Prevalence and management of asthma in children under 16 in one practice.

Bak, JeongEun

doi:10.1136/bmj.292.6514.175

Cited by 10 publications

(3 citation statements)

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“…These figures compared with just one eighth of the 9-3% of children identified as having current wheeze who had received a diagnosis of asthma in the study of Lee et al in north Tyneside.4 Our diagnosis rate also compares favourably with the 7*8% reported by Heijne den Bak in a training practice in west Cumbria. 38 Levy and Bell reported a diagnosis rate of 11% but in a practice with a special interest in asthma.5 The proportion of middle class parents and home owners in this study was high in comparison with the likely range in some inner city environments. Presumably these parents would have higher expectations for accurate diagnosis and effective treatment of their children if they were having disabling symptoms.…”

Section: Discussionmentioning

confidence: 52%

Prevalence of respiratory symptoms among 7 and 11 year old schoolchildren and association with asthma.

Clifford

Radford

Howell

et al. 1989

Archives of Disease in Childhood

157

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SUMMARY A new self administered questionnaire completed by parents was used to study the prevalences of wheeze, shortness of breath, and cough in 2503 Southampton schoolchildren aged 7 and 11 together with exacerbating factors and background information including treatment and diagnosis. The questionnaire had a response rate of 84% and was found to be highly repeatable with respect to current symptoms. The overall prevalences of wheeze and shortness of breath in the current year (1986) were 12-1% and 8.5% respectively. Social class, home ownership, parental smoking, and presence of a family pet were unrelated to symptom prevalence. According to the parents the overall diagnosis rate for asthma was 9-5%. In common with other studies, however, we found considerable evidence for undertreatment. The symptoms of wheeze and nocturnal and morning breathlessness occurred more commonly in boys, but this sex ratio decreased with increasing age. The prevalences of wheeze and shortness of breath were similar in the two age groups. In contrast, there were only small differences between the sexes with respect to cough whereas, among children without wheeze or shortness of breath, there was a fall in the prevalence of cough from 18-9% at 7 years to 8-7% at 11 years. When controlling for the other respiratory symptoms, wheeze was the only symptom significantly related to parental asthma. The fall in the prevalence of cough between the two age groups is unlikely to be related to changes in asthma prevalence and, when not associated with wheeze, may be an indicator of separate pathology.Studies of the prevelance of asthma produce widely varying rates even among European populations.' These differences may be largely explained in terms of varying definitions of asthma and undue reliance on general practitioner diagnoses. This is confirmed by the considerably greater concordance between studies with respect to particular respiratory symptoms. Reliable information can only be gained if wheeze has been defined and explained adequately to parents.2-4 In a cross section survey in Melbourne, Williams and McNicol recorded a cumulative prevalence of 19% for wheeze at 7 years.2 Anderson et al reported a prevalence of 11% for wheeze during the current year in 9 year olds in Croydon.3 Lee et al found a prevalence of 14-8%

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Section: Discussionmentioning

confidence: 52%

Prevalence of respiratory symptoms among 7 and 11 year old schoolchildren and association with asthma.

Clifford

Radford

Howell

et al. 1989

Archives of Disease in Childhood

157

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“…21 Levy and Bell 18 confirmed that Speight was probably correct -asthma in children was under-diagnosed -and they identified a marked delay in diagnosis too. These findings were later replicated by others, [22][23][24][25][26] who had suggestions for reducing diagnostic delay. 22,25,27 There were already reports in the literature suggesting that asthma should be thought of more as a chronic disease, and that GPs should not simply be treating episodes of acute respiratory illness with antitussives, antibiotics and nebulised bronchodilators.…”

Section: The Founding Of the Gpiag And The First Annual Scientific Mementioning

confidence: 70%

The UK General Practice Airways Group (GPIAG): its formation, development, and influence on the management of asthma and other respiratory diseases over the last twenty years

Stephenson¹,

Barritt

Bellamy

et al. 2007

Primary Care Respiratory Journal

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This article describes the formation and development of the UK General Practice Airways Group (GPIAG), from its inception as a small respiratory special-interest group founded by six general practitioners in 1987 through to its transformation into the largest primary care specialist society in the UK. It highlights the historical context in which the GPIAG was founded - at a time when there was increasing concern about under-treatment and under-diagnosis of asthma in primary care - and describes the way in which its foundation was one of the major influences that led to profound innovation in the primary care management of respiratory disease as well as changes across the primary/secondary care interface. The GPIAG is now a registered charity, has an expanding membership, and has acquired a high profile both nationally and internationally as an advisory body on policy and strategy for the management of respiratory disease in primary care. This review is a 20th anniversary tribute not only to those who have contributed to the success of the GPIAG over the last twenty years, but also to its current membership who enable the GPIAG to continue working towards its charitable aim of "optimal respiratory care for all."

