Underdiagnosis of asthma in the elderly

Banerjee, Dithi; Lee, G.S.; Malik, Sajjad; Daly, Susan

doi:10.1016/0007-0971(87)90104-5

Cited by 130 publications

(62 citation statements)

References 5 publications

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“…Asthma may occur in the elderly more frequently than it is usually appreciated and be, therefore, underdiagnosed [37]. Few studies described asthma onset at ages 65+ and available studies are often limited by small numbers of patients and a tendency to group all patients older than 55 or 60 years old as a single category [38][39][40][41].…”

Section: Asthmamentioning

confidence: 99%

Population-Based Analysis of Incidence Rates of Cancer and Noncancer Chronic Diseases in the US Elderly Using NLTCS/Medicare-Linked Database

et al. 2013

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The age, disability, and comorbidity patterns of incidence rates of cancer and chronic noncancer diseases such as heart failure, diabetes mellitus, asthma, Parkinson's disease, Alzheimer's disease, skin melanoma, and cancers of breast, prostate, lung, and colon were studied for the US elderly population (aged 65+) using the National Long-Term Care Survey (NLTCS) data linked to Medicare records for 1991-2005. Opposite to breast cancer and asthma, incidence rates of heart failure and Alzheimer's diseases were increasing with age. Higher incidence rates of heart failure, diabetes, asthma, and Parkinson's and Alzheimer's diseases were observed among individuals with severe disabilities or/and comorbidities, while rates of breast and prostate cancers were higher among those with minor disabilities or fewer comorbidities. Our results were in agreement with those obtained from other epidemiological datasets, thus suggesting that Medicare administrative records can provide nationally representative incidence rates. Detailed sensitivity analysis that focused on the effects of alternative onset definitions, latent censoring, study design, and other procedural uncertainties showed the stability of reconstructed incidence rates. This Medicare-linked dataset can be used for studying highly debated effects of new medical technologies on aging-related diseases burden and future Medicare costs.

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Section: Asthmamentioning

confidence: 99%

Population-Based Analysis of Incidence Rates of Cancer and Noncancer Chronic Diseases in the US Elderly Using NLTCS/Medicare-Linked Database

et al. 2013

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“…In the elderly, the principles of the diagnosis are similar to those in other age groups, but asthma in older age is commonly underdiagnosed and undertreated (5). The prevalence of asthma over the age of 60 years has been estimated to be 5-7% (6).…”

Section: Diagnosis Of Asthmamentioning

confidence: 99%

Difficult asthma

Garcia

and

Humbert

2003

Allergy

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“…The older literature suggests that there may be delays in the making of the correct diagnosis, perhaps now as much in the elderly [7,8] as in children [9], and audit has suggested that even amongst those with the more severe asthma only 50% are receiving the correct inhaled steroids [10,11].…”

Section: Health Professionals and The Organization Of Carementioning

confidence: 99%

Delivering optimal care to the person with asthma: what are the key components and what do we mean by patient education?

Partridge¹

1995

Eur Respir J

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D De el li iv ve er ri in ng g o op pt ti im ma al l c ca ar re e t to o t th he e p pe er rs so on n w wi it th h a as st th hm ma a: : w wh ha at t a ar re e t th he e k ke ey y c co om mp po on ne en nt ts s a an nd d w wh ha at t d do o w we e m me ea an n b by y p pa at ti ie en nt t e ed du uc ca at ti io on n? ? ABSTRACT: The new understanding of the pathogenesis of asthma has led to an increasing perception of the disease as a chronic condition, rather than one consisting of acute exacerbations. Health professionals need to help patients to accept this new understanding, and this involves a consideration of how best to deliver care and how best to enhance compliance.Good communication is essential, and structured patient education has now been shown to be cost effective. All health professionals need to think how education may best be incorporated into their care. Such care will involve the development of a partnership between health professional and the patient and their loved ones, and the acquisition by patients of skills in self-management.Several unknowns remain regarding who benefits more from group education as opposed to individual education, and some details of guided self-management. However, in the face of clear evidence of the benefits of patient education, these areas for further study should not delay the adoption of a strong commitment to education by all of those who care for those with asthma.

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Underdiagnosis of asthma in the elderly

Cited by 130 publications

References 5 publications

Population-Based Analysis of Incidence Rates of Cancer and Noncancer Chronic Diseases in the US Elderly Using NLTCS/Medicare-Linked Database

Population-Based Analysis of Incidence Rates of Cancer and Noncancer Chronic Diseases in the US Elderly Using NLTCS/Medicare-Linked Database

Difficult asthma

Delivering optimal care to the person with asthma: what are the key components and what do we mean by patient education?

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