The contribution of an asthma diagnostic consultation service in. Effects of use of an ehealth platform evita for copd. Selfmanagement research of asthma and good drug use. The guideline provides recommendations for the diagnosis and management of asthma in patients aged 5 years and older, in the primary care setting and. Genootschap nhgguideline in 644 patients 97%, asthma copd. Nhgstandaard astma bij kinderen derde herziening huisarts. The study reported here, the prevention of asthma in children prevasc study. Corticosteroid therapy is associated with a number of undesirable side effects, including hyperglycaemias, so differences in prescribing might be relevant.
We hypothesize that both asthma and overweightobesity decrease pa levels and interact on pa levels in asthmatic. Asthma is a disease that is often hard to diagnose because many patients have. Objectives to explore utilisation patterns of asthma medication before, during and after pregnancy as recorded in seven european populationbased databases. A populationbased analysis of dutch general practices objectives. Current guidelines, among which the dutch, have so far based their management strategy mainly on lung function impairment as measured by fev1, while it is well known that fev1 has a poor correlation with almost all features of copd that. Asthma then is an issue of genetics and the environment. If asthma control is not achieved with a standard dose of an inha. Suspected penicillin allergy pena is often not verified by diagnostic testing. Although most patients have an uncomplicated and selflimiting disease course, in the netherlands still 14 per patients annually consult their gp with complaints of ge. However, the context in which these core values are implemented by gps in practice are constantly subject to change.
Variations in the prevalence of childhood asthma and wheeze in. The impact of penicillin allergy labels on antibiotic and. The core values of general practicefamily medicine are not new and have long been the foundation of general practice care. Introduction although bacteria contribute significantly to acute exacerbations of chronic obstructive pulmonary disease aecopd, the added value of antibiotics remains controversial, especially in outpatient settings.
Printerfriendly version, pdf file, 144 k screen readerfriendly version, pdf file, 340 k. Considerations of prescribers and pharmacists for the use. The use of oral corticosteroids as treatment of copd exacerbations in primary care is well established and evidencebased. Guideline adherence for diagnostic faeces testing in. Several possible reasons eg, lack of a complete patient file and not interested in co. The weights are assigned according to nhis methodology, with weighting information found in the nhis survey description. Influenza is a major cause of respiratory illness ri and complications, in particular in individuals with preexisting medical conditions such as chronic respiratory and cardiovascular disease and diabetes mellitus. Excess medical costs in patients with asthma and the role of comorbidity.
Of 742 invited copd patients, 244 signed informed consent. A retrospective cohort study was conducted in primary care in the utrecht area, the. In third line penicillin allergy labels were associated with prescription of broad spectrum antibiotics, hospital stay duration and readmission. The hct was performed by a certificated lung function analyst according to a standardised protocol based on ers standard procedures. The asthma prevalence measures calculated from nhis data are weighted to provide national asthma estimates.
Evaluating an educational intervention to inprove the treatment of asthma in four european. Asthma national health interview survey nhis data cdc. A history of certain symptoms also has sufficient diagnostic value for the diagnosis of asthma. Influence of age on reallife effects of doxycycline for. Next to the wellknown micro and macrovascular complications, type 2 diabetes mellitus t2dm is associated with musculoskeletal disorders of the upper extremities referred to as limited joint mobility ljm, e. Core values of general practice family medicine nhg. Latest data on mortality due to asthma in europe international classification of disease10 j45j46 data are presented as n per 100,000. The effectiveness of physiotherapy in patients with asthma. Nhgstandaard zwangerschap en kraamperiode tweede herzieningnhgquality standard pregnancy and postnatal period second revision.
Individual advice in addition to standard guideline care. Associations between asthma, overweight and physical. In contrast with policies in some other countries like the us, where all children are recommended to receive annual influenza immunization to control influenza. The global asthma report 2014 has been prepared by the global asthma network gan steering group and invited authors with additional expertise. Usefulness of peak flow measurement printerfriendly version, pdf file, 72 k screen readerfriendly version, pdf file, 180 k. Low back pain lbp causes an economic burden to society in countries such as the usa, uk and the netherlands maetzel and li, 2002. Nhgstandaard astma bij kinderen eerste herziening guideliness of asthma in childhood first revision. The large differences in prevalence rates of asthma, wheeze and wheeze with. However, the most appropriate dosage regimen has not been determined and remains controversial. Asthma and obesity are highly prevalent in children, and are interrelated resulting in a difficulttotreat asthmaobesity phenotype.
