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  • Kritikos, VickyUniv Sydney, Woolcock Inst Med Res, Qual Use Resp Med Grp, Sydney, NSW, Australia;Royal Prince Alfred Hosp, Dept Resp & Sleep Med, Sydney, NSW, Australia (author)

A multinational observational study identifying primary care patients at risk of overestimation of asthma control

  • Article/chapterEnglish2019

Publisher, publication year, extent ...

  • 2019-12-05
  • NATURE PUBLISHING GROUP,2019
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-401183
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-401183URI
  • https://doi.org/10.1038/s41533-019-0156-4DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Price, DavidOptimum Patient Care, Cambridge, England;Southbank, Observat & Pragmat Res Inst, Singapore, Singapore;Univ Aberdeen, Acad Primary Care, Aberdeen, Scotland (author)
  • Papi, AlbertoUniv Ferrara, Resp Med, Ferrara, Italy (author)
  • Infantino, AntonioItalian Interdisciplinary Soc Primary Care, Special Interest Resp Area, Bari, Italy (author)
  • Ställberg, Björn,DocentUppsala universitet,Allmänmedicin och preventivmedicin(Swepub:uu)bjsta623 (author)
  • Ryan, DermotOptimum Patient Care, Cambridge, England;Univ Edinburgh, Usher Inst Populat Hlth Sci & Informat, Allergy & Resp Res Grp, Edinburgh, Midlothian, Scotland (author)
  • Lavorini, FedericoUniv Florence, Dept Expt & Clin Med, Florence, Italy (author)
  • Chrystyn, HenryInhalat Consultancy Ltd, Leeds, W Yorkshire, England (author)
  • Haughney, JohnNHS Greater Glasgow & Clyde R&D, Glasgow, Lanark, Scotland (author)
  • Lisspers, Karin,Docent,1954-Uppsala universitet,Allmänmedicin och preventivmedicin(Swepub:uu)kalis120 (author)
  • Gruffydd-Jones, KevinBox Surg, Box, England (author)
  • Roman Rodriguez, MiguelInst Invest Sanitaria Baleares IdISBa, Primary Care Resp Res Unit, Palma De Mallorca, Spain (author)
  • Henrichsen, Svein HoeghNorwegian Directorate Hlth, Dept Primary Hlth Care Serv, Oslo, Norway (author)
  • van der Molen, ThysUniv Groningen, Univ Med Ctr Groningen, Dept Primary Care, Groningen, Netherlands (author)
  • Carter, VictoriaOptimum Patient Care, Cambridge, England;Southbank, Observat & Pragmat Res Inst, Singapore, Singapore (author)
  • Bosnic-Anticevich, SinthiaUniv 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 (author)
  • Univ Sydney, Woolcock Inst Med Res, Qual Use Resp Med Grp, Sydney, NSW, Australia;Royal Prince Alfred Hosp, Dept Resp & Sleep Med, Sydney, NSW, AustraliaOptimum Patient Care, Cambridge, England;Southbank, Observat & Pragmat Res Inst, Singapore, Singapore;Univ Aberdeen, Acad Primary Care, Aberdeen, Scotland (creator_code:org_t)

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  • In:npj Primary Care Respiratory Medicine: NATURE PUBLISHING GROUP292055-1010

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