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“…Έτσι η ταυτοποίηση του άσθματος στις επιδημιολογικές μελέτες είναι έ να πρόβλημα το οποίο έχει σχολιασθεί αρκετά και έχει αντιμετωπισθεί με διαφορετικούς τρόπους από τους διάφορους ερευνητές (52,53,55,89).…”

Section: συχνοτης Toy παιδικου ασθματος στην ελλαδαunclassified

Επιπολασμος Του Βρογχικου Ασθματος Σε Μαθητες Της Πολης Του Καρπενησιου Ηλικιας8-18 Ετων

Καρατσικησ¹

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ΠΝΕΥΜΟΝΟΛΟΓΙΚΗ ΚΛΙΝΙΚΗ ΠΑΝΕΠΙΣΤΗΜΙΟΥ ΚΡΗΤΗΣ Διευθυντής Καθηγητής Ν. Σιαφάκας ΠΑΘΟΛΟΓΙΚΗ ΚΛΙΝΙΚΗ Γ.Ν. ΝΟΣΟΚΟΜΕΙΟΥ ΚΑΡΠΕΝΗΣΙΟΥ Διευθυντής Δ. Τσιλίκας ΜΟΝΑΔΑ ΑΝΑΠΝΕΥΣΤΙΚΟΥ ΕΛΕΓΧΟΥ ΣΙΣΜΑΝΟΓΛΕΙΟΥ ΝΟΣΟΚΟΜΕΙΟΥ Υπεύθυνος Γ. Βαρουχάκης "Εττιπολασμός του Βρογχικού Άσθματος σε μαθητές της πόλης του Καρπενησίου ηλικίας 8-18 ετών." ΔΗΜΗΤΡΙΟΥ ΚΑΡΑΤΣΙΚΗ Ειδικού Παθολόγου ΔΙΔΑΚΤΟΡΙΚΗ ΔΙΑΤΡΙΒΗ Ηράκλειο 1994 ΠΑΝΕΠΙΣΤΗΜΙΟ ΚΡΗΤΗΣ ΣΧΟΛΗ ΕΠΙΣΤΗΜΩΝ ΥΓΕΙΑΣ ΤΜΗΜΑ ΙΑΤΡΙΚΗΣ ΠΝΕΥΜΟΝΟΛΟΓΙΚΗ ΚΛΙΝΙΚΗ ΠΑΝΕΠΙΣΤΗΜΙΟΥ ΚΡΗΤΗΣ Διευθυντής Καθηγητής Ν. Σιαφάκας ΠΑΘΟΛΟΓΙΚΗ ΚΛΙΝΙΚΗ Γ.Ν. ΝΟΣΟΚΟΜΕΙΟΥ ΚΑΡΠΕΝΗΣΙΟΥ Διευθυντής Δ. Τσιλίκας ΜΟΝΑΔΑ ΑΝΑΠΝΕΥΣΤΙΚΟΥ ΕΛΕΓΧΟΥ ΣΙΣΜΑΝΟΓΛΕΙΟΥ ΝΟΣΟΚΟΜΕΙΟΥ Υπεύθυνος Γ. Βαρουχάκης "Επιπολασμός του Βρογχικού Άσθματος σε μαθητές της πόλης του Καρπενησίου ηλικίας 8-18 ετών." ΔΗΜΗΤΡΙΟΥ ΚΑΡΑΤΣΙΚΗ Ειδικού Παθολόγου ΔΙΔΑΚΤΟΡΙΚΗ ΔΙΑΤΡΙΒΗ Ηράκλειο 1994

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Prevalence and management of asthma in children under 16 in one practice.

Cited by 10 publications

References 0 publications

Prevalence of respiratory symptoms among 7 and 11 year old schoolchildren and association with asthma.

Prevalence of respiratory symptoms among 7 and 11 year old schoolchildren and association with asthma.

The UK General Practice Airways Group (GPIAG): its formation, development, and influence on the management of asthma and other respiratory diseases over the last twenty years

Επιπολασμος Του Βρογχικου Ασθματος Σε Μαθητες Της Πολης Του Καρπενησιου Ηλικιας8-18 Ετων

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