Observational studyBMJ open2019
Patient-physician discordance in assessment of adherence to inhaled controller medication: a cross-sectional analysis of two cohorts.
Open access · goldAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph
Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
What it found
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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.
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
15 citing papers in PubMed, 29 citations in OpenAlex.
- Evaluating Treatment Adherence in Children and Adolescents with Type 1 Diabetes: The Impact of the Adherence Starts with Knowledge-12 Score on Metabolic Control.Children (Basel, Switzerland) · 2025Article
- Nurse-Led Interventions for Improving Medication Adherence in Chronic Diseases: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Management of difficult-to-treat asthma in adolescence and young adults.Breathe (Sheffield, England) · 2023Review
- Measuring adherence to inhaled control medication in patients with asthma: Comparison among an asthma app, patient self-report and physician assessment.Clinical and translational allergy · 2023Article
- Medication beliefs, adherence, and outcomes in people with asthma: The importance of treatment beliefs in understanding inhaled corticosteroid nonadherence-a retrospective analysis of a real-world data set.The journal of allergy and clinical immunology. Global · 2023Article
- Prevalence and Characterisation of Patients with Asthma According to Disease Severity in Portugal: Findings from the EPI-ASTHMA Pilot Study.Journal of asthma and allergy · 2022Article
- Characteristics of Oral Corticosteroid Users Among Persons with Asthma on GINA Step 3 Therapy and Above: A Cross-Sectional Study in Portuguese Community Pharmacies.Journal of asthma and allergy · 2022Article
- Validating a Self-Reported Medication Nonadherence Measure in the Context of Multiple Chronic Diseases and Routes of Medication Administration Among Patients with Type 2 Diabetes.Patient preference and adherence · 2022Article
- Determinants of the Use of Health and Fitness Mobile Apps by Patients With Asthma: Secondary Analysis of Observational Studies.Journal of medical Internet research · 2021Article
- InspirerMundi-Remote Monitoring of Inhaled Medication Adherence through Objective Verification Based on Combined Image Processing Techniques.Methods of information in medicine · 2021Article
- Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence: Mixed Methods Study.JMIR mHealth and uHealth · 2021Observational
- Assessment of medication adherence in children and adults with congenital adrenal hyperplasia and the impact of knowledge and self-management.Clinical endocrinology · 2021Article
- Profiling Persistent Asthma Phenotypes in Adolescents: A Longitudinal Diagnostic Evaluation from the INSPIRERS Studies.International journal of environmental research and public health · 2021Article
- Development and Pilot-Testing of Key Questions to Identify Patients' Difficulties in Medication Administration.Patient preference and adherence · 2021Article
- Monitoring Adherence to Asthma Inhalers Using the InspirerMundi App: Analysis of Real-World, Medium-Term Feasibility Studies.Frontiers in medical technology · 2021Article
Corrections and comments
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Authors and funding
70 authors at 20 institutions in 2 countries.
Cristina JácomeCenter for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.ORCID 0000-0002-1151-8791
Ana Margarida PereiraCenter for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.
Rute AlmeidaCenter for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.ORCID 0000-0001-7755-5002
Manuel Ferreira-MagalhaesCenter for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.
Mariana CoutoImmunoalergology, CUF-Porto Hospital and Institute, Porto, Portugal.
Luís AraujoImmunoalergology, CUF-Porto Hospital and Institute, Porto, Portugal.
Mariana PereiraMEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal.
Magna Alves CorreiaImmunoalergology, CUF-Porto Hospital and Institute, Porto, Portugal.
Cláudia Chaves LoureiroServiço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Maria Joana CatarataServiço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Lília Maia SantosServiço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
João PereiraServiço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Bárbara RamosServiço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Cristina LopesUnidade de Imunoalergologia, Unidade Local de Saúde de Matosinhos EPE, Senhora da Hora, Portugal.
Ana MendesServiço de Imunoalergologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte EPE, Lisboa, Portugal.
José Carlos Cidrais RodriguesServiço de Pediatria, Unidade Local de Saúde de Matosinhos EPE, Senhora da Hora, Portugal.
Georgeta OliveiraServiço de Pediatria, Unidade Local de Saúde de Matosinhos EPE, Senhora da Hora, Portugal.
Ana Paula AguiarServiço de Pediatria, Unidade Local de Saúde de Matosinhos EPE, Senhora da Hora, Portugal.
Ivete AfonsoServiço de Pediatria, Unidade Local de Saúde de Matosinhos EPE, Senhora da Hora, Portugal.
Joana CarvalhoServiço de Pediatria, Unidade Local de Saúde de Matosinhos EPE, Senhora da Hora, Portugal.
Ana ArrobasServiço de Pneumologia B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
José Coutinho CostaServiço de Pneumologia B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Joana DiasServiço de Pneumologia B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Ana Todo BomServiço de Imunoalergologia, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
João AzevedoServiço de Imunoalergologia, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Carmelita RibeiroServiço de Imunoalergologia, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Marta AlvesServiço de Imunoalergologia, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Paula Leiria PintoServiço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal.
Nuno NeuparthServiço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal.
Ana PalhinhaServiço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal.
João Gaspar MarquesServiço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal.
Nicole PintoServiço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal.
Pedro MartinsServiço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal.
Filipa Todo BomServiço de Pneumologia, Hospital Beatriz Ângelo, Loures, Portugal.
Maria Alvarenga SantosServiço de Pneumologia, Hospital Beatriz Ângelo, Loures, Portugal.
Alberto Gomes CostaServiço de Pediatria, Hospital da Senhora da Oliveira, Guimaraes, Portugal.
