Literature DB >> 8762746

Use of a postal questionnaire to estimate the likely under-diagnosis of asthma-like illness in adults.

P Frank1, S Ferry, T Moorhead, P Hannaford.   

Abstract

BACKGROUND: Asthma is thought to be under-diagnosed. AIM: To estimate how many adults in two practices may have unknown asthma-like illness.
METHOD: Results from a postal respiratory questionnaire, sent to 11,206 adults registered with two practices, were linked with practice records to identify patients who may have unknown asthma-like illness.
RESULTS: The questionnaire replies were almost identical in both practices; 30.4% of respondents [95% confidence interval (CI) 29.4-31.4] reported wheezing and 14.1% (95% CI 13.3-14.9) had been woken by breathlessness during the previous year. Using a simple scoring system, 1112 (13.8%) of the respondents were judged possibly to have asthma-like illness; 529 (6.6%) had not previously been diagnosed as having asthma and had not received asthma treatments.
CONCLUSION: The frequency of asthma-like symptoms was high. A large proportion of adults in the practices may have an unknown asthma-like illness which warrants further evaluation.

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Year:  1996        PMID: 8762746      PMCID: PMC1239638     

Source DB:  PubMed          Journal:  Br J Gen Pract        ISSN: 0960-1643            Impact factor:   5.386


  11 in total

1.  Prevalence of asthma in adults in Busselton, Western Australia.

Authors:  J K Peat; M Haby; J Spijker; G Berry; A J Woolcock
Journal:  BMJ       Date:  1992-11-28

2.  Prevalence of asthma in Finnish young men.

Authors:  T Haahtela; H Lindholm; F Björkstén; K Koskenvuo; L A Laitinen
Journal:  BMJ       Date:  1990-08-04

3.  Asthma--still a challenge for general practice.

Authors:  K Jones
Journal:  J R Coll Gen Pract       Date:  1989-06

4.  Cigarette smoking, airway hyperresponsiveness, and asthma.

Authors:  D W Cockcroft
Journal:  Chest       Date:  1988-10       Impact factor: 9.410

5.  Asthma mortality and physician competence.

Authors:  D E Stableforth
Journal:  J Allergy Clin Immunol       Date:  1987-09       Impact factor: 10.793

6.  Environmental tobacco smoke and asthma.

Authors:  S T Weiss
Journal:  Chest       Date:  1993-10       Impact factor: 9.410

7.  Prevalence of asthma and hay fever in England and Wales.

Authors:  D M Fleming; D L Crombie
Journal:  Br Med J (Clin Res Ed)       Date:  1987-01-31

8.  Predictors of asthma and wheezing in adults. Grain farming, sex, and smoking.

Authors:  A Senthilselvan; Y Chen; J A Dosman
Journal:  Am Rev Respir Dis       Date:  1993-09

9.  Prevalence of asthma and asthma-like symptoms in young adults living in three east Anglian towns.

Authors:  D Jarvis; E Lai; C Luczynska; S Chinn; P Burney
Journal:  Br J Gen Pract       Date:  1994-11       Impact factor: 5.386

10.  What symptoms predict the bronchial response to histamine? Evaluation in a community survey of the bronchial symptoms questionnaire (1984) of the International Union Against Tuberculosis and Lung Disease.

Authors:  P G Burney; S Chinn; J R Britton; A E Tattersfield; A O Papacosta
Journal:  Int J Epidemiol       Date:  1989-03       Impact factor: 7.196

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  8 in total

1.  Social deprivation and patterns of consultation for respiratory symptoms: a population-based cohort study.

Authors:  P M Trinder; P R Croft; M Jones; G Thomas; J Bashford; M Dudgon
Journal:  J Epidemiol Community Health       Date:  1999-04       Impact factor: 3.710

2.  The use of a screening questionnaire to identify children with likely asthma.

Authors:  P I Frank; T L Frank; J Cropper; S Hirsch; R M Niven; P Hannaford; R McNamee
Journal:  Br J Gen Pract       Date:  2001-02       Impact factor: 5.386

3.  Temporal change in the prevalence of respiratory symptoms and obstructive airways disease 1993-2001.

Authors:  Peter I Frank; Paul D Wicks; Michelle L Hazell; Mary F Linehan; Sybil Hirsch; Philip C Hannaford; Timothy L Frank
Journal:  Br J Gen Pract       Date:  2005-08       Impact factor: 5.386

4.  Temporal change in health-related quality of life: a longitudinal study in general practice 1999-2004.

Authors:  Michelle L Hazell; Julie A Morris; Mary F Linehan; Timothy L Frank
Journal:  Br J Gen Pract       Date:  2009-11       Impact factor: 5.386

5.  Increased mortality among women with Rose angina who have not presented with ischaemic heart disease.

Authors:  Vicci Owen-Smith; Philip C Hannaford; Alison M Elliott
Journal:  Br J Gen Pract       Date:  2003-10       Impact factor: 5.386

6.  Long term prognosis in preschool children with wheeze: longitudinal postal questionnaire study 1993-2004.

Authors:  Peter I Frank; Julie A Morris; Michelle L Hazell; Mary F Linehan; Timothy L Frank
Journal:  BMJ       Date:  2008-06-16

7.  Identification of adults with symptoms suggestive of obstructive airways disease: validation of a postal respiratory questionnaire.

Authors:  Timothy L Frank; Peter I Frank; Jennifer A Cropper; Michelle L Hazell; Philip C Hannaford; Roseanne R McNamee; Sybil Hirsch; Charles A C Pickering
Journal:  BMC Fam Pract       Date:  2003-04-25       Impact factor: 2.497

8.  Development of a questionnaire weighted scoring system to target diagnostic examinations for asthma in adults: a modelling study.

Authors:  Sybil Hirsch; Timothy L Frank; Jonathan L Shapiro; Michelle L Hazell; Peter I Frank
Journal:  BMC Fam Pract       Date:  2004-12-17       Impact factor: 2.497

  8 in total

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