Evidence map›Paper›PMID 10424270›Full record

ArticleCanadian family physician Medecin de famille canadien1999

Use of inhaled medications and urgent care services. Study of Canadian asthma patients.

D P Joyce, R A McIvor

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Controlling asthma. Highlights of the 1999 Canadian Asthma Consensus Report.Canadian family physician Medecin de famille canadien · 2000
    Guideline
  2. Article
  3. Review
  4. Article
  5. Review
  6. Asthma control in Canada: no improvement since we last looked in 1999.Canadian family physician Medecin de famille canadien · 2007
    Article
  7. Article
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

D P JoyceDepartment of Respiratory Disease, Sunnybrook Health Sciences Centre, Toronto, ON.
R A McIvor

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine asthma patients' patterns of disease and knowledge of asthma.

designTelephone survey of patients with diagnosed asthma.

settingResidences in 10 Canadian provinces.

participantsPatients with asthma diagnosed by a doctor: 829 men and women with a mean age of 38 +/- 7 years.

main outcome measuresClasses of asthma medications, patterns of use, frequency and severity of asthma symptoms use of emergency departments and urgent medical services, participation in asthma education programs, presence of environmental triggers, and knowledge of asthma pathophysiology and treatment.

resultsFour hundred fifty-six patients (55%) reported daily symptoms of asthma; 431 patients (52%) used inhaled beta 2-agonists daily. Only 340 patients (41%) used inhaled corticosteroids (IC), and many used them irregularly. A total of 579 (72%) respondents reported no unscheduled visits to a family physician for worsening asthma, but one third of patients had been to an emergency department for uncontrolled asthma in the last 5 years, and most of these visits had occurred during the last year. As to knowledge, 406 patients (49%) disagreed with the statement that asthma is a lifelong condition that cannot be cured. Among IC users, only 101 (30%) knew that IC reduced airway inflammation; among beta 2-agonist users, only 33% agreed that beta 2-agonists opened the bronchial tubes. Two hundred forty patients (29%) reported being current cigarette smokers, and 381 (46%) reported having pets at home.

conclusionsDaily symptoms and daily use of beta 2-agonists are common among Canadian asthma patients, and this is in excess of what is considered acceptable by current asthma care guidelines. Underuse of IC, inadequate knowledge of asthma symptoms and treatments, and failure to avoid asthma triggers were common in the population studied.

Indexed as

AsthmaHealth Knowledge, Attitudes, PracticeAdministration, InhalationAdrenal Cortex HormonesAdultCanadaEmergency Medical ServicesFemaleHealth Care SurveysHumansMaleAdrenal Cortex Hormones

Identifiers

PMID10424270
PMCPMC2328364

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.