The CHOICE survey: high rates of persistent and uncontrolled asthma in the United States.

MedStar author(s):
Citation: Annals of Allergy, Asthma, & Immunology. 108(3):157-62, 2012 Mar.PMID: 22374197Institution: MedStar Washington Hospital CenterDepartment: Medicine/Pulmonary-Critical CareForm of publication: Journal ArticleMedline article type(s): Journal Article | Research Support, Non-U.S. Gov'tSubject headings: *Anti-Asthmatic Agents/tu [Therapeutic Use] | *Asthma/ep [Epidemiology] | *Asthma/th [Therapy] | *Nebulizers and Vaporizers | Adolescent | Adult | Aged | Aged, 80 and over | Female | Health Surveys | Humans | Male | Middle Aged | Questionnaires | Severity of Illness Index | United States/ep [Epidemiology]Year: 2012Local holdings: Available online through MWHC library: 1996-2009, Available in print through MWHC library: 1999 - 2008ISSN:
  • 1081-1206
Name of journal: Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & ImmunologyAbstract: BACKGROUND: Surveys have consistently shown that many patients with asthma do not have their disease well controlled.CONCLUSION: The CHOICE survey is particularly pertinent clinically, because it demonstrates for the first time, using EPR 3 methods, the current extent of poor asthma control in the United States. This situation falls far short of national asthma management targets. Copyright 2012 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.METHODS: A total of 1,000 patients with asthma were interviewed about their use of inhalation devices and asthma-related burden, medication use, and hospital/emergency care. Based on the responses to these questions, asthma severity and control were categorized using methods established in the Expert Panel Report III (EPR 3).OBJECTIVES: The CHOICE (Comprehensive Survey of Healthcare Professionals and Asthma Patients Offering Insight on Current Treatment Gaps and Emerging Device Options) survey was designed to evaluate the current status of inhalation devices used in asthma treatment, but questions also were included about asthma severity and control.RESULTS: Almost half (490) of the patients with asthma participating in the CHOICE survey were not using controller medications. Most of those not using controllers (79%) had persistent asthma; 47% had either mild or moderate persistent asthma. Of those on controllers (510), only 14.3% were well controlled. Acute care utilization was greater for patients with persistent asthma than those with intermittent asthma and for patients with not well and poorly controlled asthma than those with well-controlled asthma.All authors: Anolik R, Blaiss M, Colice GL, Geller DE, Marcus P, Nathan RA, Ostrom NK, Schwartz JFiscal year: FY2012Digital Object Identifier: Date added to catalog: 2013-09-17
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 22374197 Available 22374197

Available online through MWHC library: 1996-2009, Available in print through MWHC library: 1999 - 2008

BACKGROUND: Surveys have consistently shown that many patients with asthma do not have their disease well controlled.

CONCLUSION: The CHOICE survey is particularly pertinent clinically, because it demonstrates for the first time, using EPR 3 methods, the current extent of poor asthma control in the United States. This situation falls far short of national asthma management targets. Copyright 2012 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

METHODS: A total of 1,000 patients with asthma were interviewed about their use of inhalation devices and asthma-related burden, medication use, and hospital/emergency care. Based on the responses to these questions, asthma severity and control were categorized using methods established in the Expert Panel Report III (EPR 3).

OBJECTIVES: The CHOICE (Comprehensive Survey of Healthcare Professionals and Asthma Patients Offering Insight on Current Treatment Gaps and Emerging Device Options) survey was designed to evaluate the current status of inhalation devices used in asthma treatment, but questions also were included about asthma severity and control.

RESULTS: Almost half (490) of the patients with asthma participating in the CHOICE survey were not using controller medications. Most of those not using controllers (79%) had persistent asthma; 47% had either mild or moderate persistent asthma. Of those on controllers (510), only 14.3% were well controlled. Acute care utilization was greater for patients with persistent asthma than those with intermittent asthma and for patients with not well and poorly controlled asthma than those with well-controlled asthma.

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