RT Journal Article
SR Electronic
T1 Pharmacological treatment of asthma in a cohort of adults during a 20-year period: results from the European Community Respiratory Health Survey I, II and III
JF ERJ Open Research
JO erjor
FD European Respiratory Society
SP 00073-2018
DO 10.1183/23120541.00073-2018
VO 5
IS 1
A1 Christer Janson
A1 Simone Accordini
A1 Lucia Cazzoletti
A1 Isa Cerveri
A1 Sebastien Chanoine
A1 Angelo Corsico
A1 Diogenes Seraphim Ferreira
A1 Judith Garcia-Aymerich
A1 David Gislason
A1 Rune Nielsen
A1 Ane Johannessen
A1 Rain Jogi
A1 Andrei Malinovschi
A1 Jesús Martinez-Moratalla Rovira
A1 Alessandro Marcon
A1 Isabelle Pin
A1 Jennifer Quint
A1 Valerie Siroux
A1 Enrique Almar
A1 Valeria Bellisario
A1 Karl A. Franklin
A1 José A. Gullón
A1 Mathias Holm
A1 Joachim Heinrich
A1 Dennis Nowak
A1 José Luis Sánchez-Ramos
A1 Joost J. Weyler
A1 Deborah Jarvis
YR 2019
UL http://openres.ersjournals.com/content/5/1/00073-2018.abstract
AB Asthma often remains uncontrolled, despite the fact that the pharmacological treatment has undergone large changes. We studied changes in the treatment of asthma over a 20-year period and identified factors associated with the regular use of inhaled corticosteroid (ICS) treatment.Changes in the use of medication were determined in 4617 randomly selected subjects, while changes in adults with persistent asthma were analysed in 369 participants. The study compares data from three surveys in 24 centres in 11 countries.The use of ICSs increased from 1.7% to 5.9% in the general population and the regular use of ICSs increased from 19% to 34% among persistent asthmatic subjects. The proportion of asthmatic subjects reporting asthma attacks in the last 12 months decreased, while the proportion that had seen a doctor in the last 12 months remained unchanged (42%). Subjects with asthma who had experienced attacks or had seen a doctor were more likely to use ICSs on a regular basis.Although ICS use has increased, only one-third of subjects with persistent asthma take ICSs on a regular basis. Less than half had seen a doctor during the last year. This indicates that underuse of ICSs and lack of regular healthcare contacts remains a problem in the management of asthma.Despite increased ICS use, only 34% of subjects with persistent asthma take ICSs on a regular basis; <50% have seen a doctor in the last year. Underuse of ICSs and lack of regular healthcare contacts remains a problem in asthma. http://ow.ly/GUZ630mZkVN