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Clinical Management of Asthma by Respiratory Specialists versus General Practitioners: Questionnaire Survey Results Over 6 Years

BACKGROUND: In Japan, the Ministry of Health, Labour and Welfare population dynamics investigation showed a decrease in the number of deaths related to asthma in recent years. In 2016, the mortality rate was 1.2 deaths per 100,000 population. There were regional differences; Shimane Prefecture had a...

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Autores principales: Hamaguchi, Megumi, Taooka, Yasuyuki, Nakao, Mika, Nakashima, Kazuhisa, Hotta, Takamasa, Tsubata, Yukari, Hamaguchi, Shunichi, Sutani, Akihisa, Isobe, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8005259/
https://www.ncbi.nlm.nih.gov/pubmed/33790629
http://dx.doi.org/10.2147/IJGM.S292188
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author Hamaguchi, Megumi
Taooka, Yasuyuki
Nakao, Mika
Nakashima, Kazuhisa
Hotta, Takamasa
Tsubata, Yukari
Hamaguchi, Shunichi
Sutani, Akihisa
Isobe, Takeshi
author_facet Hamaguchi, Megumi
Taooka, Yasuyuki
Nakao, Mika
Nakashima, Kazuhisa
Hotta, Takamasa
Tsubata, Yukari
Hamaguchi, Shunichi
Sutani, Akihisa
Isobe, Takeshi
author_sort Hamaguchi, Megumi
collection PubMed
description BACKGROUND: In Japan, the Ministry of Health, Labour and Welfare population dynamics investigation showed a decrease in the number of deaths related to asthma in recent years. In 2016, the mortality rate was 1.2 deaths per 100,000 population. There were regional differences; Shimane Prefecture had a higher mortality rate (1.6 deaths per 100,000 population in 2016) than other prefectures. In this study, to clarify problems in asthma treatment, we evaluated the status of asthma treatment in Shimane Prefecture. METHODS: We performed three cross-sectional questionnaire surveys, in October 2006, February 2009, and February 2012. We received responses from 78 clinics and hospitals. Subjects were patients with bronchial asthma over 14 years of age who regularly visited an outpatient clinic. Survey items included smoking status, control status assessed using the Asthma Control Test (ACT), treatment, and medication adherence. Doctors board-certified by the Japanese Respiratory Society were defined as respiratory specialists (RSs) and other doctors were defined as general practitioners (GPs). We compared various factors between the RS and GP groups. RESULTS: Clinical data of 2159 patients were available for analysis. The proportion of patients with ACT score ≥ 20 points increased significantly between 2006 and 2012 in the GP group. The rate of inhaled corticosteroid use increased in the GP group from 63.6% to 76.4%. CONCLUSION: It was suggested that asthma control and the rate of inhaled corticosteroid use were related. We should continue educating GPs about asthma treatment.
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spelling pubmed-80052592021-03-30 Clinical Management of Asthma by Respiratory Specialists versus General Practitioners: Questionnaire Survey Results Over 6 Years Hamaguchi, Megumi Taooka, Yasuyuki Nakao, Mika Nakashima, Kazuhisa Hotta, Takamasa Tsubata, Yukari Hamaguchi, Shunichi Sutani, Akihisa Isobe, Takeshi Int J Gen Med Original Research BACKGROUND: In Japan, the Ministry of Health, Labour and Welfare population dynamics investigation showed a decrease in the number of deaths related to asthma in recent years. In 2016, the mortality rate was 1.2 deaths per 100,000 population. There were regional differences; Shimane Prefecture had a higher mortality rate (1.6 deaths per 100,000 population in 2016) than other prefectures. In this study, to clarify problems in asthma treatment, we evaluated the status of asthma treatment in Shimane Prefecture. METHODS: We performed three cross-sectional questionnaire surveys, in October 2006, February 2009, and February 2012. We received responses from 78 clinics and hospitals. Subjects were patients with bronchial asthma over 14 years of age who regularly visited an outpatient clinic. Survey items included smoking status, control status assessed using the Asthma Control Test (ACT), treatment, and medication adherence. Doctors board-certified by the Japanese Respiratory Society were defined as respiratory specialists (RSs) and other doctors were defined as general practitioners (GPs). We compared various factors between the RS and GP groups. RESULTS: Clinical data of 2159 patients were available for analysis. The proportion of patients with ACT score ≥ 20 points increased significantly between 2006 and 2012 in the GP group. The rate of inhaled corticosteroid use increased in the GP group from 63.6% to 76.4%. CONCLUSION: It was suggested that asthma control and the rate of inhaled corticosteroid use were related. We should continue educating GPs about asthma treatment. Dove 2021-03-23 /pmc/articles/PMC8005259/ /pubmed/33790629 http://dx.doi.org/10.2147/IJGM.S292188 Text en © 2021 Hamaguchi et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Hamaguchi, Megumi
Taooka, Yasuyuki
Nakao, Mika
Nakashima, Kazuhisa
Hotta, Takamasa
Tsubata, Yukari
Hamaguchi, Shunichi
Sutani, Akihisa
Isobe, Takeshi
Clinical Management of Asthma by Respiratory Specialists versus General Practitioners: Questionnaire Survey Results Over 6 Years
title Clinical Management of Asthma by Respiratory Specialists versus General Practitioners: Questionnaire Survey Results Over 6 Years
title_full Clinical Management of Asthma by Respiratory Specialists versus General Practitioners: Questionnaire Survey Results Over 6 Years
title_fullStr Clinical Management of Asthma by Respiratory Specialists versus General Practitioners: Questionnaire Survey Results Over 6 Years
title_full_unstemmed Clinical Management of Asthma by Respiratory Specialists versus General Practitioners: Questionnaire Survey Results Over 6 Years
title_short Clinical Management of Asthma by Respiratory Specialists versus General Practitioners: Questionnaire Survey Results Over 6 Years
title_sort clinical management of asthma by respiratory specialists versus general practitioners: questionnaire survey results over 6 years
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8005259/
https://www.ncbi.nlm.nih.gov/pubmed/33790629
http://dx.doi.org/10.2147/IJGM.S292188
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