Factors Associated With Severe Uncontrolled Asthma and the Perception of Control by Physicians and Patients

Vennera, María del Carmen; Picado, César; Herráez, L; Galera, J; Casafont, J.

doi:10.1016/j.arbr.2014.06.017

Cited by 10 publications

(6 citation statements)

References 26 publications

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“…According to this study, the perception of asthma severity was underestimated by 95% of the SA patients, a result consistent with previous reports. 11 , 14 This may be related to a poor understanding of disease severity by patients and healthcare professionals. Given that the assessment of asthma severity determines the medications required to achieve disease control, it is reasonable to think that patients with a misperception of asthma severity might not achieve optimal control.…”

Section: Discussionmentioning

confidence: 99%

“…It has been well documented that both patients and physicians overestimate control, whereas overestimation by patients is greater, particularly in uncontrolled asthma. 11 , 14 , 29 This poor concordance should be addressed in education programs, mainly for patients with severe, uncontrolled asthma. It is worth noting that nearly 20% of participants did not request information about the management of their condition.…”

Section: Discussionmentioning

confidence: 99%

“… 10 A study from Spain reported that only 10% of patients with severe asthma have their condition controlled according to Spanish asthma guidelines (GEMA) criteria. 11 Furthermore, patients and physicians overestimate asthma control, although overestimation by patients is greater. In fact, the CHAS study performed 10 years ago concluded that in Spain, asthma was still uncontrolled and defined the factors leading to this situation.…”

Section: Introductionmentioning

confidence: 99%

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Patient perspectives of the influence of severe and non‐severe asthma on their quality of life: A national survey of asthma patients in Spain

Chiner

Hernández

Aparicio

et al. 2021

Clinical Respiratory J

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Introduction: Little is known about adult asthma patients' perspective of their disease burden. This study aimed to obtain a comprehensive picture of patient needs, evaluate their knowledge, source of information, and perception of the severity of their asthma, and compare these variables between severe (SA) and non-severe (NSA) asthma patients. Methods: We conducted an online cross-sectional survey in Spain among asthma patients aged ≥18 years. A bespoke questionnaire was used to collect sociodemographic data, asthma characteristics, treatments, disease burden, patient's perception of disease severity, and asthma information sources. Patients were classified as SA and NSA according to GINA 2020 treatment steps recommendations. To compare populations, 600 participants (200 SA and 400 NSA) were randomly selected to complete the survey. Results: Participants were mostly women, mean age >38 years. SA patients underestimated the severity of their asthma; 52% judged it as mild, and only 2% considered their asthma severe. Overall, 50% of NSA and 96% of SA patients had experienced ≥1 exacerbation the previous year (p < 0.001). Fewer asthma exacerbations (SA) and improved quality of life (QoL) (NSA) were the most frequently expected therapy outcomes. NSA patients believe that asthma impacts their daily life (37%) and worsens QoL (34%) to a lesser degree than SA (67% and 59%, respectively; p < 0.001). Patient-preferred sources of information were specialists (NSA:42%; SA: 38%) and primary care physicians (NSA: 41%; SA: 33%).Conclusions: Despite the effective therapies currently available, the results of this study still show a significant emotional burden and QoL impairment in patients with severe asthma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient perspectives of the influence of severe and non‐severe asthma on their quality of life: A national survey of asthma patients in Spain

Chiner

Hernández

Aparicio

et al. 2021

Clinical Respiratory J

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“…This is different to what happens in unstructured settings; in a recent study from Denmark examining the diagnostic workup in severe asthma patients in a real-life setting, inhalation technique and adherence were assessed by treating physicians in only 20% and 30% of patients, respectively [10]. There are several reasons why this might occur, such as having a busy practice, lacking specialised nurses and overestimating patients' ability to master their devices [11]. Again, a state-wide structured setting has to do with public health; however, a structured practice approach can be achieved on an individual basis.…”

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confidence: 96%

Inhaler adherence in severe asthma: is there an electronic solution?

2018

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“…Vennera et al [18] evaluated agreement between the perception of disease control by patients and physicians (according to the GEMA guidelines) and found that both overestimated control (75.8% and 59.3%, respectively). However, asthma was not controlled according to the GEMA criteria, and only 10% of patients with severe asthma were controlled according to the GEMA criteria.…”

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confidence: 99%

Dilemmas and New Paradigms in Asthma Management

Valero

Olaguibel

Delgado

et al. 2019

J Investig Allergol Clin Immunol

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Asthma is one of the most common inflammatory diseases in the world. The main goal of treatment is to achieve optimal control. Although every patient is different, clinical practice guidelines can help physicians to manage the disease. However, the recommendations made by guidelines are not always identical, and the continuous release of new data on the various management strategies can mislead both patients and physicians. We aim to summarize the main controversies in management and treatment recommendations in asthma guidelines, revise the most recent scientific evidence, and pinpoint possible solutions. We do not issue new recommendations or challenge evidence-based guidelines. We concluded that more tools are necessary to achieve and measure optimal asthma control and to better assess the impact of asthma on patients' lives. Also essential is a more accurate appraisal of the short-term and long-term effectiveness and safety of asthma therapies and the possibilities of successful immunomodulation.

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Factors Associated With Severe Uncontrolled Asthma and the Perception of Control by Physicians and Patients

Cited by 10 publications

References 26 publications

Patient perspectives of the influence of severe and non‐severe asthma on their quality of life: A national survey of asthma patients in Spain

Patient perspectives of the influence of severe and non‐severe asthma on their quality of life: A national survey of asthma patients in Spain

Inhaler adherence in severe asthma: is there an electronic solution?

Dilemmas and New Paradigms in Asthma Management

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