Overdiagnosis of asthma in children in primary care: a retrospective analysis

Akker, Ingrid Looijmans-van den; Luijn, Karen van; Verheij, Theo

doi:10.3399/bjgp16x683965

Cited by 136 publications

(102 citation statements)

References 7 publications

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“…One factor that contributes to the misdiagnosis of asthma in children is that objective testing is not often pursued, which is evident in that only 18% of children with reported asthma in our study had previous pulmonary function testing. This is congruent with existing studies that report underutilization of spirometry in asthma management, particularly in children . This issue may be more significant in the pediatric age group because children present with symptoms and are diagnosed with asthma before they are able to do pulmonary function testing.…”

Section: Discussionsupporting

confidence: 88%

“…This is congruent with existing studies that report underutilization of spirometry in asthma management, 22 particularly in children. 23,24 This issue may be more significant in the pediatric age group because children present with symptoms and are diagnosed with asthma before they are able to do pulmonary function testing. Once the clinical diagnosis has been made it may seem unnecessary to perform objective testing when the children are older.…”

Section: Discussionmentioning

confidence: 99%

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Misdiagnosis of asthma in schoolchildren

Yang

Simons

Foty

et al. 2016

Pediatric Pulmonology

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of asthma in schoolchildren

Yang

Simons

Foty

et al. 2016

Pediatric Pulmonology

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“…In Switzerland, the prevalence of asthma in children aged 13-14 years is 2.3% according to the Global Burden of Asthma Report, while 7% of the adult population reports a physician-diagnosed asthma [9,20] However, asthma diagnosis in the community is difficult. Studies suggest overdiagnosis in 30% of cases and physician-diagnosed asthma in the community may warrant reassessment [21,22].…”

Section: The Burden Of Asthmamentioning

confidence: 99%

Diagnosis and Management of Asthma – The Swiss Guidelines

et al. 2018

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The Global Initiative for Asthma (GINA) is a network of individuals, organizations, and public health officials that was established to disseminate information about the care of patients with asthma and to improve asthma care. The GINA (“Global Strategy for Asthma Management and Prevention”) report has been updated annually since 2002. Due to new knowledge and therapeutic development in the field, the Swiss Respiratory Society felt the need to provide a new document that is based on both the available literature and the recommendations of the 2016 GINA report. Key new features of the 2016 GINA report include a “new” definition of asthma, underscoring its heterogeneous nature, and the core elements of variable symptoms and variable expiratory airflow limitation; the importance of confirming the diagnosis of asthma in order to minimize both under- and overtreatment; practical tools for the assessment of symptom control and risk factors for adverse outcomes; a comprehensive approach to asthma management that acknowledges the foundational role of inhaled corticosteroid therapy, but also provides a framework for individualizing patient care; an emphasis on maximizing the benefit of available medications by addressing common problems such as incorrect inhaler technique and poor adherence; a continuum of care for worsening asthma, starting with early self-management and progressing to primary care or acute care management; and diagnosis of the asthma/chronic obstructive pulmonary disease overlap syndrome. This document is meant to advice the key stakeholders on the diagnosis and management of asthma and highlights the need to individualize the care of each and every asthmatic patient.

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“…Indeed, it is difficult to think of any chronic condition in which patients are committed to long-term treatment without the performance of simple tests when these are readily available. Recent studies have clearly demonstrated that asthma diagnosis in adults and children is a lottery, 8 • Is there any evidence of reversible airflow obstruction? -Acute peak flow or spirometry response to inhaled shortacting beta 2 -agonist -Peak flow variability on home monitoring for two weeks -Drop in peak flow after vigorous exercise (can also be a home test)…”

Section: Asthma Diagnosismentioning

confidence: 99%