Inactivated influenza vaccine does not reduce all cause. For the analyses, we only included patients who actually used the ehealth platform n 123. Emotional stress temperature, especially cold dust air pollution exercise weather changes. Since the introduction of medical therapy for asthma the interest in. Putting health status guided copd management to the test. Asthma features including asthma control and asthmarelated quality of life and lung function indices static and dynamic improved significantly over time in both groups. Guidelines for the diagnosis and management of asthma epr. Bij diagnostische problemen of bij moeilijk in te stellen astma wordt samenwerking. Chen w, lynd ld, fitzgerald jm, marra ca, balshaw r, to t, et al.
Asthma is usually treated by using an inhaler, a small device that lets you breathe in medicines. Nhgstandaard allergische en nietallergische rhinitis eerste herziening huisarts wet 2006. We investigated the magnitude of longterm prescription of acid suppressant drugs in general practice and the frequency and means of confirming the primary working diagnosis. Guidelines for the diagnosis and management of asthma. The exact underlying mechanisms of this phenotype remain unclear, but decreased physical activity pa could be an important lifestyle factor. Unrecognized and untreated ljm can lead to poor quality of life and noncompliance to diabetes treatment which aggravates ljm. We aimed to assess the influence of age on the effectiveness of doxycycline for aecopd. Asthma selfmanagement education for adults printerfriendly version, pdf. Assess the impact of pena labels on antibiotic and health care use in primary care. Development and validation of a new instrument measuring guideline adherence in clinical practice education in evidencebased medicine ebm is an important part of the postgraduate training of gps. We evaluated the performance of this asthma diagnostic consultation. Feasibility of asthmacritic, a decisionsupport system for. The global strategy for asthma management and prevention was extensively revised in 2014 to provide a comprehensive and integrated approach to asthma management that can be adapted for local conditions.
Both the context of request for care and the context of the care offer have their own dynamics. Pdf 201 kb fact sheet from the california department of public health on cleaning products and asthma. Age may affect antibiotic effectiveness, but realworld evidence is lacking. Nhg standaard astma bij volwassenen article pdf available in huisarts en wetenschap 5011. Setting 7 electronic healthcare databases in denmark, norway, the netherlands, italy emilia romagna and tuscany, wales, and the clinical practice research datalink representing the. Selfmanagement research of asthma and good drug use smaragd study. The sample adult weight final annual and sample child weights final annual are used to obtain the estimates. Objective this study aimed to investigate both atopic and nonatopic comorbid symptoms and diseases in children with physiciandiagnosed atopic disorders atopic eczema, asthma and allergic rhinitis. Feasibility of asthmacritic, a decisionsupport system for asthma and copd which generates patientspecific feedback on routinely recorded data in general practice. The most common triggers that can cause an asthma attack are. Gastroenteritis ge is a major cause of morbidity in developed countries, with 28 in every 10 persons experiencing an episode of ge per year 1,2. Considerations of prescribers and pharmacists for the use of non.
Methods all children aged 018 years listed in a nationwide primary care database the netherlands institute for health services researchprimary care database with routinely collected. Asthma and outdoor air pollution pdf 499 kb this fact sheet provides information for people with asthma on understanding and using outdoor air quality warnings. It provides substantial uptodate information about asthma. Chronic obstructive pulmonary disease copd is a disease state characterized by airflow limitation that is not fully reversible and usually progressive. Evaluation of its effect on ebm behaviour in daily clinical practice is. A considerable proportion of the medication budget of dutch general practitioners is spent on prescribed longterm acid suppressant drugs. A family history of asthma was a risk factor for current asthma maternal asthma odds ratio or 2.