregnant or breast-feeding women); * Patients who do not read and/or understand French
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What it tests

  • Joint consultation
  • Mucus sampling
  • Nasal brushing
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Where

1 site
AP-HM
Marseille, France
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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