Prevalence and management of severe asthma in the Nordic countries: findings from the NORDSTAR cohort

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Prevalence and management of severe asthma in the Nordic countries: findings from the NORDSTAR cohort

Hansen, S. (författare): Respiratory Research Unit, Department of Respiratory Medicine and Infectious Diseases, Bispebjerg Hospital, Copenhagen, Denmark; Centre for Clinical Research and Prevention, Frederiksberg Hospital, Copenhagen, Denmark,Bispebjerg Hosp, Dept Resp Med & Infect Dis, Resp Res Unit, Copenhagen, Denmark.;Frederiksberg Univ Hosp, Ctr Clin Res & Prevent, Copenhagen, Denmark.

von Bulow, A. (författare): Respiratory Research Unit, Department of Respiratory Medicine and Infectious Diseases, Bispebjerg Hospital, Copenhagen, Denmark,Department of Pulmonology, University of Tartu, Tartu, Estonia; Lung Clinic, Tartu University Hospital, Tartu, Estonia,Bispebjerg Hosp, Dept Resp Med & Infect Dis, Resp Res Unit, Copenhagen, Denmark.,Univ Tartu, Dept Pulmonol, Tartu, Estonia.;Tartu Univ Hosp, Lung Clin, Tartu, Estonia.

Sandin, P. (författare): Quantify Research, Stockholm, Sweden,Quantify Res, Stockholm, Sweden.

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Ernstsson, O. (författare): Karolinska Institutet

Janson, Christer (författare): Uppsala universitet,Lung- allergi- och sömnforskning

Lehtimaki, L. (författare): Allergy Centre, Tampere University Hospital, Tampere, Finland; Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland,Tampere Univ Hosp, Allergy Ctr, Tampere, Finland.;Tampere Univ, Fac Med & Hlth Technol, Tampere, Finland.

Kankaanranta, Hannu, 1967 (författare): Gothenburg University,Göteborgs universitet,Krefting Research Centre,Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland,Tampere Univ, Fac Med & Hlth Technol, Tampere, Finland.;Univ Gothenburg, Sahlgrenska Acad, Inst Med, Krefting Res Ctr,Dept Internal Med & Clin Nutr, Gothenburg, Sweden.;Seinajoki Cent Hosp, Dept Resp Med, Seinajoki, Finland.

Ulrik, C. (författare): Respiratory Research Unit, Department of Respiratory Medicine, Copenhagen University Hospital – Hvidovre, Copenhagen, Denmark,Copenhagen Univ Hosp Hvidovre, Dept Resp Med, Resp Res Unit, Copenhagen, Denmark.

Aarli, B. B. (författare): Karolinska Institutet

Wahl, H. F. (författare): Quantify Research, Stockholm, Sweden,Quantify Res, Stockholm, Sweden.

Geale, Kirk (författare): Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Quantify Research, Stockholm, Sweden,Quantify Res, Stockholm, Sweden.;Umeå Univ, Dept Publ Hlth & Clin Med, Umeå, Sweden.

Tang, S. T. (författare): Sanofi, Copenhagen, Denmark.,Department of Pulmonary Medicine, Allergy Center, Aarhus University Hospital, Aarhus, Denmark,Aarhus Univ Hosp, Allergy Ctr, Dept Pulm Med, Aarhus, Denmark.

Wolf, M. (författare): Novartis Finland, Espoo, Finland.

Larsen, T. (författare): Novartis Norway, Oslo, Norway.

Altraja, A. (författare)

Backman, Helena (författare): Umeå universitet,Avdelningen för hållbar hälsa,Umeå Univ, Dept Publ Hlth & Clin Med, Sect Sustainable Hlth, Umeå, Sweden.

Kilpelainen, M. (författare): Division of Medicine, Department of Pulmonary Diseases, Turku University Hospital, Turku, Finland; Department of Pulmonary Diseases and Clinical Allergology, University of Turku, Turku, Finland,Turku Univ Hosp, Dept Pulm Dis, Div Med, Turku, Finland.;Univ Turku, Dept Pulm Dis & Clin Allergol, Turku, Finland.

Viinanen, A. (författare): Division of Medicine, Department of Pulmonary Diseases, Turku University Hospital, Turku, Finland; Department of Pulmonary Diseases and Clinical Allergology, University of Turku, Turku, Finland,Turku Univ Hosp, Dept Pulm Dis, Div Med, Turku, Finland.;Univ Turku, Dept Pulm Dis & Clin Allergol, Turku, Finland.

Ludviksdottir, D. (författare): Landspitali University Hospital and University of Iceland, Reykjavik, Iceland,Landspitali Univ Hosp, Reykjavik, Iceland.;Univ Iceland, Reykjavik, Iceland.

