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A multinational obs...
A multinational observational study identifying primary care patients at risk of overestimation of asthma control
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- Kritikos, Vicky (författare)
- Univ Sydney, Woolcock Inst Med Res, Qual Use Resp Med Grp, Sydney, NSW, Australia;Royal Prince Alfred Hosp, Dept Resp & Sleep Med, Sydney, NSW, Australia
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- Price, David (författare)
- Optimum Patient Care, Cambridge, England;Southbank, Observat & Pragmat Res Inst, Singapore, Singapore;Univ Aberdeen, Acad Primary Care, Aberdeen, Scotland
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- Papi, Alberto (författare)
- Univ Ferrara, Resp Med, Ferrara, Italy
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- Infantino, Antonio (författare)
- Italian Interdisciplinary Soc Primary Care, Special Interest Resp Area, Bari, Italy
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- Ställberg, Björn, Docent (författare)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- Ryan, Dermot (författare)
- Optimum Patient Care, Cambridge, England;Univ Edinburgh, Usher Inst Populat Hlth Sci & Informat, Allergy & Resp Res Grp, Edinburgh, Midlothian, Scotland
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- Lavorini, Federico (författare)
- Univ Florence, Dept Expt & Clin Med, Florence, Italy
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- Chrystyn, Henry (författare)
- Inhalat Consultancy Ltd, Leeds, W Yorkshire, England
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- Haughney, John (författare)
- NHS Greater Glasgow & Clyde R&D, Glasgow, Lanark, Scotland
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- Lisspers, Karin, Docent, 1954- (författare)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- Gruffydd-Jones, Kevin (författare)
- Box Surg, Box, England
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- Roman Rodriguez, Miguel (författare)
- Inst Invest Sanitaria Baleares IdISBa, Primary Care Resp Res Unit, Palma De Mallorca, Spain
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- Henrichsen, Svein Hoegh (författare)
- Norwegian Directorate Hlth, Dept Primary Hlth Care Serv, Oslo, Norway
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- van der Molen, Thys (författare)
- Univ Groningen, Univ Med Ctr Groningen, Dept Primary Care, Groningen, Netherlands
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- Carter, Victoria (författare)
- Optimum Patient Care, Cambridge, England;Southbank, Observat & Pragmat Res Inst, Singapore, Singapore
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- Bosnic-Anticevich, Sinthia (författare)
- Univ Sydney, Woolcock Inst Med Res, Qual Use Resp Med Grp, Sydney, NSW, Australia;Univ Sydney, Fac Med & Hlth, Sydney Med Sch, Sydney, NSW, Australia;Cent Sydney Local Area Hlth Dist, Sydney, NSW, Australia
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(creator_code:org_t)
- 2019-12-05
- 2019
- Engelska.
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Ingår i: npj Primary Care Respiratory Medicine. - : NATURE PUBLISHING GROUP. - 2055-1010. ; 29
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://www.nature.c...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Factors related to the discrepancy between patient-perceived and actual disease control remain unclear. Identifying patients at risk of overestimation of asthma control remains elusive. This study aimed to (i) investigate the relationship between patient-reported and actual level of asthma control (ii), compare the characteristics between patients who believe their asthma is well controlled that accurately report 'well-controlled' asthma with those that do not, and (iii) identify factors associated with inaccurately reported 'well-controlled' asthma. A historical, multinational, cross-sectional study using data from the iHARP (initiative Helping Asthma in Real-life Patients) review service for adults with asthma prescribed fixed-dose combination therapy. Data from 4274 patients were analysed. A major discrepancy between patient-reported and Global Initiative for Asthma defined asthma control was detected; 71.1% of patients who reported 'well-controlled' asthma were inaccurate in their perception despite receiving regular maintenance therapy. Significant differences were noted in age, gender, body mass index, education level, medication use, side effects, attitudes to preventer inhaler use, inhaler technique review and respiratory specialist review between patients who accurately reported 'wellcontrolled' asthma and those who did not. Independent risk factors associated with inaccurately reported 'well-controlled' asthma were: having taken a maximum of 5-12 puffs or more of reliever inhaler on at least one day within the previous 4 weeks; being female; having seen a respiratory specialist more than a year ago (rather than in the previous year); and having required oral corticosteroids for worsening asthma in the previous year. The study highlighted the significant hidden burden associated with under-recognition of poor asthma control, on the part of the patient and the need for targeted interventions designed to address the continuing discrepancy between perceived and actual disease control.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Kritikos, Vicky
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Price, David
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Papi, Alberto
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Infantino, Anton ...
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Ställberg, Björn ...
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Ryan, Dermot
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Lavorini, Federi ...
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Chrystyn, Henry
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Haughney, John
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Lisspers, Karin, ...
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Gruffydd-Jones, ...
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Roman Rodriguez, ...
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Henrichsen, Svei ...
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van der Molen, T ...
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Carter, Victoria
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Bosnic-Anticevic ...
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