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

^*Tämän työn vastaava kirjoittaja

Tutkimustuotos: Artikkeli › Tieteellinen › vertaisarvioitu

4 Sitaatiot (Scopus)

22 Lataukset (Pure)

Abstrakti

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.

Alkuperäiskieli	Englanti
Artikkeli	2
Sivumäärä	10
Julkaisu	npj Primary Care Respiratory Medicine
Vuosikerta	34
DOI - pysyväislinkit	https://doi.org/10.1038/s41533-024-00360-3
Tila	Julkaistu - 2024
OKM-julkaisutyyppi	A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä

Rahoitus

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.

Rahoittajat	Rahoittajan numero
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 HVA

YK:n kestävän kehityksen tavoitteet

Tämä tuotos edistää seuraavia kestävän kehityksen tavoitteita:

SDG 3 – Hyvä terveys ja hyvinvointi

Julkaisufoorumi-taso

Jufo-taso 1

!!ASJC Scopus subject areas

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

Pääsy asiakirjaan

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

s41533-024-00360-3-1Final published version, 1,4 MBLisenssi: CC BY

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

Siteeraa tätä

@article{4aa8e4d5489049fca4a6983813f137b8,

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.",

author = "Jaana Takala and Iida V{\"a}h{\"a}talo and Tuomisto, \{Leena E.\} and Onni Niemel{\"a} and Pinja Ilmarinen and Hannu Kankaanranta",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

doi = "10.1038/s41533-024-00360-3",

language = "English",

volume = "34",

journal = "npj Primary Care Respiratory Medicine",

issn = "2055-1010",

publisher = "Nature Research",

}

TY - JOUR

T1 - Documentation of comorbidities, lifestyle factors, and asthma management during primary care scheduled asthma contacts

AU - Takala, Jaana

AU - Vähätalo, Iida

AU - Tuomisto, Leena E.

AU - Niemelä, Onni

AU - Ilmarinen, Pinja

AU - Kankaanranta, Hannu

PY - 2024

Y1 - 2024

N2 - 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.

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

C2 - 38461294

AN - SCOPUS:85187150351

SN - 2055-1010

VL - 34

JO - npj Primary Care Respiratory Medicine

JF - npj Primary Care Respiratory Medicine

M1 - 2

ER -

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

Abstrakti

Rahoitus

YK:n kestävän kehityksen tavoitteet

Julkaisufoorumi-taso

!!ASJC Scopus subject areas

Pääsy asiakirjaan

Sormenjälki

Siteeraa tätä