Armandina Silva NetoServiço de Pediatria, Hospital da Senhora da Oliveira, Guimaraes, Portugal.
Marta SantalhaServiço de Pediatria, Hospital da Senhora da Oliveira, Guimaraes, Portugal.
Carlos LozoyaServiço de Imunoalergologia, Hospital Amato Lusitano, Castelo Branco, Portugal.
Natacha SantosServiço de Imunoalergologia, Centro Hospitalar do Algarve EPE, Faro, Portugal.
Diana SilvaServiço de Imunoalergologia, Hospital São João, Porto, Portugal.
Maria João VasconcelosServiço de Imunoalergologia, Hospital São João, Porto, Portugal.
Luís Taborda-BarataUniversity of Beira Interior, CICS - Health Sciences Research Centre; NuESA - Environment & Health Study Group, Faculty of Health Sciences, Covilha, Portugal.ORCID 0000-0001-6649-8890
Célia CarvalhalCova da Beira University Hospital Centre, Department of Allergy & Clinical Immunology, Covilhã, Portugal.
Maria Fernanda TeixeiraServiço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Rodrigo Rodrigues AlvesUnidade de Imunoalergologia, Hospital do Divino Espirito Santo de Ponta Delgada EPE, Ponta Delgada, Portugal.
Ana Sofia MoreiraUnidade de Imunoalergologia, Hospital do Divino Espirito Santo de Ponta Delgada EPE, Ponta Delgada, Portugal.
Cláudia Sofia PintoServiço de Pneumologia, Centro Hospitalar de Trás-os-montes e Alto Douro EPE, Vila Real, Portugal.
Pedro Morais SilvaImunoalergologia, Grupo HPA Saúde, Portimao, Portugal.
Carlos AlvesServiço de Pneumologia, Centro Hospitalar Barreiro Montijo EPE, Barreiro, Portugal.
Raquel CâmaraServiço de Pneumologia, Centro Hospitalar Barreiro Montijo EPE, Barreiro, Portugal.
Didina CoelhoServiço de Pneumologia, Centro Hospitalar Barreiro Montijo EPE, Barreiro, Portugal.
Diana BordaloServiço de Pediatria, Centro Hospitalar do Médio Ave EPE, Santo Tirso, Portugal.
Ricardo M FernandesPediatrics, Hospital de Santa Maria, Lisbon, Portugal.
Rosário FerreiraPediatrics, Hospital de Santa Maria, Lisbon, Portugal.
Fernando MenezesServiço de Pneumologia, Hospital Garcia de Orta EPE, Almada, Portugal.
Ricardo GomesServiço de Pneumologia, Hospital Garcia de Orta EPE, Almada, Portugal.
Maria José CalixServiço de Pediatria, Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal.
Ana MarquesServiço de Pediatria, Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal.
João CardosoPneumology, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
Madalena EmilianoPneumology, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
Rita GerardoPneumology, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
Carlos NunesImunoalergologia, Centro de Imunoalergologia do Algarve, Portimão, Portugal.
Rita CâmaraServiço de Imunoalergologia, Serviço de Saúde da Região Autónoma da Madeira, Funchal, Portugal.
José Alberto FerreiraServiço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
Aurora CarvalhoServiço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
Paulo FreitasBloco operatório, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
Ricardo CorreiaDepartment of Community Medicine, Information and Health Decision Sciences (MEDCIDS), University of Porto Faculty of Medicine, Porto, Portugal.
Joao A FonsecaCenter for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal fonseca.ja@gmail.com.
Inspirers group
Hospitais da Universidade de Coimbra · PTUnidade Local de Saúde de São José · PTUniversidade do Porto · PTAdministração Regional de Saúde de Lisboa e Vale do Tejo · PTCentro Hospitalar de Vila Nova de Gaia · PTCUF Porto Hospital · PTHospital da Senhora da Oliveira Guimarães · PTAgencia Regional da Energia e Ambiente da Regiao Autonoma da Madeira · PTCentro De Medicina Veterinária Anjos De Assis · PTCentro Hospitalar do Porto · PTCentro Hospitalar Tondela-Viseu · PTHospital Beatriz Ângelo · PTHospital de São João · PTHospital do Divino Espírito Santo · PTHospital Garcia de Orta · PTMinistry of Education · BRAlgarve Biomedical Center · PTCentro Hospitalar Lisboa Norte · PTHospital Center of Cova da Beira · PTHospital de Santa Maria · PT
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe aimed to compare patient's and physician's ratings of inhaled medication adherence and to identify predictors of patient-physician discordance.
designBaseline data from two prospective multicentre observational studies.
setting29 allergy, pulmonology and paediatric secondary care outpatient clinics in Portugal.
participants395 patients (≥13 years old) with persistent asthma. MEASURES: Data on demographics, patient-physician relationship, upper airway control, asthma control, asthma treatment, forced expiratory volume in one second (FEV
resultsHigh inhaler adherence was reported both by patients (median (percentile 25 to percentile 75) 85 (65-95) mm; 53% VAS>80) and by physicians (84 (68-95) mm; 53% VAS>80). Correlation between patient and physician VAS scores was moderate (r
conclusionAlthough both patients and physicians report high inhaler adherence, discordance occurred in half of cases. Implementation of objective adherence measures and effective communication are needed to improve patient-physician agreement.
Indexed as
Drug MonitoringPhysician-Patient RelationsAdministration, InhalationAdolescentAdultAsthmaCohort StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesYoung Adultasthmadiscordancelogistic modelsmedication adherence
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