The challenge of asthma control grading in clinical practice.

Asthma / epidemiology Child Humans Male Multivariate Analysis Physician-Patient Relations Physicians Severity of Illness Index Surveys and Questionnaires
ACT Adolescents Asthma Asthma control Children GINA

Journal

Respiratory investigation
ISSN: 2212-5353
Titre abrégé: Respir Investig
Pays: Netherlands
ID NLM: 101581124

Informations de publication

Date de publication:
Sep 2021
Historique:
received: 14 04 2021
revised: 11 05 2021
accepted: 03 06 2021
pubmed: 25 7 2021
medline: 26 10 2021
entrez: 24 7 2021
Statut: ppublish

Résumé

Asthma is a chronic disease for which control is considered the management goal. However, the different methods to measure asthma control, including the Global Initiative for Asthma (GINA) criteria and Asthma Control Test (ACT), can produce conflicting results. This nationwide pediatric study compared both methods in 465 enrolled children (322 males, mean age 11.2 years). Lung function and symptom perception were also evaluated. The results showed fair concordance (k = 0.253) between GINA grading and childhood-ACT (C-ACT). Multivariate analysis revealed an association between the parents' perception of asthma and uncontrolled asthma (odds ratio [OR] = 1.52). These findings highlight the persisting puzzle of asthma control grading in primary care, which could confuse doctors. Therefore, asthma control assessment deserves adequate attention and requires substantial expertise in clinical practice.

Identifiants

DOI: 10.1016/j.resinv.2021.06.001 PMID: 34301508
pubmed: 34301508
pii: S2212-5345(21)00109-X
doi: 10.1016/j.resinv.2021.06.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

683-685

Investigateurs

Elisa Anastasio (E)
Carlo Caffarelli (C)
Federica Caricato (F)
Loredana Chini (L)
Elisabetta Del Duca (E)
Valentina De Vittori (V)
Maria Elisa Di Cicco (ME)
Ahmad Kantar (A)
Maddalena Leone (M)
Amelia Licari (A)
Viviana Moschese (V)
Roberta Olcese (R)
Diego G Peroni (DG)
Valeria Talarico (V)
Martina Votto (M)

Informations de copyright

Copyright © 2021 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of Interest The authors declare no conflict of interest.

Auteurs

Maria Angela Tosca (MA)

Allergy Center, Department of Pediatric Science, Istituto Giannina Gaslini, Genoa, Italy.

Irene Schiavetti (I)

Health Science Department, University of Genoa, Genoa, Italy.

Giorgio Ciprandi (G)

Allergy Clinic, Department of Outpatients, Casa di Cura Villa Montallegro, Genoa, Italy. Electronic address: gio.cip@libero.it.

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Classifications MeSH

questionsmedicales.fr › Maladies du système immunitaire › Hypersensibilité › Hypersensibilité immédiate › Hypersensibilité respiratoire › Asthme › The challenge of asthma control grading in...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › The challenge of asthma control grading in...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The challenge of asthma control grading in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Analyse de variance › Analyse multifactorielle › The challenge of asthma control grading in...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Relations entre professionnels de santé et patients › Relations médecin-patient › The challenge of asthma control grading in...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Médecins › The challenge of asthma control grading in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Enquêtes de santé › Indicateurs d'état de santé › Acuité des besoins du patient › Indice de gravité de la maladie › The challenge of asthma control grading in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › The challenge of asthma control grading in...