The control of asthma in Italy. A multicentre descriptive study on young adults with doctor diagnosed current asthma

Marco, Roberto de; Bugiani, Massimiliano; Cazzoletti, Lucia; Carosso, Aurelia; Accordini, Simone; Buriani, Orazio; Carrozzi, Laura; Dallari, Rossano; Giammanco, G; Ginesu, Francesco; Marinoni, Alessandra; Cascio, Vincenzo Lo; Poli, Albino; Struzzo, Pierluigi; Janson, Christer

doi:10.1034/j.1398-9995.2003.00059.x

Cited by 70 publications

(68 citation statements)

References 36 publications

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“…However, 59% of patients were studied during their first specialist visit, immediately after referral from a GP, and data gathered on that occasion probably reflect the level of care provided by GPs. Moreover, a recent population-based survey showed that the majority of Italian asthma patients are in the care of specialists rather than GPs, and, more importantly, that the ratio of GP-treated to specialist-treated patients is consistent across the levels of asthma control [32]. This scenario may be different from other healthcare environments and could be explained by the cost structure of the Italian health service, which facilitates access to specialists by patients across the entire disease spectrum.…”

Section: Discussionmentioning

confidence: 72%

“…This was designed to minimise erroneous inclusion of patients with COPD, the prevalence of which increases with age [31]. Although this is a broader age limit than was selected for other similar studies [14,32], most retired persons and those with serious comorbidity, who might also have left the workforce, were excluded. This selection may inflate the present overall estimate of indirect costs per patient by over-representing adult asthma patients who are still in the active work force.…”

Section: Discussionmentioning

confidence: 99%

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Asthma severity and medical resource utilisation

Antonicelli¹,

Bucca²,

Neri³

et al. 2004

Eur Respir J

260

149

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Asthma represents a growing public health problem and the cost of asthma has been rising in many countries. The aim of this study was to estimate the direct and indirect cost of asthma among adult patients in Italy, and to assess the relationship between healthcare resource use and asthma severity according to the Global Initiative for Asthma (GINA) classification system.A multicentre cross-sectional study was conducted in 16 Italian hospital-based specialised asthma clinics. Data collection was based on self-administered questionnaires and took place during the period May 1-November 30, 1999, and 500 consecutive patients with asthma, aged 18-55 yrs, were enrolled during regularly scheduled visits. Direct costs (drugs, physician visits, emergency service use and hospitalisation), indirect costs (loss of paid workdays) and total costs were determined in euros (J) for 1999.Patients with more severe disease, as classified by the GINA guideline, exhibited more night-time and daytime symptoms and were more limited in performing normal daily activities. The mean total cost of asthma per patient per year was estimated to be J1,260; drug costs accounted for 16%, physician costs 12%, emergency service and hospitalisation costs 20% and indirect costs 52% of the mean cost. Stratified by severity, the total annual cost per patient amounted to J720, J1,046, J1,535 and J3,328 for patients with intermittent, mild persistent, moderate persistent and severe persistent asthma, respectively.Asthma severity, as determined by the Global Initiative for Asthma classification, is significantly associated with symptoms, limitations in normal daily activities, asthmarelated medical resource utilisation and both direct and indirect costs. Asthma control is not only a clinical but also an economic imperative.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Asthma severity and medical resource utilisation

Antonicelli¹,

Bucca²,

Neri³

et al. 2004

Eur Respir J

260

149

View full text Add to dashboard Cite

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“…The ISAYA was a multicentre, cross-sectional survey of the young adult population, specifically aimed at assessing the variations of asthma and the current management of asthmatics in Italy [15][16][17]. The survey was carried out between 1998 and 2000 in nine Italian centres, of these six were in northern Italy (Udine, Pavia, Turin, Verona, Sassuolo, and Ferrara), and three were in central/southern Italy (Pisa, Sassari and Siracusa).…”

Section: Study Design and Subjectsmentioning

confidence: 99%

Chronic cough and phlegm in young adults

Cerveri¹,

Accordini²,

Corsico³

et al. 2003

Eur Respir J

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The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines underline that the presence of chronic cough and sputum production before airflow obstruction offers a unique opportunity to identify subjects at risk of chronic obstructive pulmonary disease for an early intervention. Current epidemiological data on these subjects are scant.Between 1998-2000, the authors evaluated the prevalence and characteristics of these symptoms by a multicentre cross-sectional survey of Italian people aged between 20-44 yrs from the general population (Italian Study on Asthma in Young Adults (ISAYA)). Besides the questions on asthma, more than 18,000 subjects answered the question: "Have you had cough and phlegm on most days for as much as 3 months per year and for at least two successive years?"The adjusted prevalence of subjects with chronic cough and phlegm was 11.9%, being 11.8% in males and 12.0% in females. From these subjects y20% reported coexisting asthma and y30%, predominately females, were nonsmokers. The survey showed that sex (female), smoking and low socioeconomic status were significantly and independently associated with chronic cough and phlegm, current smoking playing the major role.The prevalence of subjects with chronic cough and phlegm is startlingly high among young adults. Further follow-up studies are needed to establish how many of them will go on to develop chronic obstructive pulmonary disease. Eur Respir J 2003; 22: 413-417.

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“…Despite the availability of several ICS/LABA combination therapies, many patients in the real world have suboptimal asthma control [6,7]. This may reflect the presence of practical and physical…”

Section: Introductionmentioning

confidence: 99%