Asthma Control and Cost in Latin America

Gold, Laura S.; Montealegre, Federico; Allen‐Ramey, Felicia; Jardim, José R.; Sansores, Raúl H; Sullivan, Sean D.

doi:10.1016/j.vhri.2014.06.007

Cited by 11 publications

(8 citation statements)

References 14 publications

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“…Interestingly, the frequency of uncontrolled asthma was lower compared to what has been previously reported in Latin America by other studies. 12,38 After understanding how the difficulty in identifying and communicating symptoms could be vital in asthma management, it is not surprising that Factors 1 and 2 in the TAS-20 questionnaire have been subject of interest for other research. For instance, in a publication involving patients with non-fatal asthma, authors concluded that the difficulty in both identifying and communicating feelings may be detrimental for asthma control.…”

Section: Discussionmentioning

confidence: 99%

Influence of alexithymia on the management of Latin American patients with asthma: A cross-sectional study

et al. 2020

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Objectives: In asthmatic patients, studies suggest that alexithymia leads to negative consequences and emotions that can affect physical, psychological, and social aspects of life. We designed this study to determine the frequency of alexithymia in Latin American patients with asthma, as well as to understand how this personality trait and each of its components interact with asthma severity and demographic variables, and their implications on treatment adherence and disease control under such setting. Methods: We conducted a cross-sectional study, involving 265 Latin American patients with asthma. Patient demographics and clinical characteristics were reported. The presence of alexithymia, asthma severity, and control, as well as treatment adherence, was analyzed. To assess the presence of alexithymia, the 20-item Toronto Alexithymia Scale was used. For the statistical analyses, we performed Kendall’s tau-b correlation coefficient, chi-square tests for association, and one-way analysis of variance. Results: A total of 265 patients participated in the study with a gender distribution of 69.4% female and an average age of 54.7 years. In total, 30.2% of individuals presented alexithymia. There was a statistically significant correlation between educational level and 20-item Toronto Alexithymia Scale categories ( p < .001), as well as a higher proportion of severe (35.1%, p = .001) and uncontrolled (50.0%, p = .185) asthma in patients with alexithymia. A higher proportion of patients with some level of non-adherence was seen on those with uncontrolled asthma (68.5%, p = .008). Conclusion: Our results suggest that in our sample, 3 in 10 Latin American asthma patients have alexithymia, and such mental condition is more common in those individuals with lower educational levels. Individuals with alexithymia present with severe asthma more frequently than do patients with possible or no alexithymia and are also more likely to have their disease uncontrolled.

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Section: Discussionmentioning

confidence: 99%

Influence of alexithymia on the management of Latin American patients with asthma: A cross-sectional study

et al. 2020

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“…The availability of large scale statistics of HCRU is mainly restricted to high-income countries [ 12 , 54 ] and data are lacking for most low-and middle-income countries [ 2 ]. Gold et al [ 55 ] used the Latin America Asthma Insights and Management Survey (LA AIM) to assess different levels of asthma control based on Global Initiative for Asthma (GINA) guidelines in five countries, and found that a poor control was a significant factor influencing health care resources use and greater medical costs, ranging from $70 for a well-controlled patient in Brazil, for an $5400 uncontrolled patient in Argentina (2013 US dollars). However, Colombia was not included in this study and therefore it is difficult to make a comparison of our results with previous estimations.…”

Section: Discussionmentioning

confidence: 99%

Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis

Flórez-Tanus

Parra

Zakzuk

et al. 2018

World Allergy Organization Journal

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BackgroundAsthma is one of the most common chronic respiratory conditions worldwide. Asthma-related economic burden has been reported in Latin America, but knowledge about its economic impact to the Colombian health care system and the influence of disease severity is lacking. This study estimated direct medical costs and health care resource utilization (HCRU) in patients with asthma according to severity in Colombia.MethodsThis study identified all-age patients who had at least one medical event linked to an asthma diagnosis (CIE-10: J45-J46) between 2004 and 2014. Patients were selected if they had a continuous enrollment and uninterrupted insurance coverage between January 1–2015 and December 31–2015 and were categorized into 4 different severity levels using a modified algorithm based on Leidy criteria. Healthcare utilization and costs were estimated in a 1-year period after the identification period. A Generalized Linear Model (GLM) with gamma distribution and log link was used to analyze costs adjusting for patient demographics.ResultsA total of 20,410 patients were included: 69.5% had mild intermittent, 18.0% mild persistent, 6.9% moderate persistent and 5.5% severe persistent asthma; with mean costs (SD) of $67 (134), $482 (1506), $1061 (1983), $2235 (3426) respectively (p < 0.001). The mean total direct cost was estimated at $331 (1278) per patient. Medication and hospitalization had the higher proportion in total costs (46% and 31% respectively). General physician visits was the most used service (57.2%) and short-acting β-2 agonists the most used medication (24%).ConclusionsHealth services utilization and direct costs of asthma were highly related to disease severity. Nationwide health policies aimed at the effective control of asthma are necessary and would play an important role in reducing the associated economic impact.Electronic supplementary materialThe online version of this article (10.1186/s40413-018-0205-4) contains supplementary material, which is available to authorized users.

