BACKGROUND: Asthma control is inadequate in all populations studied to date, leading to a major part of the cost of the disease. The aim of our study was to evaluate the prevalence of uncontrolled asthma in primary care patients and identify the associated factors. METHODS: We carried out a cross-sectional study of the population of primary care asthmatic patients over 18 years old in Spain (n=2159). Asthma control was measured with the Asthma Control Questionnaire (ACQ). The sociodemographic variables and treatment compliance were measured using a questionnaire. We built logistic-regression models using Asthma control, a dichotomous variable generated from ACQ score. RESULTS: The prevalence of uncontrolled asthma was 63.9%. Treatment with oral corticosteroids (OCS) (OR=6.55), greater asthma severity (OR=3.11), presence of a distressing event (OR=2.44), lower significance given to treatment compliance (OR=1.66) and living in a rural area (OR=1.29) are associated with uncontrolled asthma. On the contrary, sex, age, obesity, smoking, alcohol intake and educational level had no effect on asthma control. CONCLUSIONS: In Spain asthma is still uncontrolled and some factors leading to this situation appear to be modifiable by the health system. Copyright 2009 SEPAR. Published by Elsevier Espana. All rights reserved.
BACKGROUND: Asthma control is inadequate in all populations studied to date, leading to a major part of the cost of the disease. The aim of our study was to evaluate the prevalence of uncontrolled asthma in primary care patients and identify the associated factors. METHODS: We carried out a cross-sectional study of the population of primary care asthmatic patients over 18 years old in Spain (n=2159). Asthma control was measured with the Asthma Control Questionnaire (ACQ). The sociodemographic variables and treatment compliance were measured using a questionnaire. We built logistic-regression models using Asthma control, a dichotomous variable generated from ACQ score. RESULTS: The prevalence of uncontrolled asthma was 63.9%. Treatment with oral corticosteroids (OCS) (OR=6.55), greater asthma severity (OR=3.11), presence of a distressing event (OR=2.44), lower significance given to treatment compliance (OR=1.66) and living in a rural area (OR=1.29) are associated with uncontrolled asthma. On the contrary, sex, age, obesity, smoking, alcohol intake and educational level had no effect on asthma control. CONCLUSIONS: In Spain asthma is still uncontrolled and some factors leading to this situation appear to be modifiable by the health system. Copyright 2009 SEPAR. Published by Elsevier Espana. All rights reserved.
Authors: F-J Gonzalez-Barcala; U Calvo-Alvarez; M-T Garcia-Sanz; N Garcia-Couceiro; P Martin-Lancharro; A Pose; J-M Carreira; J-D Moure-Gonzalez; L Valdes-Cuadrado; X Muñoz Journal: Ir J Med Sci Date: 2017-06-07 Impact factor: 1.568
Authors: A Padilla-Galo; RCh Levy-Abitbol; C Olveira; B Valencia Azcona; M Pérez Morales; F Rivas-Ruiz; B Tortajada-Goitia; I Moya-Carmona; A Levy-Naon Journal: BMC Pulm Med Date: 2020-06-29 Impact factor: 3.317
Authors: Francisco-Javier Gonzalez-Barcala; Ramon de la Fuente-Cid; Mónica Tafalla; Javier Nuevo; Francisco Caamaño-Isorna Journal: Multidiscip Respir Med Date: 2012-10-02
Authors: Francisco J Gonzalez-Barcala; Jorge Aboal; Luis Valdes; José M Carreira; Jose M Alvarez-Dobaño; Amalia Puga; María Teresa Garcia-Sanz; Bahi Takkouche Journal: Multidiscip Respir Med Date: 2011-04-30
Authors: Astrid Crespo-Lessmann; Vicente Plaza; Francisco-Javier González-Barcala; Toni Fernández-Sánchez; Joaquín Sastre Journal: BMJ Open Respir Res Date: 2017-09-13
Authors: Josep Darbà; Gabriela Ramírez; Juan L García-Rivero; Sagrario Mayoralas-Alises; José Francisco Pascual; Albert Roger; Diego Vargas; Adi Bijedic Journal: Clinicoecon Outcomes Res Date: 2016-09-06