Source:http://linkedlifedata.com/resource/pubmed/id/17654133
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
2007-7-26
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| pubmed:abstractText |
The aim of this study was to determine the level of asthma control and the concordance between physicians' and patients' opinions and the real patients' situation. A total of 777 subjects (55% female) with asthma were recruited. The study comprised a 4-week follow-up period, during which subjects completed a diary recording peak expiratory flow (PEF), symptoms, and use of rescue medication. At the end, both physicians and patients rated asthma control status. The level of control was evaluated using a composite measure. Agreement among subjective assessments of asthma control by patients and physicians and objective evaluation with the composite measure was assessed through kappa scores. A total of 518 (67%) patients had "not well-controlled asthma," being the remaining "totally controlled" (8%) or "well-controlled" (25%). "Not well-controlled asthma" was more frequent in smokers (82%) than in ex-smokers (70%) or in non-smokers (62%; p=0.0002). Kappa scores between patients' and physicians' opinions and the real patients' status were 0.02 (95% CI, 0.01-0.05) and 0.07 (95% CI, 0.03-0.09), respectively. In conclusion, current level of asthma control is suboptimal for a majority (67%) of patients in Spain. Besides, asthma control is worse in smokers. Neither patients' nor physicians' opinions agree with patients' real situation. Both patients and physicians accept as normal a suboptimal status of their disease.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:chemical | |
| pubmed:status |
MEDLINE
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| pubmed:issn |
0277-0903
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
44
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
461-7
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| pubmed:meshHeading |
pubmed-meshheading:17654133-Adrenergic beta-Agonists,
pubmed-meshheading:17654133-Adult,
pubmed-meshheading:17654133-Asthma,
pubmed-meshheading:17654133-Attitude of Health Personnel,
pubmed-meshheading:17654133-Child,
pubmed-meshheading:17654133-Cross-Sectional Studies,
pubmed-meshheading:17654133-Female,
pubmed-meshheading:17654133-Follow-Up Studies,
pubmed-meshheading:17654133-Guideline Adherence,
pubmed-meshheading:17654133-Humans,
pubmed-meshheading:17654133-Male,
pubmed-meshheading:17654133-Medical Records,
pubmed-meshheading:17654133-Middle Aged,
pubmed-meshheading:17654133-Patient Satisfaction,
pubmed-meshheading:17654133-Peak Expiratory Flow Rate,
pubmed-meshheading:17654133-Physicians,
pubmed-meshheading:17654133-Spain,
pubmed-meshheading:17654133-Time Factors,
pubmed-meshheading:17654133-Treatment Outcome
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| pubmed:articleTitle |
Asthma control: do patients' and physicians' opinions fit in with patients' asthma control status?
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| pubmed:affiliation |
Allergology, Hospital Dr. Peset, Valencia, Spain.
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| pubmed:publicationType |
Journal Article,
Clinical Trial,
Multicenter Study
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