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“…18 Las características sociodemográficas del estudio presentan una muestra predominantemente femenina (77%), con edad media de 57 años y casi la mitad (48%) laboralmente activa, en la cual 78% cuenta con estudios secundarios o superiores, sin analfabetismo reportado. Similares proporciones en cuanto a edad y género se han reportado en Latinoamérica; 7,19 sin embargo, en cuanto a nivel educativo son mejores nuestros resultados. El mejor grado de alfabetización, nivel educativo y socioeconómico puede ser debido a que el estudio se realizó en la ciudad capital y en un centro hospitalario al que acuden pacientes derechohabientes de la Caja de Seguro Social.…”

Section: Discussionunclassified

“…6 Se han reportado mayores gastos económicos asociados al mal control del asma. 7 También hay reportes de repercusiones en el aspecto laboral con mayor ausentismo y pérdida de años laborables. Este mismo estudio estimó que una reducción de 10% en la prevalencia de control subóptimo en el asma se asoció con una reducción de 18% en la carga económica.…”

Section: Introductionunclassified

Control del asma, características clínicas y epidemiológicas en Panamá. (CASPAN: Control del asma en Panamá)

Brid-Carrera¹,

Perea-Zorrilla²

2020

NCT Neumología Y Cirugía De Tórax

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RESUMEN. Introducción: En el mundo no se ha logrado un adecuado control del asma, siendo éste uno de los principales objetivos del tratamiento. Objetivos: Describir el control del asma, las características clínicas y epidemiológicas en Panamá. Material y métodos: Estudio observacional mediante la aplicación de encuesta en la consulta externa del servicio de neumología en un hospital de tercer nivel de enero a marzo de 2019. Resultados: 97 pacientes, edad media: 57 años (DE 12.9), femeninos 77%. Control del asma: no controlados 52%, parcialmente controlados 40%, totalmente controlados 8%, mala adherencia a los inhaladores 54%, mala técnica de inhalación 25%. Refirieron una o más visitas urgentes por asma el último año: 51%, hospitalizaciones 7%. Comorbilidades asociadas al mal control del asma: ex fumador 16%, fumador activo 1%, obesidad 51%, rinitis alérgica 35%, reflujo gastroesofágico 38%, depresión 2%. Frecuencia de factores del hogar asociados al mal control del asma: polvo 72%, desinfectantes 61%, aerosoles 55%, mascotas 48%. Sólo se encontró diferencia significativa para asma no controlada en presencia de rinitis alérgica, mala técnica de inhalación y mayor uso de recursos sanitarios. Conclusión: El control del asma fue similar a los reportes en Latinoamérica, manteniéndose mal controlada en más de 50%. Palabras clave: Control del asma, test de control del asma, población latinoamericana, adherencia terapéutica. ABSTRACT. Introduction: In the world, adequate asthma control has not been achieved; this being one of the main objectives of the treatment. Objectives: Describe asthma control, clinical and epidemiological characteristics in Panama. Material and methods: Observational study through the application of a survey in the outpatient consultation room of the pulmonology department in a 3rd level hospital from January to March 2019. Results: 97 patients, average age: 57 years (SD 12.9), female 77%. Asthma control: uncontrolled 52%, partially controlled 40%, fully controlled 8%. Bad adherence to inhalers 54%. Bad inhalation technique 25%. They referred one or more urgent visits for asthma last year: 51%, hospitalizations 7%. Comorbidities associated with poor asthma control: former smoker 16%, active smoker 1%, obesity 51%, allergic rhinitis 35%, gastroesophageal reflux 38%, depression 2%. Frequency of household factors associated with poor asthma control: 72% dust, 61% disinfectants, 55% aerosols, 48% pets. We only found a significant difference for uncontrolled asthma in the presence of allergic rhinitis, poor inhalation technique and greater use of healthcare resources. Conclusion: Asthma control was similar to reports in Latin America, keeping poorly controlled at more than 50%.

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Asthma Control and Cost in Latin America

Cited by 11 publications

References 14 publications

Influence of alexithymia on the management of Latin American patients with asthma: A cross-sectional study

Influence of alexithymia on the management of Latin American patients with asthma: A cross-sectional study

Health care costs and resource utilization for different asthma severity stages in Colombia: a claims data analysis

Control del asma, características clínicas y epidemiológicas en Panamá. (CASPAN: Control del asma en Panamá)

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