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 Janson, Christer
A1 Accordini, Simone
A1 Cazzoletti, Lucia
A1 Cerveri, Isa
A1 Chanoine, Sebastien
A1 Corsico, Angelo
A1 Ferreira, Diogenes Seraphim
A1 Garcia-Aymerich, Judith
A1 Gislason, David
A1 Nielsen, Rune
A1 Johannessen, Ane
A1 Jogi, Rain
A1 Malinovschi, Andrei
A1 Martinez-Moratalla Rovira, Jesús
A1 Marcon, Alessandro
A1 Pin, Isabelle
A1 Quint, Jennifer
A1 Siroux, Valerie
A1 Almar, Enrique
A1 Bellisario, Valeria
A1 Franklin, Karl A.
A1 Gullón, José A.
A1 Holm, Mathias
A1 Heinrich, Joachim
A1 Nowak, Dennis
A1 Sánchez-Ramos, José Luis
A1 Weyler, Joost J.
A1 Jarvis, Deborah
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