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Comparing the Asthma APGAR system and the Asthma Control Test™ in a multicenter primary care sample
Matthew A Rank1, Susan Bertram2, Peter Wollan2
1Division of Allergy, Asthma, and Clinical Immunology, Mayo Clinic, Scottsdale, AZ.
Mayo Clinic Proceedings
|May 10, 2014
Summary
The Asthma APGAR system and the Asthma Control Test (ACT™)/Childhood Asthma Control Test (CACT™) similarly assess asthma control in primary care. The APGAR system identified actionable management strategies for over 75% of poorly controlled asthma patients.
Area of Science:
- Pulmonology
- Primary Care Medicine
- Clinical Assessment Tools
Background:
- Asthma control assessment is crucial for effective management.
- Existing tools like ACT™/CACT™ were developed by specialists.
- Primary care clinicians developed the Asthma APGAR system.
Purpose of the Study:
- To compare the Asthma APGAR system with the ACT™/CACT™ for asthma control assessment.
- To evaluate the utility of the Asthma APGAR system in a primary care setting.
Main Methods:
- A substudy of a randomized, controlled pragmatic trial.
- Patients completed both Asthma APGAR and ACT™/CACT™ questionnaires.
- Kappa and McNemar statistics were used for comparison.
Main Results:
- 84.4% overall agreement between the two assessment tools.
- Kappa value of .68 indicated substantial agreement.
- Asthma APGAR identified actionable items in over 75% of poorly controlled patients.
Conclusions:
- The Asthma APGAR system and ACT™/CACT™ demonstrate similar asthma control assessment.
- The Asthma APGAR system effectively links poor control assessment with management strategies in primary care.
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