Real-world Evaluation of Asthma Control and Treatment (REACT): Findings from a national Web-based survey

Peters, Stephen P.; Jones, Craig; Haselkorn, Tmirah; Mink, David R.; Valacer, David J.; Weiss, Scott T.

doi:10.1016/j.jaci.2007.03.022

Cited by 223 publications

(119 citation statements)

References 28 publications

Supporting

Mentioning

102

Contrasting

Unclassified

Order By: Relevance

“…otro estudio en atención primaria 25 mostró que el 39,8% de los pacientes tenía el asma no controlada, aunque este estudio utilizó un valor de corte del aCT < 16. el estudio reaCT (Real-world Evaluation of Asthma Control and Treatment), que evaluó una muestra representativa nacional de eeuu reclutada vía web, encontró un 55% de asma no controlada 26 . no existen muchos datos en nuestro país sobre el grado de control del asma.…”

Section: Resultsunclassified

“…Probablemente, debido a que en nuestra muestra se observó predominio de mujeres sobre hombres (4:1), el sexo no resultó estar asociado al mal control del asma. en cuanto al tabaquismo activo, no todos los estudios han mostrado su asociación con el mal control del asma 26 , no obstante la similar prevalencia con la población general de tabaquismo activo en los asmáticos (alrededor del 20%) 21,26,39 . no queda clara la causa de esta falta de asociación vista en nuestro estudio ya que la cantidad de cigarrillos fumados por nuestros pacientes fue alto (20 paquetes/año en promedio) y es conocida la resistencia a los corticoides inducida por el tabaquismo 40 .…”

Section: Resultsunclassified

“…en cuanto a la hipertensión arterial (HTa), cerca de la mitad de nuestros pacientes tenía esta comorbilidad, pero no hubo asociación con el mal control del asma. otros estudios han encontrado sólo una significación límite entre el asma y la HTa 26 . en cuanto a la asociación entre el número de comorbilidades y el grado de control del asma, los escasos estudios que lo han comunicado no han encontrado asociación 43 , al igual que el nuestro.…”

Section: Resultsunclassified

See 2 more Smart Citations

Evaluación del grado de control del asma en un centro de atención primaria: Un estudio descriptivo

T¹,

R²,

G³

et al. 2016

Rev. chil. enferm. respir.

View full text Add to dashboard Cite

Assessment of the degree of asthma control in a primary care center Achieve a good clinical control by reducing symptoms and management of modifiable risk factors for exacerbations is the main goal of asthma treatment. Our objective was to assess the degree of clini-tRAbAjo oRiginAl introducción el objetivo actual del tratamiento del asma consiste en alcanzar y mantener el control clínico de la enfermedad 1 , el que se compone de dos dominios: a) el control de síntomas y limitaciones del paciente y b) el manejo de los riesgos de mala evolución futura, que incluye las exacerbaciones, el desarrollo de obstrucción fija al flujo de aire y las reacciones adversas a los medicamentos 2 . el nivel de control se refiere al estado actual de la enfermedad, el que puede variar marcadamente en períodos cortos de tiempo y refleja más directamente la efectividad de las intervenciones terapéuticas 3 . Como tanto los pacientes como los médicos tratantes generalmente sobrestiman el grado de control de la enfermedad 4 , se han desarrollado una serie de herramientas simples de aplicar en la práctica diaria para identificar a los pacientes con asma mal controlada. las más utilizadas son los cuestionarios de GINA, el aCQ (Asthma Control Questionnaire) y el aCT (Asthma Control Test) 5 . en cuanto a la reducción de los riesgos futuros, el riesgo de desarrollar exacerbaciones es el más importante debido su asociación con mayor

show abstract

Section: Resultsunclassified

See 1 more Smart Citation

Evaluación del grado de control del asma en un centro de atención primaria: Un estudio descriptivo

T¹,

R²,

G³

et al. 2016

Rev. chil. enferm. respir.

