Currently Viewing:
Newsroom
Currently Reading
Two Studies Examine Death Records for Asthma Burden, Guideline Adherence by Providers
June 06, 2018 – Alison Rodriguez
Studies Evaluate Nontuberculous Mycobacterial Lung Disease
May 30, 2018 – Alison Rodriguez
Interventions to Decrease Pediatric Hospital Readmission for Asthma Patients Are Not Effective
May 28, 2018 – Alison Rodriguez
Two Studies Evaluate Non-Tuberculous Mycobacterium Causes and Identification
May 25, 2018 – Alison Rodriguez
Study: Mining Industry Noncompliance With Requirements Linked to Lung Disease Prevalence
May 20, 2018 – Alison Rodriguez
Interprofessional Education Improves Students' Skills of Respiratory Therapy Profession
May 19, 2018 – Alison Rodriguez
5 Things About Gender Disparities in Care to Remember as National Women's Health Week Ends
May 18, 2018 – Allison Inserro
ICER Releases Draft Scoping Document on Biologics for Asthma
May 16, 2018 – Allison Inserro
Study Finds Rise in Use of ADHD, Asthma Drugs in Children
May 15, 2018 – Allison Inserro

Two Studies Examine Death Records for Asthma Burden, Guideline Adherence by Providers

Alison Rodriguez
Two recent studies examined issues related to asthma statistics and treatment: is mortality underrepresented due to how death certificates are recorded? How well do providers adhere to clinical guidelines for asthma?
Although many individuals around the world are able to live with asthma, approximately 420,000 people died from the respiratory disease worldwide in 2016. Asthma mortality rates are established from statistics and algorithms that identify the underlying cause of death (UCOD); however, asthma mortality based on UCOD underestimates disease burden.

A recent study analyzed asthma mortality in the United States from 1999 to 2015 using multiple-cause of death (MCOD) records. The researchers collected data from the CDC, including 156,517 death certificates that had any mention of asthma.1

During that same timeframe, a total of 59,067 deaths with UCOD of asthma were recorded, making up 37.7% of the deaths with any mention of asthma taken from the MCOD records. Of those, 37.3% females and 38.45% males.

In addition, among females, UCOD was 37.7% in Hispanics , 41.7% in blacks, and 36% in whites. For males, UCOD was 42.56% in Hispanics, 51.2% in blacks, and 52.1% in whites.

From 1999 to 2015, the age-adjusted MCOD death rates changed -38.1% for Hispanic females, -34.1% for black females, and -15.1% for white females. For men from 1999 to 2015, MCOD death rates changed -28.5% for Hispanic males, -21.3% for black males, and -25% for white males.

Black females and males had the highest MCOD and UCOD rates throughout the study period, according to the study.

“Among deaths with any mention of asthma, asthma was chosen as UCOD most often in black males and least often in white females. Age-adjusted MCOD rates declined most in white males and least in white females. The results show UCOD underestimated the burden of asthma mortality in the United States,” concluded the study. “We showed that asthma mortality using MCOD was 2.6 times higher when compared to UCOD.”

Another study used data from the 2012 National Asthma Survey of Physicians in order to compare self-reported guideline adherence by generalists and family medicine practitioners, internists, pediatricians, and community health center (CHC) mid-level clinicians.2 The study measured adherence to individual guideline recommendations through a questionnaire using a Likert scale with 1355 clinician respondents.

The results demonstrated that a higher percentage of pediatricians adhered to assessment and monitoring recommendations compared to other groups, with pediatricians almost always assessing daytime symptoms.

However, all groups had a low percentage for always assessing peak flow, performing spirometry, and repeatedly assessing inhaler technique.

“Adherence is moderate to high for some recommendations, was generally highest among pediatricians, and endorsement of inhaled corticosteroids for long term control was high for all groups of primary care clinicians,” concluded the authors. “However, adherence was low for key guideline recommendations including AAP provision, documentation of asthma control, and objective assessment and monitoring. High perceived self-efficacy was a strong and consistent predictor of adherence.”

Both studies were presented at The American Thoracic Society 2018 International Conference, San Diego, California.

References

1. Kodadhala V, Obi JI, Mehari A,  Ogundipe T, Wessley P,  Gillum R. Asthma-related mortality and co-morbidities in the United States of America, 1999-2015: a multiple causes of death analysis. Presented at the American Thoracic Society 2018 International Conference. May 20, 2018; San Diego, California. Abstract A1090.

2. Akinbami L, Salo PM, Cloutier MM, et al. Primary care clinician adherence with guidelines for the diagnosis and management of asthma: the national asthma survey of physicians. Presented at the American Thoracic Society 2018 International Conference. May 20, 2018; San Diego, California. Abstract A7644.

Related Articles

Implications for Asthma Treatment Strategies in Managed Care
CDC Study Puts Economic Burden of Asthma at More Than $80 Billion Per Year
Interventions to Decrease Pediatric Hospital Readmission for Asthma Patients Are Not Effective
Studies Assess Asthma Prevalence and Disparities
Two Studies Examine Death Records for Asthma Burden, Guideline Adherence by Providers
 
Copyright AJMC 2006-2019 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up