Skip to Main content Skip to Navigation
Journal articles

Pharmacological treatment of asthma in a cohort of adults during a 20-year period: results from the European Community Respiratory Health Survey I, II and III

Christer Janson 1, 2 Simone Accordini 3 Lucia Cazzoletti 3 Isa Cerveri 4 Sebastien Chanoine 5 Angelo Corsico 4 Diogenes Seraphim Ferreira 6, 7 Judith Garcia-Aymerich 8, 9, 10 David Gislason 11 Rune Nielsen 12, 13 Ane Johannessen 13 Rain Jogi 14 Andrei Malinovschi 1 Jesús Martinez-Moratalla Rovira 15, 16 Alessandro Marcon 3 Isabelle Pin 5, 17 Jennifer Quint 2 Valerie Siroux 18, 5 Enrique Almar 16, 19 Valeria Bellisario 20 Karl Franklin 21 José Gullón 22 Mathias Holm 23 Joachim Heinrich 24, 25, 26 Dennis Nowak 24, 27 José Luis Sánchez-Ramos 28 Joost Weyler 29 Déborah Jarvis 2
Abstract : Asthma often remains uncontrolled, despite the fact that the pharmacological treatment has undergone large changes. We studied changes in the treatment of asthma over a 20-year period and identified factors associated with the regular use of inhaled corticosteroid (ICS) treatment. Changes in the use of medication were determined in 4617 randomly selected subjects, while changes in adults with persistent asthma were analysed in 369 participants. The study compares data from three surveys in 24 centres in 11 countries. The use of ICSs increased from 1.7% to 5.9% in the general population and the regular use of ICSs increased from 19% to 34% among persistent asthmatic subjects. The proportion of asthmatic subjects reporting asthma attacks in the last 12 months decreased, while the proportion that had seen a doctor in the last 12 months remained unchanged (42%). Subjects with asthma who had experienced attacks or had seen a doctor were more likely to use ICSs on a regular basis. Although ICS use has increased, only one-third of subjects with persistent asthma take ICSs on a regular basis. Less than half had seen a doctor during the last year. This indicates that underuse of ICSs and lack of regular healthcare contacts remains a problem in the management of asthma.
Complete list of metadata

https://www.hal.inserm.fr/inserm-03156741
Contributor : Valérie Siroux Connect in order to contact the contributor
Submitted on : Tuesday, March 2, 2021 - 4:27:18 PM
Last modification on : Tuesday, May 25, 2021 - 11:36:02 AM

Links full text

Identifiers

Collections

Citation

Christer Janson, Simone Accordini, Lucia Cazzoletti, Isa Cerveri, Sebastien Chanoine, et al.. Pharmacological treatment of asthma in a cohort of adults during a 20-year period: results from the European Community Respiratory Health Survey I, II and III. ERJ Open Research, European Respiratory Society, 2019, 5 (1), pp.00073-2018. ⟨10.1183/23120541.00073-2018⟩. ⟨inserm-03156741⟩

Share

Metrics

Record views

38