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Management, asthma control and quality of life in Swedish adolescents with asthma
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centrum för klinisk forskning i D län (CKFD).
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Center for Clinical Research Dalarna.
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2005 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 94, no 6, 682-688 p.Article in journal (Refereed) Published
Abstract [en]

Aim: In Sweden, paediatricians or general practitioners treat most adolescents with asthma. This study compares management, treatment goals and quality of life for adolescents aged 15-18 y in paediatric or primary care. Material and methods: A random sample of patients answered a disease-specific and a quality-of-life (MiniAQLQ) questionnaire. Results: The 146 adolescents in paediatric care had more years with asthma, better continuity of annual surveillance, higher use of inhaled steroids and a stated better knowledge of their asthma than the 174 patients in primary care. No difference could be detected in asthma control or quality of life. Of all 320 adolescents, approximately 20% had woken at night due to asthma symptoms during the last week. About 15% had made unscheduled, urgent care visits and a third had used short-acting beta-agonist relievers more than twice a week. Quality-of-life scores were high and similar in both settings. Conclusions: Swedish adolescents with asthma are managed and treated somewhat differently in paediatric and primary care but with equal and, for the most part, satisfying results. The difference between the two settings probably reflects both differences in severity of asthma and different treatment traditions. For all adolescents, better fulfilment of goals regarding symptoms and exacerbations would be desirable, whereas a good quality of life including normal physical activity seems to have been achieved.

Place, publisher, year, edition, pages
2005. Vol. 94, no 6, 682-688 p.
Keyword [en]
Adolescent, Asthma/psychology/*therapy, Child, Child Health Services, Comparative Study, Cross-Sectional Studies, Humans, Primary Health Care, Quality of Life, Research Support; Non-U.S. Gov't, Sweden
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:uu:diva-93779DOI: 10.1080/08035250510025851ISI: 000229836900008PubMedID: 16188769OAI: oai:DiVA.org:uu-93779DiVA: diva2:167363
Available from: 2005-11-17 Created: 2005-11-17 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Epidemiological Aspects of Asthma in Primary Care: Special Reference to Prevalence, Clinical Detection and Validation
Open this publication in new window or tab >>Epidemiological Aspects of Asthma in Primary Care: Special Reference to Prevalence, Clinical Detection and Validation
2005 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Objectives. To describe the prevalence of asthma in a mid-Swedish region and measure the detection rate of asthma in primary care. To compare clinical outcomes for adolescents with asthma in primary care or in paediatric care and to perform a clinical validation in children with airway, nose and skin symptoms.

Material and methods. A questionnaire survey of respiratory symptoms and disease in an adult population and an investigation of the occurrence of clinically detected asthma in primary care. A cross-sectional study comparing management, asthma control and quality of life in adolescents. The last study was a nested case-control study with a clinical validation of reported allergic symptoms in children.

Results. The prevalence of asthma in the adult population was 8%. The clinical prevalence of asthma in primary care was 2%. The detection rate was higher in primary health care centres with asthma clinics, as compared to primary care without such clinics. In adolescents with asthma there was no difference in clinical outcomes between primary care and paediatric care. The validation study showed a high correlation between assigned cases and disease.

Conclusions. Asthma is a common disease where the majority of cases are managed in primary care. Many cases are, however, not diagnosed and the detection rate becomes a quality care indicator. The study of adolescents confirms that proactive care can be further improved regardless of whether their management is in primary or paediatric care. The nested case-control design is suitable to suggest causational risk factors for asthma and for prediction of allergic disease development.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2005. 66 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 90
Keyword
Medicine, Adult, Adolescent, Asthma, Case-Control Studies, Causality, Child, Cross-Sectional Studies, Diagnosis Computer-Assisted, Epidemiology, Prevalence, Primary Health Care, Validation Studies, Medicin
National Category
Dermatology and Venereal Diseases
Identifiers
urn:nbn:se:uu:diva-6144 (URN)91-554-6406-8 (ISBN)
Public defence
2005-12-09, Rudbeckssalen, Rudbeckslaboratoriet, Uppsala Science Park, Uppsala, 13:15
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Supervisors
Available from: 2005-11-17 Created: 2005-11-17 Last updated: 2011-05-13Bibliographically approved

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Hasselgren, MikaelStällberg, BjörnLisspers, KarinJohansson, Gunnar

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