TY - BOOK AU - Colice, Gene L TI - The CHOICE survey: high rates of persistent and uncontrolled asthma in the United States SN - 1081-1206 PY - 2012/// KW - *Anti-Asthmatic Agents/tu [Therapeutic Use] KW - *Asthma/ep [Epidemiology] KW - *Asthma/th [Therapy] KW - *Nebulizers and Vaporizers KW - Adolescent KW - Adult KW - Aged KW - Aged, 80 and over KW - Female KW - Health Surveys KW - Humans KW - Male KW - Middle Aged KW - Questionnaires KW - Severity of Illness Index KW - United States/ep [Epidemiology] KW - MedStar Washington Hospital Center KW - Medicine/Pulmonary-Critical Care KW - Journal Article KW - Research Support, Non-U.S. Gov't N1 - Available online through MWHC library: 1996-2009, Available in print through MWHC library: 1999 - 2008 N2 - 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 UR - http://dx.doi.org/10.1016/j.anai.2011.12.017 ER -