title: [External assessment of the GEMA2009 recommendations by a multidisciplinary expert panel on asthma].
abstract: OBJECTIVE
  To assess the level of agreement on the GEMA 2009 clinical recommendations by a Spanish expert panel on asthma.
  
  
  METHODS
  The study was divided into four stages: 1) establishment of a 9 member scientific committee (GEMA authors) for selection of GEMA recommendations to use in the survey; 2) formation of a panel of 74 professionals with expertise in this field (pulmonologists, allergists, family doctors, ear, nose and throat and paediatric specialists); 3) Delphi survey in two rounds, sent by mail, with intermediate processing of opinions and a report to the panel members; and 4) analysis and discussion of results for the Scientific Committee.
  
  
  RESULTS
  Seventy four participants completed the two rounds of survey. During the first round, a consensus was reached in 49 out of 56 questions analysed. Following discussion by the panel, the consensus was increased to a total of 53 items in the survey. With respect to the remaining questions, Insufficient consensus was obtained on the rest of the questions, due to differing views between sub-specialists, or lack of criteria by most of the experts.
  
  
  CONCLUSIONS
  The external analysis by asthma experts from different specialities showed a high level of professional agreement with the GEMA 2009 recommendations in Spain (96.5%). The disagreement shown in three recommendations reflect the lack of a high level evidence. These issues represent areas of interest for future research.
authors.affiliation: Unidad de Formación e Investigación, Area 6 Servicio Madrileño Salud, Madrid, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Caballero Martínez
authors.forename: Vicente
authors.initials: V
authors.lastname: Plaza
authors.forename: Santiago
authors.initials: S
authors.lastname: Quirce Gancedo
authors.forename: Margarita
authors.initials: M
authors.lastname: Fernández Benítez
authors.forename: Fernando
authors.initials: F
authors.lastname: Gómez Ruiz
authors.forename: Antolín
authors.initials: A
authors.lastname: López Viña
authors.forename: Jesús
authors.initials: J
authors.lastname: Molina París
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Quintano Jiménez
authors.forename: Ramona
authors.initials: R
authors.lastname: Soler Vilarrasa
authors.forename: José Ramón
authors.initials: JR
authors.lastname: Villa Asensi
authors.forename: Santiago
authors.initials: S
authors.lastname: Balmes Estrada
mesh_terms: D001249:Asthma / Q000175:diagnosis* / Q000628:therapy*; D002648:Child; D003697:Delphi Technique; D006801:Humans; D017410:Practice Guidelines as Topic