ArticleMayo Clinic proceedings2016
Adherence to Asthma Guidelines in Children, Tweens, and Adults in Primary Care Settings: A Practice-Based Network Assessment.
Article in Mayo Clinic proceedings, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed.
- Facilitators and barriers to the implementation of the Primary Care Asthma Paediatric Pathway: a qualitative analysis.BMJ open · 2022Trial
- Use of Asthma APGAR Tools in Primary Care Practices: A Cluster-Randomized Controlled Trial.Annals of family medicine · 2018Trial
- Asthma/COPD clinics increases adherence to management guidelines and associates with less morbidity and lower all-cause mortality - a prospective cohort study.NPJ primary care respiratory medicine · 2026Article
- Multicomponent intervention for schoolchildren with asthma: Pilot cluster randomized controlled trial.The journal of allergy and clinical immunology. Global · 2025Article
- Development of a Clinical Decision Support Tool to Implement Asthma Management Guidelines in Pediatric Primary Care: Qualitative Study.JMIR formative research · 2025Article
- A study on physicians' knowledge and practices of asthma management in Angola.Multidisciplinary respiratory medicine · 2024Article
- Outdoor aeroallergen impacts on asthma exacerbation among sensitized and nonsensitized Philadelphia children.The journal of allergy and clinical immunology. Global · 2024Article
- Evaluation of adherence to guideline-directed therapy and risk factors for exacerbation in mild asthma: a retrospective chart review.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024Article
- Documentation of comorbidities, lifestyle factors, and asthma management during primary care scheduled asthma contacts.NPJ primary care respiratory medicine · 2024Article
- Medication Adherence in Children with Asthma.Patient preference and adherence · 2024Review
- Factors associated with aeroallergen testing among adults with asthma in a large health system.The journal of allergy and clinical immunology. Global · 2023Article
- Inhaled Corticosteroids Rarely Prescribed at Emergency Department Discharge Despite Low Rates of Follow-Up Care.The Journal of emergency medicine · 2023Article
- Leveraging Electronic Health Records for Guideline-Based Asthma Documentation.The journal of allergy and clinical immunology. In practice · 2023Article
- Indoor Aeroallergen Sensitization and Associated Factors in Hospitalized Children with Asthma Exacerbations.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2023Article
- Adherence to treatment guidelines and good asthma control in Finland.European clinical respiratory journal · 2023Article
- Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study.NPJ primary care respiratory medicine · 2022Article
- Clinic navigation and home visits to improve asthma care in low income adults with poorly controlled asthma: Before and during the pandemic.Contemporary clinical trials · 2022Article
- Artificial Intelligence Assesses Clinicians' Adherence to Asthma Guidelines Using Electronic Health Records.The journal of allergy and clinical immunology. In practice · 2022Article
- Asthma and Allergy: Unravelling a Tangled Relationship with a Focus on New Biomarkers and Treatment.International journal of molecular sciences · 2022Review
- Evaluation of the Impact of Environmental Changes on Asthma Control in Children, Access to Health Care, and Treatment Adherence in Early COVID-19 Lockdown.Turkish archives of pediatrics · 2022Article
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5 authors.
Funding
Abstract
objectiveTo assess primary care adherence to 2007 US asthma guidelines. PATIENTS AND
methodsPatients with persistent asthma aged 5 to 65 years from 22 primary care participating practices provided the data for this analysis of baseline information from the pragmatic randomized clinical trial the Asthma Tools Study. Using a combination of abstracted medical record data and patient-reported demographic information, we assessed the medical record documentation for elements of the 2007 US asthma guidelines. Elements assessed included documentation of (1) assessment of control, (2) factors that affect control (medication adherence evaluation, inhaler technique education, and evaluation for triggers), (3) self-management support (action plan), and (4) asthma medications prescribed (short-acting β-agonists and daily maintenance therapy). The baseline data was collected from March 16, 2009, to May 1, 2014.
resultsIn 1176 patients (285 children, 211 tweens, and 680 adults) from 16 family medicine and 6 pediatric practices across the United States, documented guideline adherence was highest for prescription of medications (88.0% for short-acting β-agonists and 70.4% for maintenance medications) and lowest for an asthma action plan (3.1%). Documentation of control (15.0%) and factors that affect control (inhaler technique education, 7.6%; medication adherence assessment, 32.5%; and allergy evaluation, 32.5%) was not common and even less common for adults compared with children. A total of 22.2% of the enrolled patients had no asthma-related visit in the year before enrollment. Adherence to the nonmedication elements were higher in practices located in cities of more than 250,000 people and cities that used electronic medical records. Older patient age was negatively associated with guideline adherence. CONCLUSION AND RELEVANCE: Adherence to asthma guidelines is poor in primary care practices, leaving many opportunities for improvement.
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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.