Documentation of comorbidities, lifestyle factors, and asthma management during primary care scheduled asthma contacts

Jaana Takala; Iida Vähätalo; Leena E. Tuomisto; Onni Niemelä; Pinja Ilmarinen; Hannu Kankaanranta

doi:10.1038/s41533-024-00360-3

Documentation of comorbidities, lifestyle factors, and asthma management during primary care scheduled asthma contacts

Jaana Takala^*
, Iida Vähätalo
, Leena E. Tuomisto
, Onni Niemelä
, Pinja Ilmarinen
, Hannu Kankaanranta

^*Corresponding author for this work

Research output: Contribution to journal › Article › Scientific › peer-review

4 Citations (Scopus)

22 Downloads (Pure)

Abstract

Systematically assessing asthma during follow-up contacts is important to accomplish comprehensive treatment. No previous long-term studies exist on how comorbidities, lifestyle factors, and asthma management details are documented in scheduled asthma contacts in primary health care (PHC). We showed comorbidities and lifestyle factors were poorly documented in PHC in this real-life, 12-year, follow-up study. Documented information on rhinitis was found in 8.9% and BMI, overweight, or obesity in ≤1.5% of the 542 scheduled asthma contacts. Of the 145 patients with scheduled asthma contacts, 6.9% had undergone revision of their inhalation technique; 16.6% had documentation of their asthma action plan. Screening of respiratory symptoms was recorded in 79% but nasal symptoms in only 15.5% of contacts. Lifestyle guidance interventions were found in <1% of contacts. These results, based on documented patient data, indicate a need exists to further improve the assessment and guidance of asthma patients in PHC.

Original language	English
Article number	2
Number of pages	10
Journal	npj Primary Care Respiratory Medicine
Volume	34
DOIs	https://doi.org/10.1038/s41533-024-00360-3
Publication status	Published - 2024
Publication type	A1 Journal article-refereed

Funding

Aino Sepponen, RN, is gratefully acknowledged for her help through all the stages of this work. We also wish to acknowledge Heidi Andersén, MD, PhD, for the idea of the Fig. . This study was supported by the Tampere Tuberculosis Foundation (Tampere, Finland), the Finnish Anti-Tuberculosis Association Foundation (Helsinki, Finland), the Jarmari and Rauha Ahokas Foundation (Helsinki, Finland), the Allergy Research Foundation (Helsinki, Finland), the Ida Montini Foundation (Kerava, Finland), the Pihkahovi Foundation (Ylihärmä, Finland), the Finnish Allergy, Skin and Asthma Federation, the Järviseutu Foundation (Vimpeli, Finland), the General Practitioners in Finland (Helsinki, Finland), the Medical Research Fund of Seinäjoki Central Hospital (Seinäjoki, Finland) and the Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital (VTR, Tampere, Finland). H Kankaanranta is an asthma and allergy research Professor funded by the Hermann Krefting Foundation and his work is supported by Swedish Heart- and Lung Foundation, Swedish Asthma and Allergy Foundation, Vetenskapsrådet (Sweden; 2022-01022) and ALF agreement (ALFGBG-966075; grant from the Swedish state under the agreement between the Swedish Government and the county councils., None of the sponsors had any involvement in the planning, execution, drafting or write-up of this study.

Funders	Funder number
Allergy Research Foundation
Finnish Allergy, Skin and Asthma Federation
Foundation of the Finnish Anti-Tuberculosis Association
General Practitioners in Finland
Hermann Krefting Foundation
Järviseutu Foundation
Pihkahovi Foundation
Swedish Asthma and Allergy Foundation
Ida Montinin Säätiö
Jalmari ja Rauha Ahokkaan Säätiö
Hjärt-Lungfonden
Vetenskapsrådet	2022-01022, ALFGBG-966075
Tampereen tuberkuloosisäätiö
Seinäjoen keskussairaala VA

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Publication forum classification

Publication forum level 1

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Public Health, Environmental and Occupational Health
Family Practice

Access to Document

10.1038/s41533-024-00360-3Licence: CC BY

s41533-024-00360-3-1Final published version, 1.4 MBLicence: CC BY

https://urn.fi/URN:NBN:fi:tuni-202405145799Licence: CC BY

Cite this

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title = "Documentation of comorbidities, lifestyle factors, and asthma management during primary care scheduled asthma contacts",

abstract = "Systematically assessing asthma during follow-up contacts is important to accomplish comprehensive treatment. No previous long-term studies exist on how comorbidities, lifestyle factors, and asthma management details are documented in scheduled asthma contacts in primary health care (PHC). We showed comorbidities and lifestyle factors were poorly documented in PHC in this real-life, 12-year, follow-up study. Documented information on rhinitis was found in 8.9\% and BMI, overweight, or obesity in ≤1.5\% of the 542 scheduled asthma contacts. Of the 145 patients with scheduled asthma contacts, 6.9\% had undergone revision of their inhalation technique; 16.6\% had documentation of their asthma action plan. Screening of respiratory symptoms was recorded in 79\% but nasal symptoms in only 15.5\% of contacts. Lifestyle guidance interventions were found in <1\% of contacts. These results, based on documented patient data, indicate a need exists to further improve the assessment and guidance of asthma patients in PHC.",

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AU - Takala, Jaana

AU - Vähätalo, Iida

AU - Tuomisto, Leena E.

AU - Niemelä, Onni

AU - Ilmarinen, Pinja

AU - Kankaanranta, Hannu

PY - 2024

Y1 - 2024

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AB - Systematically assessing asthma during follow-up contacts is important to accomplish comprehensive treatment. No previous long-term studies exist on how comorbidities, lifestyle factors, and asthma management details are documented in scheduled asthma contacts in primary health care (PHC). We showed comorbidities and lifestyle factors were poorly documented in PHC in this real-life, 12-year, follow-up study. Documented information on rhinitis was found in 8.9% and BMI, overweight, or obesity in ≤1.5% of the 542 scheduled asthma contacts. Of the 145 patients with scheduled asthma contacts, 6.9% had undergone revision of their inhalation technique; 16.6% had documentation of their asthma action plan. Screening of respiratory symptoms was recorded in 79% but nasal symptoms in only 15.5% of contacts. Lifestyle guidance interventions were found in <1% of contacts. These results, based on documented patient data, indicate a need exists to further improve the assessment and guidance of asthma patients in PHC.

U2 - 10.1038/s41533-024-00360-3

DO - 10.1038/s41533-024-00360-3

M3 - Article

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Documentation of comorbidities, lifestyle factors, and asthma management during primary care scheduled asthma contacts

Abstract

Funding

UN SDGs

Publication forum classification

ASJC Scopus subject areas

Access to Document

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