Kauppi, P. (författare): Heart and Lung Center, Department of Pulmonary Diseases, Helsinki University Hospital and University of Helsinki, Helsinki, Finland,Helsinki Univ Hosp, Heart & Lung Ctr, Dept Pulm Dis, Helsinki, Finland.;Univ Helsinki, Helsinki, Finland.

Sverrild, A. (författare): Respiratory Research Unit, Department of Respiratory Medicine and Infectious Diseases, Bispebjerg Hospital, Copenhagen, Denmark,Bispebjerg Hosp, Dept Resp Med & Infect Dis, Resp Res Unit, Copenhagen, Denmark.

Lehmann, S. (författare): Department of Clinical Science, University of Bergen, Bergen, Norway; Department of Thoracic Medicine, Haukeland University Hospital, Bergen, Norway,Univ Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Dept Thorac Med, Bergen, Norway.

Backer, V. (författare): Department of Otorhinolaryngology, Head and Neck Surgery, and Audiology, Rigshospitalet, Copenhagen, Denmark,Rigshosp, Dept Otorhinolaryngol Head & Neck Surg & Audiol, Copenhagen, Denmark.

Yasinska, V. (författare): Karolinska Institutet

Skjold, T. (författare)

Karjalainen, J. (författare): Allergy Centre, Tampere University Hospital, Tampere, Finland; Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland,Tampere Univ Hosp, Allergy Ctr, Tampere, Finland.;Tampere Univ, Fac Med & Hlth Technol, Tampere, Finland.

Bossios, A. (författare): Department of Respiratory Medicine and Allergy, Karolinska University Hospital, Huddinge, Stockholm, Sweden; Department of Medicine (MedH), Lung and Allergy Research Unit, Karolinska Institutet, Huddinge, Stockholm, Sweden; Division of Lung and Airway Research, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Karolinska Univ Hosp, Dept Resp Med & Allergy, Stockholm, Sweden.;Karolinska Inst, Dept Med MedH, Lung & Allergy Res Unit, Stockholm, Sweden.;Karolinska Inst, Inst Environm Med, Div Lung & Airway Res, Stockholm, Sweden.

Porsbjerg, C. (författare): Respiratory Research Unit, Department of Respiratory Medicine and Infectious Diseases, Bispebjerg Hospital, Copenhagen, Denmark,Bispebjerg Hosp, Dept Resp Med & Infect Dis, Resp Res Unit, Copenhagen, Denmark.

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Respiratory Research Unit, Department of Respiratory Medicine and Infectious Diseases, Bispebjerg Hospital, Copenhagen, Denmark; Centre for Clinical Research and Prevention, Frederiksberg Hospital, Copenhagen, Denmark Bispebjerg Hosp, Dept Resp Med & Infect Dis, Resp Res Unit, Copenhagen, Denmark;Frederiksberg Univ Hosp, Ctr Clin Res & Prevent, Copenhagen, Denmark. (creator_code:org_t)

2023-02-09
2023
Engelska.
Ingår i: ERJ Open Research. - : European Respiratory Society (ERS). - 2312-0541. ; 9:2

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Tidskriftsartikel (refereegranskat)

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Background Real-life evidence on prevalence and management of severe asthma is limited. Nationwide population registries across the Nordic countries provide unique opportunities to describe prevalence and management patterns of severe asthma at population level. In nationwide register data from Sweden, Norway and Finland, we examined the prevalence of severe asthma and the proportion of severe asthma patients being managed in specialist care. Methods This is a cross-sectional study based on the Nordic Dataset for Asthma Research (NORDSTAR) research collaboration platform. We identified patients with severe asthma in adults (aged >= 18 years) and in children (aged 6-17 years) in 2018 according to the European Respiratory Society/American Thoracic Society definition. Patients managed in specialist care were those with an asthma-related specialist outpatient contact (only available in Sweden and Finland). Results Overall, we identified 598 242 patients with current asthma in Sweden, Norway and Finland in 2018. Among those, the prevalence of severe asthma was 3.5%, 5.4% and 5.2% in adults and 0.4%, 1.0%, and 0.3% in children in Sweden, Norway and Finland, respectively. In Sweden and Finland, 37% and 40% of adult patients with severe asthma and two or more exacerbations, respectively, were managed in specialist care; in children the numbers were 56% and 41%, respectively. Conclusion In three Nordic countries, population-based nationwide data demonstrated similar prevalence of severe asthma. In children, severe asthma was a rare condition. Notably, a large proportion of patients with severe asthma were not managed by a respiratory specialist, suggesting the need for increased recognition of severe asthma in primary care.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Lungmedicin och ...

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Av lärosätet: Göteborgs universitet; Umeå universitet; Uppsala universitet; Karolinska Institutet

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Prevalence and management of severe asthma in the Nordic countries: findings from the NORDSTAR cohort

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