The misuse of asthma drugs. [Review]

MedStar author(s):
Citation: Expert Review of Respiratory Medicine. 7(3):307-20, 2013 Jun.PMID: 23734651Institution: MedStar Washington Hospital CenterDepartment: Medicine/Pulmonary-Critical CareForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Anti-Asthmatic Agents/tu [Therapeutic Use] | *Asthma/dt [Drug Therapy] | *Inappropriate Prescribing | *Lung/de [Drug Effects] | Anti-Asthmatic Agents/ae [Adverse Effects] | Anti-Asthmatic Agents/ec [Economics] | Asthma/di [Diagnosis] | Asthma/ec [Economics] | Asthma/pp [Physiopathology] | Attitude of Health Personnel | Disease Progression | Drug Costs | Drug Utilization | Guideline Adherence | Health Knowledge, Attitudes, Practice | Humans | Inappropriate Prescribing/ec [Economics] | Lung/pp [Physiopathology] | Patient Selection | Physician's Practice Patterns | Practice Guidelines as Topic | Predictive Value of Tests | Risk Assessment | Risk Factors | Severity of Illness Index | Treatment OutcomeYear: 2013ISSN:
  • 1747-6348
Name of journal: Expert review of respiratory medicineAbstract: There are three major problems with asthma care in the USA and misuse of asthma drug therapy contributes to each. Asthma patients suffer from symptoms regularly partly because healthcare providers do not understand the Expert Panel Report III (EPR3) recommendations on assessing asthma symptoms to determine drug treatment and, consequently, undertreat the disease. Asthma patients experience exacerbations often in part because the EPR3 provides limited guidance on using exacerbation risk to guide asthma treatment, again leading to undertreatment. The EPR3 recommends inhaled corticosteroids as the preferred therapy for mild persistent asthma but American healthcare providers disregard this recommendation based on different perceptions about the risks and benefits of inhaled corticosteroids and choose drug treatments with higher healthcare costs.All authors: Colice GLFiscal year: FY2013Digital Object Identifier: Date added to catalog: 2014-02-24
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 23734651 Available 23734651

There are three major problems with asthma care in the USA and misuse of asthma drug therapy contributes to each. Asthma patients suffer from symptoms regularly partly because healthcare providers do not understand the Expert Panel Report III (EPR3) recommendations on assessing asthma symptoms to determine drug treatment and, consequently, undertreat the disease. Asthma patients experience exacerbations often in part because the EPR3 provides limited guidance on using exacerbation risk to guide asthma treatment, again leading to undertreatment. The EPR3 recommends inhaled corticosteroids as the preferred therapy for mild persistent asthma but American healthcare providers disregard this recommendation based on different perceptions about the risks and benefits of inhaled corticosteroids and choose drug treatments with higher healthcare costs.

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