{"id":"https://openalex.org/W7224404366","doi":"https://doi.org/10.1183/13993003.congress-2026.pa5743","title":"Perceptions on SABA Overuse, MART Uptake and Environmental Beliefs in Asthma Management: Results of a Cross-sectional Survey Among Clinicians in India","display_name":"Perceptions on SABA Overuse, MART Uptake and Environmental Beliefs in Asthma Management: Results of a Cross-sectional Survey Among Clinicians in India","publication_year":2026,"publication_date":"2026-09-05","ids":{"openalex":"https://openalex.org/W7224404366","doi":"https://doi.org/10.1183/13993003.congress-2026.pa5743"},"language":"en","primary_location":{"id":"doi:10.1183/13993003.congress-2026.pa5743","doi":"https://doi.org/10.1183/13993003.congress-2026.pa5743","is_oa":false,"landing_page_url":"https://doi.org/10.1183/13993003.congress-2026.pa5743","pdf_url":null,"source":{"id":"https://openalex.org/S4210207896","display_name":"European Respiratory Journal","issn_l":"0903-1936","issn":["0903-1936","1399-3003"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310317833","host_organization_name":"European Respiratory Society","host_organization_lineage":["https://openalex.org/P4310317833"],"host_organization_lineage_names":["European Respiratory Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical problems","raw_type":"proceedings-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110561278","display_name":"Avya Bansal","orcid":"https://orcid.org/0000-0002-0579-1863","observed_orcids":["https://orcid.org/0000-0002-0579-1863"]},"institutions":[{"id":"https://openalex.org/I4210135821","display_name":"Bombay Hospital","ror":"https://ror.org/03xmsh521","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210135821"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Avya Bansal","raw_affiliation_strings":["1Department of Pulmonary Medicine, Bombay Hospital & Medical Research Centre, Mumbai, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Department of Pulmonary Medicine, Bombay Hospital & Medical Research Centre, Mumbai, India","institution_ids":["https://openalex.org/I4210135821"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073102440","display_name":"Bipan Chander Sarin","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bipan Chander Sarin","raw_affiliation_strings":["2Department of Pulmonary Medicine, Sri Guru Ram Das Institute of Medical Sciences & Research, Amritsar, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2Department of Pulmonary Medicine, Sri Guru Ram Das Institute of Medical Sciences & Research, Amritsar, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101895695","display_name":"Rajiv Ranjan","orcid":"https://orcid.org/0000-0002-2105-9728","observed_orcids":["https://orcid.org/0000-0002-2105-9728"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rajiv Ranjan","raw_affiliation_strings":["3Department of Pulmonology, Chest Clinic, Chapra, Bihar, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"3Department of Pulmonology, Chest Clinic, Chapra, Bihar, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160094752","display_name":"P Vivek","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"P Vivek","raw_affiliation_strings":["4Department of Pulmonary Medicine, PRS Hospital, Trivandrum, Kerala, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"4Department of Pulmonary Medicine, PRS Hospital, Trivandrum, Kerala, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010473552","display_name":"Bharat Toshniwal","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bharat Toshniwal","raw_affiliation_strings":["5Pulmonologist, Toshniwal Chest Hospital, Nanded, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"5Pulmonologist, Toshniwal Chest Hospital, Nanded, Maharashtra, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5140126970","display_name":"Swapna Nair","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210150536","display_name":"Alkem (India)","ror":"https://ror.org/04kwy9224","country_code":"IN","type":"company","lineage":["https://openalex.org/I4210150536"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Swapna Nair","raw_affiliation_strings":["6Pulmocare, Alkem Laboratories Ltd., Mumbai, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"6Pulmocare, Alkem Laboratories Ltd., Mumbai, India","institution_ids":["https://openalex.org/I4210150536"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"PA5743","last_page":"PA5743"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.004100000020116568,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/asthma","display_name":"asthma","score":0.6380000114440918},{"id":"https://openalex.org/keywords/short-acting-beta-agonists","display_name":"short-acting beta2-agonists","score":0.9240000247955322},{"id":"https://openalex.org/keywords/maintenance-and-reliever-therapy","display_name":"maintenance and reliever therapy","score":0.9409999847412109},{"id":"https://openalex.org/keywords/asthma-treatment-patterns","display_name":"asthma treatment patterns","score":0.6840000152587891},{"id":"https://openalex.org/keywords/clinician-beliefs","display_name":"clinician beliefs","score":0.8339999914169312},{"id":"https://openalex.org/keywords/asthma-control","display_name":"asthma control","score":0.6600000262260437},{"id":"https://openalex.org/keywords/asthma-exacerbations","display_name":"asthma exacerbations","score":0.8870000243186951},{"id":"https://openalex.org/keywords/asthma-mortality","display_name":"asthma mortality","score":0.6000000238418579},{"id":"https://openalex.org/keywords/carbon-footprint","display_name":"carbon