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Updated: Jul 29, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Underdiagnosed asthma in South Australia
R J Adams1, D H Wilson, S Appleton
1The Health Observatory, The Queen Elizabeth Hospital, University of Adelaide, Woodville, South Australia. Robert.adams@nwahs.sa.gov.au
Undiagnosed asthma is prevalent in Australia, affecting nearly 20% of asthma patients. This condition shares similar symptoms to diagnosed asthma but may present with lower lung function, highlighting a need for better detection strategies.
Area of Science:
- Respiratory Medicine
- Epidemiology
- Public Health
Background:
- The prevalence and characteristics of undiagnosed asthma remain largely unknown.
- Understanding these factors is crucial for effective public health strategies and patient care.
Purpose of the Study:
- To determine the prevalence of undiagnosed asthma in the Australian population.
- To compare the clinical and demographic characteristics of individuals with undiagnosed asthma versus those with diagnosed asthma.
Main Methods:
- A population-based household interview survey (North West Adelaide Health Survey) was conducted.
- Asthma diagnosis was confirmed via physician diagnosis or spirometric testing with bronchodilator response.
- Health status, symptom frequency, and demographic data were collected.
Main Results:
- 11.6% of participants had diagnosed asthma and 2.3% had undiagnosed asthma, constituting 19.2% of all asthma cases.
- Undiagnosed asthma was more common in individuals over 40, on government benefits, and with lower incomes.
- While symptom frequency was similar, undiagnosed asthma patients had lower spirometric values.
Conclusions:
- Undiagnosed asthma is a significant public health issue in Australia.
- The clinical presentation of undiagnosed asthma is comparable to diagnosed asthma, emphasizing the need for improved diagnostic approaches.
Related Concept Videos
Asthma-I: Introduction
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma I: Introduction
Asthma III: Clinical Manifestations

