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Population-based screening or case detection for asthma: are we ready?

Leslie P Boss1, Lani S M Wheeler, Paul V Williams

  • 1Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. lpb1@cdc.gov

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|July 23, 2003
PubMed
Summary

Population-based screening for asthma is not yet proven effective. Further research is needed before widespread asthma screening programs can be recommended. Ensuring appropriate medical care for diagnosed asthma patients is a current priority.

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Area of Science:

  • Pulmonary Medicine
  • Public Health
  • Epidemiology

Background:

  • Asthma is a common respiratory condition with available treatments.
  • Reducing the burden of asthma in the United States is a public health goal.
  • Population-based screening is a potential strategy for early asthma detection.

Purpose of the Study:

  • To assess the readiness for population-based asthma screening and case detection programs.
  • To evaluate current asthma screening activities against World Health Organization criteria.
  • To determine the current utility and future research needs for asthma screening.

Main Methods:

  • Review of existing literature and public health initiatives for asthma.
  • Assessment of current asthma screening practices.

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  • Comparison of asthma screening programs with World Health Organization (WHO) guidelines for screening.

    • Main Results:

    • Several World Health Organization criteria for effective screening programs are not currently met for asthma.
    • The benefit of population-based asthma screening and case detection is unproven.
    • Current evidence does not support widespread implementation of asthma screening programs.

    Conclusions:

    • Population-based screening for asthma requires further research to establish its benefit.
    • Focus should remain on ensuring appropriate medical care for individuals already diagnosed with asthma.
    • Current asthma screening strategies may not be cost-effective or beneficial at a population level.