Limited treatment adaptation despite poor asthma control in asthma patients treated with inhaled corticosteroids

Roche, N.; Pribil, C.; Devillier, Philippe; Ganse, Éric Van; Schück, Stéphane; Doussaint, Johanna; Martin, Jennifer; Nachbaur, Gaëlle; Boucot, I.

doi:10.3109/02770903.2015.1065421

Cited by 9 publications

(5 citation statements)

References 13 publications

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“…One of the sociodemographic factors most strongly associated with asthma control was gender in our study: men were more likely than women to have controlled asthma, as previously reported [19,26,27]. One possible explanation is that women are more prone to severe asthma than men [28].…”

Section: Discussionsupporting

confidence: 71%

Key factors associated with uncontrolled asthma – the Asthma Control in Latin America Study

et al. 2019

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Objective: This study aimed to estimate asthma control at specialist treatment centers in four Latin American countries and assess factors influencing poor asthma control. Methods: Patients aged !12 years with an asthma diagnosis and asthma medication prescription, followed at outpatient specialist centers in Argentina, Chile, Colombia, and Mexico, were included. The study received all applicable ethical approvals. The Asthma Control Test (ACT) was used to classify patients as having controlled (ACT 20-25) or uncontrolled (ACT 19) asthma. Frequency and statistical tests were used to assess the association between hospital admissions/exacerbations/emergency department (ED) visits and uncontrolled asthma; multivariate logistic regression was used to assess the association of uncontrolled asthma with clinical/demographic variables. Results: A total of 594 patients were included. Overall controlled-asthma prevalence was 43.4% (95% confidence interval [CI]: 39.0, 47.4). Patients with uncontrolled asthma were more likely to be women (adjusted odds ratio [aOR]: 1.85; p ¼ 0.003), non-white (aOR: 2.14; p < 0.001), obese (aOR: 1.71; p ¼ 0.036), to have a low monthly family income (aOR: 1.75; p ¼ 0.004), to have severe asthma (aOR:1.59; p ¼ 0.26), and, compared with patients with controlled asthma, to have a higher likelihood of asthma exacerbations (34.5% vs. 15.9%; p < 0.001), hospital admissions (6.9% vs. 3.1%; p ¼ 0.042), and ED visits (34.5% vs. 15.9%; p < 0.001) due to asthma. Conclusions: Even in specialist ambulatory services, fewer than half of patients were classified as having controlled asthma. The proportion of uncontrolled patients varied according to clinical and demographic variables.

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Section: Discussionsupporting

confidence: 71%

Key factors associated with uncontrolled asthma – the Asthma Control in Latin America Study

et al. 2019

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“…According to a study called the National Asthma Survey conducted in the USA, asthma control was found to be higher in men and young people [17,18]. In many studies, it has been stated that gender affects asthma control, and it is more uncontrolled in women than in men [19,20]. In our study, it was determined that the gender factor was not important, and the age factor was found to be compatible with the literature.…”

Section: Discussionsupporting

confidence: 83%

Asthma Control Level and Relating Socio-Demographic Factors in Hospital Admissions

Yalçınkaya

Kılıç

2022

ijsmr

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Purpose: Asthma is one of the serious public health problems that we face today and the rate of complete control is very low. This study aims to determine the level of asthma control and its relationship with socio-demographic factors in asthma patients. Methods: This cross-sectional study was conducted between November 2020-April 2021 among people aged 18-64 who applied to the hospital and were not diagnosed with asthma. The data of the research were made with the personal information form, ACT (asthma control test). ACT is a questionnaire consisting of 5 questions. Patients rate each question between one and five points. The total score of the five questions forms the test result. If the total score is 25, it is considered as full control, 24-20 as partial control, and ≤19 as not under control. In the research, 206 people participated. Results: Of the participants, 60.7% were female, 60.2% had a family history of asthma, 94.2% of them used asthma medication, and the average age was 45.7±13.85. In the last 12 years, 50.5% of asthma patients stated that they applied to the emergency department due to respiratory problems, and 23.3% were hospitalized due to these problems. It was determined that 78.6% of asthma patients were not under control, 21.4% were under partial control, and there was no patient under full control. The mean age (48.8) and body mass index (BMI) (29.4) of those whose asthma was not under control were higher than those with partial control (32.2 and 24.7, respectively) (p<0.001). It has been determined that the probability of asthma not being controlled increases as age and BMI increase, and life satisfaction decreases, and it is higher in quit smokers than in current smokers (p<0.05). Conclusion: Asthma is largely uncontrolled. The rate of uncontrolled asthma increases with increasing age and BMI. Patients with high BMI should be supported to lose weight and should be directed to exercise.

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“…However, studies have shown that patients with low asthma control, often do not have their treatment adapted to meet their needs despite regular follow up. A study in France found that most of the patients recruited experienced poor asthma control despite receiving regular maintenance treatment, and remained so during followup visits, yet treatment adaptations were very infrequent [31]. Regular, scheduled follow-up visits where asthma control is assessed and therapy is tailored to the individual needs of the patient could improve asthma control in the Middle East and throughout the world.…”

Section: Discussionmentioning

confidence: 99%

Burden of disease associated with asthma among the adult general population of five Middle Eastern countries: Results of the SNAPSHOT program

Mungan

Aydın

Mahboub

et al. 2018

Respiratory Medicine

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Limited treatment adaptation despite poor asthma control in asthma patients treated with inhaled corticosteroids

Cited by 9 publications

References 13 publications

Key factors associated with uncontrolled asthma – the Asthma Control in Latin America Study

Key factors associated with uncontrolled asthma – the Asthma Control in Latin America Study

Asthma Control Level and Relating Socio-Demographic Factors in Hospital Admissions

Burden of disease associated with asthma among the adult general population of five Middle Eastern countries: Results of the SNAPSHOT program

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