Assessment of the Level of Asthma Control among Adult Patients in Two Tertiary Care Centers in Nigeria

Desalu, Olufemi Olumuyiwa; Fawibe, Ademola Emmanuel; Salami, AK

doi:10.3109/02770903.2012.690478

Cited by 25 publications

(30 citation statements)

References 32 publications

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“…These rates are considerably lower than the 60% reported by Demoly et al in a community-based survey that involved five European countries 20 . In a tertiary care setting in Nigeria, Desalu et al found 80.4% of low adherence to inhaled corticosteroid reported by patients 10 . This proportion is higher than our finding probably because the methods used to define low adherence were not similar in the two studies.…”

Section: Discussionmentioning

confidence: 99%

“…Less than 50% of children are adherent to this treatment while in the adult population, the adherence is also low with a highly variable range from 30 to 70% depending on the area where the studies have been conducted 5 . In Nigeria, Desalu et al found that 69.3% of their study population had uncontrolled asthma and there was a strong association between uncontrolled asthma and lack of adherence to inhaled corticosteroids 10 . In western countries, this poor adherence to asthma controller therapy has been attributed to safety concerns towards the use of inhaled corticosteroids by patients 11 .…”

Section: Corresponding Authormentioning

confidence: 99%

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Evaluation of factors affecting adherence to asthma controller therapy in chest clinics in a sub-Saharan African setting: a cross-sectional study

et al. 2016

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Abstract:Background: Adherence to controller therapy in asthma is a major concern during the management of the disease. Objective: To determine the adherence rate and identify the predictors of low adherence to asthma controller therapy. Methods: A cross-sectional study including asthma patients was conducted from November 1, 2012 to May 31, 2013 in 4 chest clinics in Cameroon. The adherence to asthma treatment was rated using Morisky Medication Adherence Scale. A multivariate logistic regression analysis was performed for the identification of factors associated with adherence to asthma treatment. Results: Among the 201 asthma patients included, 133 (66.2%) were female. The mean age of participants was 41.2 years. Sixty-one (30.3%) of the patients did not visit the chest physician during the last year prior to the study. Asthma was well controlled in 118 patients (58.7%). The prevalence of low adherence rate to asthma controller therapy was 44.8% and the absence of any chest specialist visit within the last 12 months was the only factor associated with the low adherence rate to asthma treatment (OR 5.57 ; 95% CI 2.84-10.93). Conclusion:The adherence rate to asthma controller therapy in Cameroon is low and it could be improved if scheduled visits are respected by patients.

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Section: Discussionmentioning

confidence: 99%

Section: Corresponding Authormentioning

confidence: 99%

Evaluation of factors affecting adherence to asthma controller therapy in chest clinics in a sub-Saharan African setting: a cross-sectional study

et al. 2016

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“…When asked about the basis for treatment decision, the majority (74.2%) of the doctors were unaware of asthma control as the basis for treatment decisions. The findings may provide some explanation for the poor level of asthma control seen in clinical practice [14][15][16] , partly due to physician lack of familiarity with the current treatmentguideline 24 .…”

Section: Discussionmentioning

confidence: 98%

“…The Gaining Optimal Asthma Control (GOAL) study has shown that current asthma treatment can achieve good control in patients, however in real life asthma control is still not often achieved [10][11][12][13][14][15][16] . Poor asthma control is due to several factors which are related to the patients, physicians' behaviour and adherence to the treatment guidelines [14][15][16][17][18][19][20][21][22] .…”

mentioning

confidence: 99%

“…Poor asthma control is due to several factors which are related to the patients, physicians' behaviour and adherence to the treatment guidelines [14][15][16][17][18][19][20][21][22] . Studies have been conducted on knowledge of asthma and its management amongst medical doctors in Nigeria 23 however, the knowledge and use of asthma control management tools among doctors has not been adequately investigated.…”

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confidence: 99%

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Knowledge and use of asthma control measurement tools in the management of asthma: a survey of doctors working in family and internal medicine practice in Nigeria

Desalu¹,

Onyedum²,

Adeoti³

et al. 2016

Afr H. Sci.

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Objective: To investigate the knowledge and use of asthma control measurement (ACM) tools in the management of asthma among doctors working in family and internal medicine practice in Nigeria. Method: A questionnaire based on the global initiative on asthma (GINA) guideline was self-administered by 194 doctors. It contains 12 test items on knowledge of ACM tools and its application. The knowledge score was obtained by adding the correct answers and classified as good if the score ≥ 9, satisfactory if score was 6-8 and poor if < 6. Results: The overall doctors knowledge score of ACM tools was 4.49±2.14 (maximum of 12). Pulmonologists recorded the highest knowledge score of 10.75±1.85. The majority (69.6%) had poor knowledge score of ACM tools. Fifty (25.8%) assessed their patients' level of asthma control and 34(17.5%) at every visit. Thirty-nine (20.1%) used ACM tools in their consultation, 29 (15.0%) of them used GINA defined control while 10 (5.2 %) used asthma control test (ACT). The use of the tools was associated with pulmonologists, having attended CME within six months and graduated within five years prior to the survey. Conclusion:The results highlight the poor knowledge and use of ACM tools and the need to address the knowledge gap. Nigeria. Afri Health Sci 2016;16(2): 480-489. http://dx.doi.org/10.4314/ahs.v16i2.16

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Assessment of asthma control: The SERENA study

Corrado

Renda

Polese

et al. 2013

Respiratory Medicine

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Assessment of the Level of Asthma Control among Adult Patients in Two Tertiary Care Centers in Nigeria

Cited by 25 publications

References 32 publications

Evaluation of factors affecting adherence to asthma controller therapy in chest clinics in a sub-Saharan African setting: a cross-sectional study

Evaluation of factors affecting adherence to asthma controller therapy in chest clinics in a sub-Saharan African setting: a cross-sectional study

Knowledge and use of asthma control measurement tools in the management of asthma: a survey of doctors working in family and internal medicine practice in Nigeria

Assessment of asthma control: The SERENA study

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