Abstract
A prospective study was performed between June 1996 and December 1997, to identify how general practitioners (GPs) in Belgium assess asthma severity and how they treat asthma according to their severity assessment. Three hundred and sixty-five GPs included 1376 already diagnosed and treated asthmatics. The GPs used a questionnaire providing data on patient demographics, aetiology of asthma, symptoms and medication use. The patients provided a complete diary card of day and night symptoms and morning and evening peak expiratory flow rates during a 3-week period. Asthma severity as assessed by GPs was compared with the severity according to the GINA guidelines. Along the same line, asthma treatment was evaluated according to the GPs assessment of severity and according to the GINA guidelines. Confronting the assessment of asthma severity by the GPs with the GINA criteria revealed that about 20% and 2% of the patients' asthma severity respectively were under- and over-estimated, respectively (using a discrepancy between GPs and GINA assessment of severity by 2 or more classes). Using the GINA criteria for treatment, only 37.5% of the patients seemed to be correctly treated. Taking a discrepancy between GINA assessment and treatmen...Continue Reading
References
Oct 25, 1995·JAMA : the Journal of the American Medical Association·R Voelker
May 12, 1994·The New England Journal of Medicine·P J Barnes
Jun 1, 1997·The European Respiratory Journal·T GislasonA Sigvaldason
Aug 1, 1997·The European Respiratory Journal·C JansonP Burney
Mar 11, 1998·The European Respiratory Journal·I CerveriR De Marco
Mar 28, 1998·American Journal of Respiratory and Critical Care Medicine·L J DupontG M Verleden
Apr 2, 1998·Respiration; International Review of Thoracic Diseases·K I GourgoulianisA Efthimiou
Feb 9, 1999·The Journal of Allergy and Clinical Immunology·H S NelsonS M Harding
Jul 1, 1999·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·M C Roghmann, M Sexton
Nov 26, 1999·The European Respiratory Journal·E F JuniperD R King
Aug 3, 2000·The New England Journal of Medicine·S SuissaB Cai
Sep 30, 2000·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·C PutG Verleden
Dec 6, 2000·The European Respiratory Journal·R LiardF Neukirch
Aug 21, 2001·The European Respiratory Journal·P Bergquist, G K Crompton
Citations
Oct 8, 2005·Respiratory Medicine·K R Chapman
Sep 6, 2005·European Journal of Public Health·Ashna D MohangooHein Raat
Dec 24, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Lamia Ouanes-BesbesFekri Abroug
May 31, 2007·Southern Medical Journal·I Kivilcim OguzulgenHaluk Turktas
Jul 2, 2021·Journal of Family Medicine and Primary Care·Hassan Ahmed AssiriHassan Mohammad Alqarni