Association of Asthma Control with Health Care  Utilization and Quality of Life

Vollmer, William M.; Markson, Leona E.; O’Connor, Elizabeth; Sanocki, L. L.; Fitterman, Leslye K.; Berger, Marc L.; Buist, A. Sonia

doi:10.1164/ajrccm.160.5.9902098

Cited by 331 publications

(283 citation statements)

References 23 publications

(26 reference statements)

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“…For all patients, irrespective of their treatment, the HRQL decreased from 6.1 for severity class 1 patients to 4.8 for the most severe patients, which is similar to that seen in other studies [20]. It is most likely that the relationship between HRQL and asthma severity is due to the relationship between HRQL and asthma symptoms [26,27].…”

Section: Discussionsupporting

confidence: 85%

Relationship between guideline treatment and health-related quality of life in asthma

Pont¹,

Molen²,

Denig³

et al. 2004

Eur Respir J

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The aim of this study was to compare the health-related quality of life (HRQL) of asthma patients treated according to the 1997 National Institute of Health (NIH) international asthma guideline and that of asthmatics receiving non-guideline treatment.The suitability of 146 asthmatics9 medication regimes was determined according to the 1997 NIH asthma guideline. Quality of life was assessed on a seven-point scale using the Asthma Quality of Life questionnaire.Just over half of the patients were not currently using the treatment considered necessary for controlling their asthma. Patients treated according to the guideline (n=72) had a significantly higher overall HRQL than patients with non-guideline treatment (5.7 versus 5.3). The differences were also significant for the subscales measuring symptoms and environmental exposure, but not for activities or emotional function.An association between non-guideline treatment and a poorer health-related quality of life in asthma patients treated in general practice was observed. This study supports the role of evidence-based guidelines in daily practice. Further studies are needed to determine if guideline treatment is responsible for the increase in health-related quality of life observed in this work. Eur Respir J 2004; 23: 718-722.

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Section: Discussionsupporting

confidence: 85%

Relationship between guideline treatment and health-related quality of life in asthma

Pont¹,

Molen²,

Denig³

et al. 2004

Eur Respir J

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“…Asthma control, on the other hand, reflects current functioning and whether the goals of asthma therapy have been met [7]. Asthma control may serve as an indicator of the adequacy of healthcare being provided to patients rather than severity of asthma [43]. However, because of data limitations, we could only assess asthma control.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life among adults with work-related asthma in the United States

2012

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Purpose-The objective of this study was to examine health-related quality of life among adults with work-related asthma. Methods-We analyzed 2006-2009 Behavioral RiskFactor Surveillance System Asthma Callback Survey data for ever-employed adults with current asthma from 38 states and District of Columbia. Individuals with work-related asthma had been told by a doctor or other health professional that their asthma was related to any job they ever had. Health-related quality of life indicators included poor self-rated health, impaired physical health, impaired mental health, and activity limitation. We calculated prevalence ratios (PRs) adjusted for age, sex, race/ethnicity, education, income, employment, and health insurance.Results-Of ever-employed adults with current asthma, an estimated 9.0 % had work-related asthma, 26.9 % had poor self-rated health, 20.6 % had impaired physical health, 18.2 % had impaired mental health, and 10.2 % had activity limitation. Individuals with work-related asthma were significantly more likely than those with non-work-related asthma to have poor self-rated health [PR, 1.45; 95 % confidence interval (CI), 1.31-1.60], impaired physical health (PR, 1.60; 95 % CI, 1.42-1.80), impaired mental health (PR, 1.55; 95 % CI, 1.34-1.80), and activity limitation (PR, 2.16; 95 % CI, 1.81-2.56).Conclusions-Future research should examine opportunities to improve health-related quality of life among individuals with work-related asthma.G. E. Knoeller ipb8@cdc.gov. Electronic supplementary material The online version of this article

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“…Respondents are graded as either having or not having a control problem in each one of these 4 items; the item scores are then summed to provide a total, which ranges from 0 (no asthma control problems) to 4 (4 asthma control problems). 8,40,66,67 Skinner et al 71 developed a parent completed ATAQ version to identify children and adolescents (5-17 y old) with current problems in asthma control. This version was derived from the adult version developed by Vollmer et al 66 …”

Section: Asthma Therapy Assessment Questionnairementioning

confidence: 99%

“…40 Vollmer et al 66 reported that only 2% of those with an ATAQ score of 0 had been hospitalized for asthma in the past year, versus 24% of those with an ATAQ score of 4. In a 12-month prospective study, 67 subjects with ATAQ scores of 3 or 4 (ie, 3 or 4 control problems) were 5 times more likely to be hospitalized, 5.4 times more likely to be seen in an emergency department, and twice as likely to have routine asthma care visits compared with subjects with no control problems.…”

Section: Validitymentioning

confidence: 99%

Asthma Control Assessment Tools

Alzahrani

Becker

2015

Respir Care

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, and they emphasize periodic assessment of asthma control once treatment is established. Accurate assessment of asthma control is difficult due to the complexity of asthma control and due to the limitations in the traditional methods of assessment, such as lung function tests, physician assessment, and patients' self-assessment. Relying solely on the role of lung function tests is insufficient to reflect the status of asthma control, since patients with asthma may have normal spirometry between exacerbations. Clinicians often overestimate the level of asthma control. Similarly, it is not uncommon for patients to overestimate how well their asthma is controlled, and, therefore, they under-report asthma symptoms and fail to recognize the impact that asthma has on their daily life. As a result, several tools have been developed to quantify the level of asthma control, identify patients at risk, and evaluate the effect of asthma management. This review examines the commonly 106RESPIRATORY CARE • JANUARY 2016 VOL 61 NO 1 used asthma control assessment tools in terms of content, psychometric properties, methods of administration, limitations, and ability to reflect the overall status of asthma control, which can aid clinicians in selecting the most appropriate tool for their needs.

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Association of Asthma Control with Health Care Utilization and Quality of Life

Cited by 331 publications

References 23 publications

Relationship between guideline treatment and health-related quality of life in asthma

Relationship between guideline treatment and health-related quality of life in asthma

Health-related quality of life among adults with work-related asthma in the United States

Asthma Control Assessment Tools

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