ArticleBMJ open respiratory research2017
Concordance of opinions between patients and physicians and their relationship with symptomatic control and future risk in patients with moderate-severe asthma.
Article in BMJ open respiratory research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Pooled it
- Development and initial validation of the Asthma Severity Scoring System (ASSESS).The Journal of allergy and clinical immunology · 2020Trial
- What Patients With Asthma Share When No One Listens: Multimethod Observational Study of Patient Narratives on Reddit.Journal of medical Internet research · 2026Observational
- Asthma: Biomedical and Psychobiological Perspectives.Biopsychosocial science and medicine · 2025Review
- Primary healthcare professionals' perceptions, attitudes and ideas regarding asthma management in Greece: A mixed-method study.The European journal of general practice · 2024Article
- Asthma Control According to GINA 2023: Does Changing the Criteria Improve Asthma Control?Journal of clinical medicine · 2024Article
- APPaRENT 3: Asthma Patients' and Physicians' Perspectives on the Burden and Management of Asthma in Seven Countries.Advances in therapy · 2024Article
- Disease Burden, Treatment Patterns and Asthma Control in Adult Patients with Asthma in China: A Real-World Study.Journal of asthma and allergy · 2024Article
- Perspectives on Treatment Decisions, Preferences, and Adherence and Long-Term Management in Asthma and COPD: A Qualitative Analysis of Patient, Caregiver, and Healthcare Provider Insights.Patient preference and adherence · 2024Article
- Concordance in the healthcare context: A concept analysis.Belitung nursing journal · 2024Article
- Under-perception of airflow limitation, self-efficacy, and beliefs in older adults with asthma.Journal of psychosomatic research · 2023Article
- What bothers severe asthma patients most? A paired patient-clinician study across seven European countries.ERJ open research · 2023Article
- Severe asthma patients' and physicians' perspectives of disease burden: do they match?ERJ open research · 2023Article
- Patient experience of moderate asthma attacks: qualitative research in the USA and Germany.Journal of patient-reported outcomes · 2022Article
- Assessment of Predictor Factors Associated with Multiple Emergency Department Attendance with Asthma Attack: A Qualitative and Multicentric Prospective Observational Study.Journal of asthma and allergy · 2022Article
- Article
- Factors impacting on discordance with treatment plan in head and neck cancer patients: a retrospective, population-based cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Comparison of adverse events associated with different spacers used with non-extrafine beclometasone dipropionate for asthma.NPJ primary care respiratory medicine · 2019Article
- Observational vignette study to examine patient and healthcare provider perceived impact of asthma-related exacerbations in the US.Multidisciplinary respiratory medicine · 2019Article
- Approaches to the assessment of severe asthma: barriers and strategies.Journal of asthma and allergy · 2019Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDifferences between the opinions of patients and physicians on the impact of asthma are common. We hypothesised that patient-physician discordance may negatively affect asthma outcome.
methodsA total of 2902 patients (61% women, mean age 47 years) with moderate-severe asthma and 231 physicians participated in a prospective study. At the baseline visit, data on demographics, clinical variables, degree of asthma control according to the Asthma Control Test (ACT), basic spirometry and the Hospital Anxiety and Depression Scale (HADS) were collected and an ad hoc questionnaire was completed that allowed the degree of concordance between doctors and patients to be assessed. A scheduled telephone call after 3 months was used to elicit the ACT score and the future risk of asthma. At the final visit at 6 months, the following data were recorded: ACT score, spirometry, HADS score and an ad hoc questionnaire to assess the agreement between the doctor and the patient. Changes in study variables according to patient-physician concordance or discordance were analysed.
resultsThe rate of patient-physician discordance was 27.2%, with overestimation of disease impact by the physician in 12.3% and underestimation in 14.9%. Patient-physician opinion discordance, particularly in the case of physicians underestimating the impact of asthma, showed worse results with statistically significant differences in ACT score, a higher percentage of patients with poor asthma control and lower HADS scores. The need for hospital and emergency department admissions was also higher.
conclusionPatient-physician opinion discordance may be contributing to lower symptomatic control and increased future risk, with a higher impact when physicians underestimate the impact of asthma on their patients.
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