Abstract
Annually, asthma accounts for 10.4 million physician visits, 468,000 hospitalizations, 1.8 million emergency room visits, and 10 million missed school days. According to the Centers for Disease Control and Prevention, the number of asthma deaths has increased progressively since 1978 form 1,800 to 5,400 per year. It is an expensive disease, accounting for about 1% of all health expenditure in the United States in 1990. Asthma has a significant impact on the patient and the community at large and the assessment of the clinical, physiologic, humanistic and economic outcomes will be measured.
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REFERENCES
Centers for Disease Control and Prevention; Asthma Mortality and Hospitalization Among Children and Adults, 1980–1993; MMWR; 45(17):350–353, May 3, 1996.
Wu, A.W., Principles of outcomes assessment. In Cecil Textbook of Medicine. (20th Ed.), (J.C. Bennett, and F. Blum, eds.) WB Saunders, Philadelphia, PA, Vol. 1, pp. 122–126, 1996.
Outcomes Analysis in Asthma. JAMA 278:1874–1880, 1997.
Weiss, K.B., Gergen, P.J., and Hodgson, T.A. An economic evaluation of asthma in the United States. N. Engl. J. Med. 326:862–866, 1992.
Smith, D.H., Malone, D.C., Lawson, K.A., Okamoto, L.J., Battista, C., and Saunders, W.B., A national estimate of the economic costs of asthma. Am. J. Respir. Crit. Care Med. 156:787–793, 1997.
Toren, K., Brisman, J., and Jaervholm, B., Asthma and asthma-like symptoms in adults assessed by questionnaires. Chest. 104:600–608, 1993.
Brooks, S.M., Bernstein, I.L., and Raghuprasad, P.K., Assessment of airways hyper-responsiveness in chronic stable asthma. J. Allergy Clin. Immunol. 85:17–26, 1990.
Richards, J.M., Bailey, W.C., and Windsor, R.A., