The contribution of an asthma diagnostic consultation service in obtaining an accurate asthma diagnosis for primary care patients: results of a real-life study

NPJ Primary Care Respiratory Medicine
R M E GillisFrank Smeenk

Abstract

Previous studies showed that general practitioners have problems in diagnosing asthma accurately, resulting in both under and overdiagnosis. To support general practitioners in their diagnostic process, an asthma diagnostic consultation service was set up. We evaluated the performance of this asthma diagnostic consultation service by analysing the (dis)concordance between the general practitioners working hypotheses and the asthma diagnostic consultation service diagnoses and possible consequences this had on the patients' pharmacotherapy. In total 659 patients were included in this study. At this service the patients' medical history was taken and a physical examination and a histamine challenge test were carried out. We compared the general practitioners working hypotheses with the asthma diagnostic consultation service diagnoses and the change in medication that was incurred. In 52% (n = 340) an asthma diagnosis was excluded. The diagnosis was confirmed in 42% (n = 275). Furthermore, chronic rhinitis was diagnosed in 40% (n = 261) of the patients whereas this was noted in 25% (n = 163) by their general practitioner. The adjusted diagnosis resulted in a change of medication for more than half of all patients. In 10% (n = 63) ...Continue Reading

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Citations

Mar 27, 2020·The Cochrane Database of Systematic Reviews·Thayla A SantinoKarla Mpp Mendonça
May 7, 2020·Frontiers in Pediatrics·Michael B Anthracopoulos, Mark L Everard
Oct 18, 2020·NPJ Primary Care Respiratory Medicine·J E BinsJ C C M In 't Veen
May 26, 2021·Expert Review of Respiratory Medicine·Mario CazzolaJosuel Ora

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Methods Mentioned

BETA
pharmacotherapy

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