Control of bronchial asthma in Russia: results of NIKA multi-center observational study
https://doi.org/10.18093/0869-0189-2011-0-6-87-93
Abstract
Summary. Asthma control level was evaluated in 1 000 patients treated in 26 outpatient centers at 12 cities of Russian Federation. Asthma control level was assessed clinically and with special questionnaires ACQ-5 and ACT. Results were referred to GINA criteria. Well-controlled asthma was found in 23 % of patients, partly controlled and poorly controlled asthma was diagnosed in 25 % and 42 % of patients, respectively. Attendant physicians misestimated asthma control level in 49 % of cases. ACQ-5 and ACT questionnaires equally improved estimation of asthma control (64 % and 60 % of adequate estimates, respectively) however, ACT questionnaire demonstrated systematic bias to overestimated asthma control when compared to GINA criteria.
About the Authors
V. V. Arkhipov
ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М.Сеченова»
Russian Federation
Russian Federation
E. V. Grigoryeva
ГБОУ ДПО «Иркутская государственная академия последипломного образования» Минздравсоцразвития России
Russian Federation
Russian Federation
E. V. Gavrishina
ФГБУ «Научный центр экспертизы средств медицинского применения»
Russian Federation
Russian Federation
References
1. Global Initiative for Asthma (2009). Global strategy for asthma management and prevention. National Institutes of Health publication 02.3659. Bethesda, MD: National Institutes of Health, National Heart, Lung, and Blood Institute. Available at www.ginasthma.com
2. Asthma in America. www.asthmainamerica.com
3. Rabe K.F., Vermeire P.A., Soriano J.B., Maier W.C. Clinical management of asthma in 1999: the Asthma Insights and Reality in Europe (AIRE) study. Eur. Respir. J. 2000; 16: 802–807.
4. Gené R.J., Antuni J.D., Sano F. et al. Asthmacontrolin Latinamerica (LA) and Caribbean (CAR) countries: correlation between asthma control test (ACT), FEV1 and currenttreatment ERS. In: European Respiratory Society Conference 2009 abstract. 2009. Poster 3050.
5. Chapman K.R. Sub-optimal asthma control: prevalence, detection and consequences in primary practice. Eur. Respir. J. 2008; 31: 320–325.
6. Partridge M.R., van der Molen T., Myrseth S.E., Busse W.W. Attitudes and actions of asthma patients on regular maintenance therapy: the INSPIRE study. BMC Pulm. Med. 2006; 6:13.
7. Чучалин А.Г., Смоленов И.В., Огородова Л.M. и др. Фармакоэпидемиология детской астмы: результаты многоцентрового российского ретроспективного исследования (ФЭДА-2000). Пульмонология 2001; прил.: 3–20.
8. Чучалин A.Г., Огородова Л.М., Петровский Ф.И. и др. Базисная терапия тяжелой бронхиальной астмы у взрослых. Данные национального исследования НАБАТ. Пульмонология 2004; 6: 68–77.
9. Чучалин А.Г., Белевский А.С., Смоленов И.В. и др. Качество жизни детей с бронхиальной астмой в России: результаты многоцентрового популяционного исследования. Аллергология 2003; 3: 3–6.
10. Чучалин А.Г., Цой А.Н., Архипов В.В., Гавришина Е.В. Бронхиальная астма в России: результаты национального исследования качества медицинской помощи больным бронхиальной астмой. Пульмонология 2006; 6: 94–102.
11. Цой А.Н., Архипов В.В., Гавришина Е.В. Эффективность Симбикорта в реальной клинической практике: результаты Российского национального исследования. Пульмонология 2006; 2: 60–67.
12. Reddel H.K., Taylor D.R., Bateman E.D. et al. An official American Thoracic Society / European Respiratory Society statement: Asthma control and exacerbations: standardizing endpoints for clinical asthma trials and clinical practice. Am. J. Respir. Crit. Care. Med. 2009; 180: 59–99.
13. Bateman E.D., Reddel H.K., Eriksson G. et al. Overall asthma control: The relationship between current control and future risk. J. Allergy Clin. Immunol. 2010; 125 (3): 600–608.
14. Juniper E.F., O'Byrne P.M., Ferrie P.J. et al. Measuring asthma control: clinic questionnaire or daily diary? Am. J. Respir. Crit. Care Med. 2000; 162: 1330–1334.
15. Juniper E.F., O'Byrne P.M., Guyatt G.H. et al. Development and validation of a questionnaire to measure asthma control. Eur. Respir. J. 1999; 14: 902–907.
16. Nathan R.A., Sorkness C.A., Kosinski M. et al. Development of the asthma control test: a survey for assessing asthma control. J. Allergy Clin. Immunol. 2004; 113: 59–65.
17. Schatz M., Sorkness C.A., Li J.T. et al. Asthma Control Test: reliability, validity, and responsiveness in patients not previously followed by asthma specialists. J. Allergy Clin. Immunol. 2006; 117: 549–556.
18. Thomas M., Kay S., Pike J. et al. The Asthma Control Test (ACT) as a predictor of GINA guideline-defined asthma control: analysis of a multinational crosssectional survey. Prim. Care Respir. J. 2009; 18: 41–49.
19. Juniper E.F., Bousquet J., Abetz L. et al. Identifying 'well-controlled' and 'not well-controlled' asthma using the Asthma Control Questionnaire. Respir. Med. 2006; 100: 616–621.
20. Demoly Р., Paggiaro P., Plaza V. et al. Prevalence of asthma control among adults in France, Germany, Italy, Spain and the UK. Eur. Respir. Rev. 2009; 18 (112): 105–112.
21. Fuhlbrigge A., Reed M.L., Stempel D.A. et al. The status of asthma control in the U.S. adult population. Allergy Asthma Proc. 2009; 30 (5): 529–533.
22. Nguyen K., Zahran H., Iqbal S. et al. Factors associated with asthma control among adults in five new England states, 2006–2007. J. Asthma 2011; 48 (6): 581–588.
23. Архипов В.В., Цой А.Н., Гавришина Е.В. Клиническая и экономическая оценка наиболее распространенных в реальной клинической практике моделей базисной терапии бронхиальной астмы. Клин. мед. 2007; 85 (2): 63–67.
24. Lai C.K., De Guia T.S., Kim Y.Y. et al. Asthma control in the Asia-Pacific region: the Asthma Insights and Reality in Asia-Pacific Study. J. Allergy Clin. Immunol. 2003; 111 (2): 263–268.
25. Chapman K.R., Boulet L.P., Rea R.M., Franssen Е. Suboptimal asthma control: prevalence, detection and consequences in general practice. Eur. Respir. J. 2008; 31: 320–332.
26. Korn S., Both J., Jung M. et al. Prospective evaluation of current asthma control using ACQ and ACT compared with GINA criteria. Annals of Allergy, Asthma & Immunology, Available online 5 October 2011. http://www.annallergy.org/article/S1081-1206(11)00681-8/abstract
Review
For citations:
Arkhipov V.V., Grigoryeva E.V., Gavrishina E.V. Control of bronchial asthma in Russia: results of NIKA multi-center observational study. PULMONOLOGIYA. 2011;(6):87-93. (In Russ.) https://doi.org/10.18093/0869-0189-2011-0-6-87-93
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