View full text Add to dashboard Cite

show abstract

“…Similar approaches utilising electronic data capture have been reported for other published studies. [18][19][20] Participating HCPs entered information directly into the survey instrument. Patient data included demographic and clinical information, such as physician-assessed asthma severity, the presence of co-morbidities, prescription medications self-administered within 24 hours before presentation to the ED, and mode of arrival.…”

Section: Survey Instrumentmentioning

confidence: 99%

Pulmonary function testing in the Emergency Department and medications prescribed at discharge: results of the Multinational Acute asthma Management, Burden, and Outcomes (MAMBO) study

FitzGerald

O'Byrne

McFetridge

et al. 2010

Primary Care Respiratory Journal

View full text Add to dashboard Cite

Aims: To evaluate asthma care in the emergency department (ED), including use of pulmonary function testing (PFT) and how patients are treated when discharged.Methods: Internet-based surveys were completed by 298 healthcare practitioners in seven countries on 1078 patients 15-70 years old with an acute asthma exacerbation.Results: Less than 60% of patients received guideline-recommended therapy with a bronchodilator, corticosteroid, and supplemental oxygen. Patients undergoing PFT had significantly more courses of asthma therapy (2.3 vs 1.7; p < 0.001), and received more medications (5.7 vs 3.9; p < 0.001). At discharge, 17.9% of patients did not receive a prescription asthma medication and 12.8% did not receive a physician referral. Men (p<0.022), patients with more severe disease (p<0.0001), and those seen by a pulmonologist (p<0.0001), were more likely to be treated.Conclusions: Management of patients with acute asthma exacerbations diverged from guideline recommendations. Enhanced adherence to guidelines could lead to improved outcomes.

show abstract

“…However, despite these improvements, the control of asthma in the real world remains suboptimal, with frequent exacerbations and a high number of hospital admissions in patients within the primary care system [2,3,4,5]. …”

Section: Introductionmentioning

confidence: 99%

Inhaled Corticosteroid/Long-Acting β<sub>2</sub>-Agonist Combination Therapy for Asthma: Attitudes of Specialists in Europe

Bousquet

Winchester²,

Papi³

et al. 2011

Int Arch Allergy Immunol

View full text Add to dashboard Cite

Background: As new combinations of inhaled corticosteroids (ICSs) and long-acting β₂-agonists (LABAs) become available for the treatment of asthma, it will be important to determine criteria against which they can be evaluated. The aim of this study was to assess which attributes of combination therapy physicians consider most important. Methods: Primary and secondary care asthma specialists (n = 32) were recruited for an expert Delphi process that was performed over three rounds to determine attributes perceived to be important in the selection of combination therapy. A pan-European survey was carried out to assess the attitudes, perceptions and prescribing behaviour of a larger population (n = 1,861) of physicians with a specialist interest in asthma treatment. Results: The expert Delphi panel (response rate 59.4%) agreed that the availability of a range of doses (88% agreement in the final round), the efficacy of the combination (81%) and the safety and tolerability of the therapy (81%) were important attributes of ICS/LABA combination treatment. The potency of the ICS (69%) and the speed of onset of the LABA (69%) were also prioritized. The results of the attitudinal survey (eligibility rate 54.1%) showed that the same factors were considered important in everyday clinical practice. Conclusions: These studies identified which attributes of an ICS/LABA treatment are considered most important by an expert panel and a broader group of physicians; further research is warranted to better understand the influences that drive physician opinions.

show abstract

Real-world Evaluation of Asthma Control and Treatment (REACT): Findings from a national Web-based survey

Cited by 223 publications

References 28 publications

Evaluación del grado de control del asma en un centro de atención primaria: Un estudio descriptivo

Evaluación del grado de control del asma en un centro de atención primaria: Un estudio descriptivo

Pulmonary function testing in the Emergency Department and medications prescribed at discharge: results of the Multinational Acute asthma Management, Burden, and Outcomes (MAMBO) study

Inhaled Corticosteroid/Long-Acting β<sub>2</sub>-Agonist Combination Therapy for Asthma: Attitudes of Specialists in Europe

Contact Info

Product

Resources

About