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Related Concept Videos

Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
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Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies

Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...

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Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
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Published on: March 3, 2023

Persistent asthma defined using HEDIS versus survey criteria.

Michael Schatz1, Robert S Zeiger, Su-Jau T Yang

  • 1Department of Allergy, Kaiser Permanente Medical Center, 7060 Clairemont Mesa Blvd, San Diego, CA 92111, USA. michael.x.schatz@kp.org

The American Journal of Managed Care
|November 20, 2010
PubMed
Summary
This summary is machine-generated.

Persistent asthma definitions align between administrative and survey data. Most patients maintain a persistent asthma status over three years, indicating stability.

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Area of Science:

  • Pulmonary Medicine
  • Health Services Research

Background:

  • Asthma management relies on accurate phenotyping, with persistent asthma requiring specific treatment approaches.
  • Administrative data, like the Healthcare Effectiveness Data and Information Set (HEDIS), are often used for population health management, but their alignment with patient-reported outcomes needs validation.

Purpose of the Study:

  • To compare persistent asthma classification using administrative versus patient survey data.
  • To assess the longitudinal stability of persistent asthma over a three-year period.

Main Methods:

  • A longitudinal study combining retrospective administrative data with mailed surveys.
  • Patients meeting HEDIS criteria for persistent asthma in year 1 were surveyed in years 2 and 3 regarding symptoms, medication, and exacerbations.
  • Asthma-related medical utilization was analyzed from administrative data in year 3.

Main Results:

  • A high concordance (91.5%) was observed between survey-defined persistent asthma and physician-diagnosed asthma among respondents.
  • Patients with survey-defined persistent asthma were more likely to meet HEDIS criteria in subsequent years.
  • Persistent asthma, as defined by survey, demonstrated stability over the study period, with 82% of participants maintaining the classification across all surveys.

Conclusions:

  • HEDIS-defined persistent asthma generally aligns with survey-defined persistent asthma.
  • Persistent asthma is a stable characteristic for the majority of patients over a three-year timeframe.
  • Low survey response rates necessitate further population-based studies to confirm generalizability.