ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2008
Examining asthma quality of care using a population-based approach.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Chronic disease management programmes for adults with asthma.The Cochrane database of systematic reviews · 2015Pooled it
- Clinical, economic, and humanistic burden of asthma in Canada: a systematic review.BMC pulmonary medicine · 2013Pooled it
- Observational
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- Reductions in inhaler greenhouse gas emissions by addressing care gaps in asthma and chronic obstructive pulmonary disease: an analysis.BMJ open respiratory research · 2023Article
- Integrating User Preferences for Asthma Tools and Clinical Guidelines Into Primary Care Electronic Medical Records: Mixed Methods Study.JMIR formative research · 2023Article
- Primary care asthma surveillance: a review of knowledge translation tools and strategies for quality improvement.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023Review
- Cost-Effectiveness of Once-Daily, Single-Inhaler Indacaterol Acetate/ Glycopyrronium Bromide/ Mometasone Furoate in Patients with Uncontrolled Moderate-to-Severe Asthma in Canada.ClinicoEconomics and outcomes research : CEOR · 2021Article
- A system uptake analysis and GUIDES checklist evaluation of the Electronic Asthma Management System: A point-of-care computerized clinical decision support system.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Observational
- Does specialist physician supply affect pediatric asthma health outcomes?BMC health services research · 2018Article
- The use of electronic alerts in primary care computer systems to identify the over-prescription of short-acting betaNPJ primary care respiratory medicine · 2017Article
- Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis.Canadian respiratory journal · 2016Article
- Identifying patients with asthma in primary care electronic medical record systems Chart analysis-based electronic algorithm validation study.Canadian family physician Medecin de famille canadien · 2015Article
- The pharmacists' potential to provide targets for interventions to optimize pharmacotherapy in patients with asthma.International journal of clinical pharmacy · 2013Article
- Trends in asthma-related direct medical costs from 2002 to 2007 in British Columbia, Canada: a population based-cohort study.PloS one · 2012Article
- Utilization, spending, and price trends for short- and long-acting Beta-agonists and inhaled corticosteroids in the medicaid program, 1991-2010.American health & drug benefits · 2011Article
- Achieving control of asthma in preschoolers.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Article
- Epidemiology of diabetes mellitus among First Nations and non-First Nations adults.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAsthma accounts for considerable burden on health care, but in most cases, asthma can be controlled. Quality-of-care indicators would aid in monitoring asthma management. We describe the quality of asthma care using a set of proposed quality indicators.
methodsWe performed a retrospective cross-sectional study using health databases in Saskatchewan, a Canadian province with a population of about 1 million people. We assessed 6 quality-of-care indicators among people with asthma: admission to hospital because of asthma; poor asthma control (high use of short-acting beta-agonists, admission to hospital because of asthma or death due to asthma); no inhaled corticosteroid use among patients with poor control; at least moderate inhaled corticosteroid use among patients with poor control; high inhaled corticosteroid use and use of another preventer medication among patients with poor control; and any main preventer use among patients with poor control. We calculated crude and adjusted rates with 95% confidence intervals. We tested for differences using the chi2 test for proportions and generalized linear modelling techniques.
resultsIn 2002/03, there were 24 616 people aged 5-54 years with asthma in Saskatchewan, representing a prevalence of 3.8%. Poor symptom control was observed in 18% of patients with asthma. Among those with poor control, 37% were not dispensed any inhaled corticosteroids, and 40% received potentially inadequate doses. Among those with poor control who were dispensed high doses of inhaled corticosteroids, 26% also used another preventer medication. Hospital admissions because of asthma were highest among those aged 6-9 years and females aged 20-44 years. Males and those in adult age groups (predominantly 20-44 years) had worse quality of care for 4 indicators examined.
interpretationSuboptimal asthma management would be improved through increased use of inhaled corticosteroids and preventer medications, and reduced reliance on short-acting beta-agonist medications as recommended by consensus guidelines.
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