Tracing uncontrolled asthma in family practice using a mailed asthma control questionnaire

Annals of Family Medicine
Lotte van den NieuwenhofPatrick Bindels

Abstract

A substantial proportion of adult patients with asthma have inadequately controlled symptoms despite the availability of effective treatment. The Asthma Control Questionnaire (ACQ) can be used to discriminate between asthma patients with well- and suboptimally controlled asthma symptoms. The objective of this study was to investigate whether a postal mailing of the ACQ can be used to identify asthma patients with suboptimal symptom control in family practice. In this observational study, we sent 434 asthma patients from 6 Dutch family practices an ACQ by mail to measure control of their asthma symptoms. Both respondents and nonrespondents were characterized by information gathered from their medical records. Patients with an ACQ sum score (total score) of greater than 3 were considered to have suboptimally controlled asthma symptoms. The response rate was 77%. Respondents were more likely than non-respondents to be female and to use asthma medication. The mean ACQ sum score of the respondents was 5.2. Of this group, 53.4% (95% confidence interval, 48.0%-58.8%) had suboptimally controlled asthma symptoms. Of the 168 respondents who had not visited their family physician in the 2 years before the study, 42.9% (95% confidence inte...Continue Reading

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Citations

Dec 25, 2010·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Kathleen W WyrwichDavis F Gates
Apr 7, 2011·Current Opinion in Allergy and Clinical Immunology·Rik J B LoymansPeter J Sterk
Apr 22, 2017·Indian Journal of Clinical Biochemistry : IJCB·Murugaiyan Sathish BabuV Kuzhandai Velu
Jun 12, 2010·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Bonnie B DeanDavid Tinkelman

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