Relationship of validated psychometric tools to subsequent medical utilization for asthma

Schatz, Michael; Mosen, David M.; Apter, Andrea J.; Zeiger, Robert S.; Vollmer, William M.; Stibolt, Thomas B.; Leong, Albin; Johnson, Michael; Mendoza, Guillermo; Cook, E. Francis

doi:10.1016/j.jaci.2004.12.005

Cited by 29 publications

(25 citation statements)

References 33 publications

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“…A valid control scale would be expected to relate to subsequent acute exacerbations, as measured on the basis of emergency hospital or oral corticosteroid use, and such relationships were demonstrated in this study independent of prior use (Table IV). This is consistent with prior studies showing that the ATAQ asthma control scale predicts subsequent emergency hospital care 18 and requirement for oral corticosteroids 19 above and beyond the effects of prior use. This is also consistent with several prior studies using administrative data that have associated the number of b-agonist canisters dispensed with subsequent health care use [20][21][22] and our own prior study of potential asthma quality measures, 9 in which one cutoff level of b-agonist canister dispensings (6) was associated with increased subsequent emergency hospital care.…”

Section: Discussionsupporting

confidence: 91%

Validation of a β-agonist long-term asthma control scale derived from computerized pharmacy data

Schatz

Zeiger

Vollmer

et al. 2006

Journal of Allergy and Clinical Immunology

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Section: Discussionsupporting

confidence: 91%

Validation of a β-agonist long-term asthma control scale derived from computerized pharmacy data

Schatz

Zeiger

Vollmer

et al. 2006

Journal of Allergy and Clinical Immunology

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“…In addition, due to unreliable estimates, we were unable to examine whether poor health-related quality of life was associated with increased health-care utilization among individuals with workrelated asthma. Findings from past research suggest that poor health-related quality of life is associated with increased health-care utilization among individuals with asthma but results are inconclusive [45][46][47]. Finally, estimates are limited to the 38 states and DC that conducted the Asthma Call-back Survey in 2006-2009 and do not represent nonparticipating states or the entire US population.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life among adults with work-related asthma in the United States

2012

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Purpose-The objective of this study was to examine health-related quality of life among adults with work-related asthma. Methods-We analyzed 2006-2009 Behavioral RiskFactor Surveillance System Asthma Callback Survey data for ever-employed adults with current asthma from 38 states and District of Columbia. Individuals with work-related asthma had been told by a doctor or other health professional that their asthma was related to any job they ever had. Health-related quality of life indicators included poor self-rated health, impaired physical health, impaired mental health, and activity limitation. We calculated prevalence ratios (PRs) adjusted for age, sex, race/ethnicity, education, income, employment, and health insurance.Results-Of ever-employed adults with current asthma, an estimated 9.0 % had work-related asthma, 26.9 % had poor self-rated health, 20.6 % had impaired physical health, 18.2 % had impaired mental health, and 10.2 % had activity limitation. Individuals with work-related asthma were significantly more likely than those with non-work-related asthma to have poor self-rated health [PR, 1.45; 95 % confidence interval (CI), 1.31-1.60], impaired physical health (PR, 1.60; 95 % CI, 1.42-1.80), impaired mental health (PR, 1.55; 95 % CI, 1.34-1.80), and activity limitation (PR, 2.16; 95 % CI, 1.81-2.56).Conclusions-Future research should examine opportunities to improve health-related quality of life among individuals with work-related asthma.G. E. Knoeller ipb8@cdc.gov. Electronic supplementary material The online version of this article

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“…Other investigators have approached risk prediction with detailed information from patients regarding asthma control [20,21]. Few predictive indices have been validated prospectively [20].…”

Section: Discussionmentioning

confidence: 99%

“…Greater asthma severity, race/ethnicity, sex and psychosocial variables have been demonstrated to be related to subsequent asthma-related emergency care and hospitalisation (as markers of morbidity) and to mortality [10][11][12][13][14][15][16][17][18][19][20][21]. Assessment of morbidity and mortality risk can influence clinical decision-making regarding targeted asthma pharmacotherapy and other asthma-related medical care.…”

mentioning

confidence: 99%

TENOR risk score predicts healthcare in adults with severe or difficult-to-treat asthma

Miller¹,

Lee²,

Blanc³

et al. 2006

Eur Respir J

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The aim of the present study was to predict which patients with severe or difficult-totreat asthma are at highest risk for healthcare utilisation can be predicted so as to optimise clinical management.Data were derived from 2,821 adults with asthma enrolled in The Epidemiology and Natural History of Asthma: Outcomes and Treatment Regimens (TENOR) study. Multiple potential predictors were assessed at baseline using a systematic algorithm employing stepwise logistic regression. Outcomes were asthma-related hospitalisations or emergency department (ED) visits within 6 months following baseline.Overall, 239 subjects (8.5%) reported hospitalisation or ED visits at follow-up. Predictors retained after multivariate analysis were as follows: younger age; female sex; non-white race; body mass index o35 kg?m -2 ; post-bronchodilator per cent predicted forced vital capacity ,70%;history of pneumonia; diabetes; cataracts; intubation for asthma; and three or more steroid bursts in the prior 3 months. A final risk score derived from the logistic regression model ranged from 0-18 and was highly predictive (c-index: 0.78) of hospitalisation or ED visits. This tool was re-tested in a prospective validation using outcomes at 12-to 18-months follow-up among the same cohort (c-index: 0.77). The risk score derived is a clinically useful tool for assessing the likelihood of asthma-related hospitalisation or emergency department visits in adults with severe and difficult-to-treat asthma.

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Relationship of validated psychometric tools to subsequent medical utilization for asthma

Cited by 29 publications

References 33 publications

Validation of a β-agonist long-term asthma control scale derived from computerized pharmacy data

Validation of a β-agonist long-term asthma control scale derived from computerized pharmacy data

Health-related quality of life among adults with work-related asthma in the United States

TENOR risk score predicts healthcare in adults with severe or difficult-to-treat asthma

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