Primary care challenges in treating paediatric asthma in the Asia-Pacific region

Jusuf, Lukas; Hsieh, Chin-Tung; Abad, Lorna R.; Chaiyote, Weena; Chin, Wai Seong; Choi, Yong-Jae; Goh, Kelvin Tze Chien; Nguyen, Thi Dieu Huyen

doi:10.4104/pcrj.2013.00069

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…However, a considerable number of patients, owing to cultural taboos, are still assumed to have steroid phobia and often prefer oral medication 1011. Thus, in order to gather data on the current status of asthma prevalence, severity, and the pattern of management in the real practice setting, we conducted a cross-institutional survey over 12 pediatric allergy centers at different tertiary hospitals.…”

Section: Introductionmentioning

confidence: 99%

Asthma Severity and the Controller Prescription in Children at 12 Tertiary Hospitals

Suh

Yang

Kim

et al. 2017

Allergy Asthma Immunol Res

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PurposeGuidelines need to be tailored to where they are applied. We aimed to describe the distinctive asthma severity profile and the pattern of controller prescription in Korean children.MethodsTwelve pediatric allergists from tertiary medical centers reviewed medical records of all asthmatic children who visited their clinics between September 1 and November 30 of 2013. Controller prescriptions were re-classified into 4 categories, then the prevalence of each asthma severity category and the controller prescription patterns according to asthma severity assessed by a Western (Global Initiative for Asthma, GINA) and an Asia-Pacific (Japanese Pediatric GuideLine, JPGL) guideline were evaluated.ResultsA total of 840 cases were reviewed. Both GINA and JPGL revealed that 328 (39.0%) and 249 (29.6%) subjects had intermittent asthma whereas 24 (2.9%) and 21 (2.5%) subjects had severe persistent asthma, respectively. Although higher category controllers tended to be prescribed to those who had more severe asthma, there was much overlap in categories of prescribed controllers between groups with regard to asthma severities. Leukotriene receptor antagonists (LTRA) was the most frequently prescribed as a single controller (40%) or as an add-on medication (19%) in the group of asthmatic children <6 years.ConclusionsKorean children have distinctive patterns of asthma severity and management strategies with a lower prevalence of severe asthma and a preference toward LTRA rather than low dose inhaled corticosteroids (ICS) alone or add-on long-acting beta-agonist (LABA) in the group of <6 year-old asthmatics that has not been predicted in Western countries. Thus, strategies tailored to regional situations need to be developed and recommended.

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Section: Introductionmentioning

confidence: 99%

Asthma Severity and the Controller Prescription in Children at 12 Tertiary Hospitals

Suh

Yang

Kim

et al. 2017

Allergy Asthma Immunol Res

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“…Un grupo de trabajo compuesto por pediatras y médicos generales de la región Asia-Pacífico, resaltó la importancia de ampliar la evidencia sobre las prácticas de MT para el tratamiento del asma en población pediátrica, como parte de uno de los 6 retos para la atención primaria del asma en esta región (Jusuf et al, 2013). Otro estudio señala que para la comunidad científica "es fácil descartar rápidamente la validez de las prácticas tradicionales de salud, sin embargo, algo se podría aprender del beneficio que los pacientes parecen reportar constantemente" (Connett y Lee, 1994).…”

Section: Discussionunclassified

Effect and safety of an outpatient traditional medicine treatment for asthma in 26 patients from Cota, Colombia: a case series

Zuluaga

Pimentel²,

Sarmiento

et al. 2021

BLACPMA

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The prevalence, morbidity and costs of asthma care have increased worldwide. This study describes the effect and safety of an outpatient medical treatment with traditional medicine for asthma, through a retrospective case series with patients admitted to outpatient consultation from 1995 to 2015 in Cota, Colombia. Analyzing 26 cases with a clinical diagnosis of asthma, during the treatment 34.6% (9/26) did not present episodes of uncontrolled asthma and 61.5% (16/26) were classified as controlled asthma in their last consultation of control. 88.4% (23/26) of the patients reported no adverse reactions and the three reported were mild. The results allow to generate hypotheses about the effectiveness and safety of an outpatient treatment based on the incorporation of resources from traditional medicine. These observations could be explored with experimental studies to determine their long-term effectiveness, safety and low cost.

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“…In addition, some primary care services are delivered in constrained systems where only a few minutes are available to the practitioner in a consultation, or where only a limited range of asthma medicines are available or affordable. 50 …”

Section: What Are the Challenges For The Healthcare Organisation In Pmentioning

confidence: 99%

A woman with asthma: a whole systems approach to supporting self-management

Pinnock

Ehrlich

Hoskins

et al. 2014

npj Prim Care Resp Med

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A 35-year-old lady attends for review of her asthma following an acute exacerbation. There is an extensive evidence base for supported self-management for people living with asthma, and international and national guidelines emphasise the importance of providing a written asthma action plan. Effective implementation of this recommendation for the lady in this case study is considered from the perspective of a patient, healthcare professional, and the organisation. The patient emphasises the importance of developing a partnership based on honesty and trust, the need for adherence to monitoring and regular treatment, and involvement of family support. The professional considers the provision of asthma self-management in the context of a structured review, with a focus on a self-management discussion which elicits the patient’s goals and preferences. The organisation has a crucial role in promoting, enabling and providing resources to support professionals to provide self-management. The patient’s asthma control was assessed and management optimised in two structured reviews. Her goal was to avoid disruption to her work and her personalised action plan focused on achieving that goal.

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Primary care challenges in treating paediatric asthma in the Asia-Pacific region

Cited by 3 publications

References 10 publications

Asthma Severity and the Controller Prescription in Children at 12 Tertiary Hospitals

Asthma Severity and the Controller Prescription in Children at 12 Tertiary Hospitals

Effect and safety of an outpatient traditional medicine treatment for asthma in 26 patients from Cota, Colombia: a case series

A woman with asthma: a whole systems approach to supporting self-management

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