An Official ATS Workshop Report: Issues in Screening for Asthma in Children

Gerald, Lynn B.; Sockrider, Marianna; Grad, Roni; Bender, Bruce G.; Boss, Leslie P.; Galant, Stanley P.; Gerritsen, Jorrit; Joseph, Christine L.M.; Kaplan, Robert M.; Madden, Jill A.; Mangan, Joan M.; Redding, Greg; Schmidt, D.; Schwindt, Christina D.; Taggart, Virginia S.; Wheeler, Lani; Hook, K. N. Van; Williams, Paul V.; Yawn, Barbara P.; Yüksel, B.

doi:10.1513/pats.200604-103st

Cited by 41 publications

(31 citation statements)

References 77 publications

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“…20,31,44 Although previous studies have shown that asthma case detection surveys have high reproducibility, the American Thoracic Society Working Group on Asthma Screening (ATS-WGAS) determined that case detection in schools and other community settings is currently not recommended, citing the inevitable impact of false positives, the lack of evidence of cost-effectiveness, uncertain benefit, and inconsistent access to follow-up clinical care, among other concerns. 45 However, surveys administered for asthma case identification purposes, such as those administered at the OUSD, inevitably produce information that can be used to identify individuals with undiagnosed asthma. The ATS-WGAS did not provide recommendations for this particular circumstance.…”

Section: Discussionmentioning

confidence: 99%

Identification and Education of Adolescents with Asthma in an Urban School District: Results from a Large-scale Asthma Intervention

et al. 2008

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Asthma is a leading cause of hospitalizations, acute care utilization, health care costs, and school absences in children. Asthma morbidity is disproportionately high in inner city populations. In general, community-based public health interventions to reduce asthma morbidity have had modest success due in part to their limited reach and low participation by the targeted population. Adolescents have been especially difficult to reach. A coalition of community organizations developed a school-based, population-level system to identify, prioritize, and provide interventions for middle school children with asthma in a large urban school district in Oakland, CA. Nearly 92% (n = 8,326) of students in the targeted schools took an asthma case identification survey. Of those students who took the survey, 17.5% (n = 1,458) had active asthma and were eligible for services. Among those identified with active asthma, 83% (n = 1,217) voluntarily attended asthma self-management classes at school. The 4-week curriculum previously has been shown to significantly improve several indicators of asthma control in this population. Retention was high-72% of students who enrolled attended at least three of the four curriculum sessions. Many higher-risk students were subsequently referred to and enrolled in off-site asthma services. Large school districts with incomplete or inadequate health records, high asthma prevalence, and internal or external services available for students with asthma may benefit from a similar model. A system such as the one described may be an effective public health strategy for school districts, health departments, and community coalitions addressing asthma or other conditions with high childhood prevalence.

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Section: Discussionmentioning

confidence: 99%

Identification and Education of Adolescents with Asthma in an Urban School District: Results from a Large-scale Asthma Intervention

et al. 2008

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“…9 Screening has the theoretical advantage of identifying undiagnosed and undertreated children. Questionnaires to identify students with undiagnosed asthma have been developed and validated across racial, ethnic, and socioeconomic groups.…”

Section: Case Identification Of Asthma In Schoolsmentioning

confidence: 99%

“…As pointed out in the American Thoracic Society document, for case detection to be cost-effective, asthma should cause considerable morbidity in the population being examined, and the population should contain a sufficiently large number of individuals whose asthma is undiagnosed or poorly controlled. 9 Because there are considerable disparities in asthma morbidity, it would be most cost-effective to target children in low socioeconomic urban areas.…”

Section: Case Identification Of Asthma In Schoolsmentioning

confidence: 99%

School-based asthma programs

Bruzzese

Evans

Kattan

2009

Journal of Allergy and Clinical Immunology

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“…On the basis of these concerns, a recent American Thoracic Society workgroup called for evidence demonstrating the cost-effectiveness of population-based asthma screening. 26 We answer this call by evaluating the cost-effectiveness of 4 school-based asthma screening strategies in a simulated population of urban, primarily black, elementary-age school children.…”

mentioning

confidence: 99%