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Published on: November 4, 2010
[Prevalence of asthma consultations in general practice]
M Schuers1, P-A Chopinaud2, H Guihard1
1Département universitaire de médecine générale, faculté de médecine de Rouen, université de Rouen, 22, boulevard Gambetta, 76000 Rouen, France.
Asthma consultations are uncommon in French general practice, representing only 1.69% of visits. This suggests asthma may be underdiagnosed, highlighting a need for better diagnostic tools and spirometry access in primary care.
Area of Science:
- General Practice
- Respiratory Medicine
- Public Health
Background:
- Limited data exists on asthma prevalence within primary care settings.
- Understanding asthma consultation characteristics in general practice is crucial.
Purpose of the Study:
- To determine the prevalence of asthma consultations in French general practice.
- To characterize the nature of these asthma-related consultations.
Main Methods:
- A multicenter, cross-sectional national study was conducted in general practice.
- Data from 20,613 consultations were collected over 20 days using electronic health records and the International Classification of Primary Care (ICPC-2).
Main Results:
- Asthma accounted for 348 (1.69%) of all consultations analyzed.
- Asthma consultations were associated with fewer reasons for visit but more care processes.
- 42% of other consultation outcomes linked to asthma involved chronic diseases.
Conclusions:
- Asthma appears to be underdiagnosed in French general practice.
- Development of validated diagnostic tools for primary care and improved spirometry access are recommended.
- Further research should explore these avenues to improve asthma diagnosis and management.
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