Health care education, delivery, and qualityInfluence of patients' characteristics and disease management on asthma control
Section snippets
Study design and study population
The methodology of the study has been described in detail.6 Briefly, a retrospective observational study was conducted in 348 community pharmacies between November 2003 and June 2004. Community pharmacists invited asthmatic patients aged 18 to 50 years who were regular users of the pharmacy to participate in the study. To be eligible, patients were required to have with them a prescription for an antiasthma medication (R03, Anatomical Therapeutical and Chemical Classification). The Anatomical
Results
Of the 1351 patients who met the inclusion criteria, data on asthma control were available for 1282 of them (Fig 1).
Discussion
This is one of the few observational studies conducted in asthmatic patients to identify determinants of inadequate control. Besides confirming the unsatisfactory status of asthma management (in our sample most patients were considered as not optimally controlled), we identified several independent patient-related determinants of inadequate control (ie, female sex, active smoking, and overweight status). Control also varied according to the type of asthma supervision (GPs and specialists).
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2023, PulmonologyCitation Excerpt :Consequently, it is important to optimize the treatment of both diseases in patients with a concomitant diagnosis.52 The presence of smoking habits was not observed to be a determinant associated with poor asthma control in our study, as already stated.30,53 In this regard, other studies also did not identify smoking as an independent risk factor for uncontrolled asthma11 or for decline in lung function in asthmatic patients54 which could be related to a healthy smoker effect,55 underestimating the effect of tobacco at pulmonary level.
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Supported in part by a nonconditional grant from GSK France.
Disclosure of potential conflict of interest: J. Bousquet has consultant arrangements with AstraZeneca, GlaxoSmithKline, Merck, Sharp, and Dhome and is on the speakers' bureau for AstraZeneca, GlaxoSmithKline, Merck, Sharp, and Dhome. The rest of the authors have declared that they have no conflict of interest.