footprint","score":0.8700000047683716},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.5490000247955322},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.6290000081062317},{"id":"https://openalex.org/keywords/india","display_name":"India","score":0.6029999852180481}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8267999887466431},{"id":"https://openalex.org/C2776042228","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma","level":2,"score":0.7330999970436096},{"id":"https://openalex.org/C2908861384","wikidata":"https://www.wikidata.org/wiki/Q203337","display_name":"Pulmonologists","level":2,"score":0.6126999855041504},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5619999766349792},{"id":"https://openalex.org/C2777014857","wikidata":"https://www.wikidata.org/wiki/Q1383410","display_name":"Exacerbation","level":2,"score":0.5558000206947327},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5449000000953674},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.5253000259399414},{"id":"https://openalex.org/C2909082789","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma exacerbations","level":3,"score":0.4828999936580658},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.43160000443458557},{"id":"https://openalex.org/C3018080372","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma management","level":3,"score":0.3630000054836273},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.3472999930381775},{"id":"https://openalex.org/C2781413609","wikidata":"https://www.wikidata.org/wiki/Q7308373","display_name":"Regimen","level":2,"score":0.30480000376701355},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28290000557899475},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.2712000012397766},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.26159998774528503}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1183/13993003.congress-2026.pa5743","doi":"https://doi.org/10.1183/13993003.congress-2026.pa5743","is_oa":false,"landing_page_url":"https://doi.org/10.1183/13993003.congress-2026.pa5743","pdf_url":null,"source":{"id":"https://openalex.org/S4210207896","display_name":"European Respiratory Journal","issn_l":"0903-1936","issn":["0903-1936","1399-3003"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310317833","host_organization_name":"European Respiratory Society","host_organization_lineage":["https://openalex.org/P4310317833"],"host_organization_lineage_names":["European Respiratory Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical problems","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4388191100","https://openalex.org/W6939667679","https://openalex.org/W4353070797","https://openalex.org/W4399992413","https://openalex.org/W7167454875","https://openalex.org/W4416669809","https://openalex.org/W3096378579","https://openalex.org/W4416637582","https://openalex.org/W4310701006","https://openalex.org/W4304166205"],"abstract_inverted_index":{"Background:":[0],"Short-acting":[1],"beta2-agonist(SABA)":[2],"overuse":[3,88,146,195],"signals":[4],"poor":[5],"asthma":[6,29,51,66],"control,":[7],"preventable":[8],"exacerbations":[9],"and":[10,40,106,136,153,162,212],"higher":[11],"carbon":[12,189],"emissions,":[13],"yet":[14],"reasons":[15],"for":[16,207],"its":[17],"continued":[18],"use":[19,118],"in":[20,74,99,181],"India":[21],"remains":[22],"poorly":[23],"understood.":[24],"Objectives:":[25],"To":[26],"map":[27],"current":[28],"treatment":[30],"patterns,":[31],"evaluate":[32],"clinician":[33],"beliefs,":[34],"identify":[35],"practical":[36],"barriers":[37,156],"to":[38,122,142,150,157],"Maintenance":[39],"Reliever":[41],"Therapy(MART)":[42],"implementation.":[43],"Methods:":[44],"Cross-sectional":[45],"digital":[46],"survey":[47],"among":[48,90],"clinicians":[49],"managing":[50],"across":[52],"India.":[53],"Results:":[54],"Among":[55],"207":[56],"clinicians(72.9%":[57],"pulmonologists,22.7%":[58],"consulting":[59],"physicians,":[60],"4.4%":[61],"internists),":[62],"most(86.0%)":[63],"managed":[64],"~100":[65],"patients/month.":[67],"Despite":[68],"strong":[69],"MART":[70,73,109,125,158,171,198],"uptake(69.6%":[71],"using":[72],">30%patients),":[75],"SABA":[76,87,117,145,174,186,194],"monotherapy":[77],"remained":[78],"common,":[79],"with":[80],"30.9%prescribing":[81],"it":[82],"to>30%":[83],"of":[84],"patients.":[85],"Perceived":[86],"(>3canisters/year)":[89],"their":[91],"patients":[92,102],"was":[93,147],"high(43.5%).":[94],"Clinicians":[95],"estimated":[96],"\u201cgood":[97],"control\u201d":[98],"only":[100],"41\u201360%of":[101],"on":[103],"either":[104],"regimen":[105],"40.9%":[107],"perceived":[108],"provided":[110],"better":[111,132],"control":[112,215],"than":[113,191],"SABA,":[114],"suggesting":[115],"entrenched":[116],"is":[119],"not":[120],"due":[121],"doubts":[123],"about":[124],"effectiveness.":[126],"Subgroup":[127],"analysis":[128],"showed":[129],"pulmonologists":[130],"had":[131],"guideline":[133],"alignment":[134],"(78.8%vs50.0%)":[135],"lower":[137,188],"SABA-monotherapy":[138],"use(25.8%vs44.6%)":[139],"as":[140],"compared":[141],"other":[143],"specialties.":[144],"strongly":[148],"linked":[149],"exacerbation":[151],"risk(52.7%)":[152],"mortality(39.6%).":[154],"Key":[155],"were":[159],"patient":[160,168],"resistance(47.3%)":[161],"cost(44.4%),":[163],"while":[164],"preferred":[165],"solutions":[166],"included":[167],"education(55.6%),":[169],"wider":[170],"adoption(44.9%),":[172],"OTC":[173,214],"restriction(35.7%).":[175],"Although":[176],"62.8%":[177],"considered":[178],"environmental":[179],"impact":[180],"prescribing,":[182],"misconceptions":[183],"persisted(21.3%":[184],"believed":[185],"has":[187],"footprint":[190],"MART).":[192],"Conclusion:":[193],"continues":[196],"despite":[197],"adoption,":[199],"driven":[200],"by":[201],"modifiable":[202],"barriers,":[203],"underscoring":[204],"the":[205],"need":[206],"tailored":[208],"pathways,":[209],"educational":[210],"interventions":[211],"improved":[213]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-30T00:00:00"}