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Published on: November 4, 2010
Disease control in asthmatic children seen in private practice in Switzerland
Alexander Moeller1, Claudia Steurer-Stey, Herbert Suter
1Swiss Paediatric Respiratory Research Group (SPRRG), Division of Respiratory Medicine University Children's Hospital Basel, Zürich and Alpine Children's Clinic Davos, Switzerland. alexander.moeller@kispi.unizh.ch
Insights
Improving asthma control in children is crucial, as many experience symptoms despite treatment. Adjusting therapy regimens, particularly with leukotriene receptor antagonists, significantly enhanced asthma control in a Swiss study.
Area of Science:
- Pediatric Pulmonology
- Public Health
- Clinical Practice
Background:
- Asthma is a prevalent chronic childhood illness in Switzerland, affecting 10% of children.
- High medical costs associated with asthma underscore the need for effective disease management strategies.
- Assessing asthma control is key to developing interventions for better patient outcomes.
Purpose of the Study:
- To evaluate asthma control levels in children.
- To analyze current asthma therapy regimens in pediatric patients.
- To identify strategies for improving asthma management in private practice settings.
Main Methods:
- A study involving 575 asthmatic children in Switzerland.
- Utilized abbreviated questionnaires based on the Asthma Control Questionnaire and Child Health Questionnaire.
- Data collected at two separate visits (Visit 1 and Visit 2).
Main Results:
- Only 25.7% of children had good asthma control at Visit 1.
- High prevalence of symptoms: 80.5% had occasional symptoms, 41.2% experienced activity limitation, 46.8% had nocturnal awakenings, and 57% caused parental anxiety.
- After therapy adjustment (e.g., adding leukotriene receptor antagonists), 53.4% of children showed improved asthma control by Visit 2.
Conclusions:
- A significant proportion of asthmatic children have inadequately controlled disease.
- There is a critical need for improved asthma control measures.
- Effective management can reduce the overall burden of childhood asthma.
Background:
Asthma is the most common chronic childhood disease in Switzerland with a prevalence of 10%. Asthma has a high economic burden accounting for high medical costs. Assessment of disease control is likely to be of help in the implementation of strategies to improve asthma. Therefore, we aimed to evaluate asthma control and therapy regimens among children in private practice.
Methods:
We assessed asthma control as well as therapy regimens in 575 asthmatic children in an experience programme in Switzerland by using an abbreviated questionnaire based on the asthma control questionnaire and the child health questionnaire on Visit 1 and Visit 2.
Results:
Good asthma control at Visit 1 was only present in 25.7% of asthmatic children. Occasional asthma symptoms, limitation of physical activity, nocturnal awakening and anxiety of the parent was present in 80.5%, 41.2%, 46.8% and 57% of the children, respectively. After adjustment of therapy regimens at Visit 1, mainly by adding a leukotriene receptor antagonist, asthma control was reported to be much better in 53.4% of the children at Visit 2.
Conclusions:
As asthma control is inadequately achieved within a major portion of asthmatic children, it is imperative to find measures to improve asthma control and hence, to reduce the burden of disease.
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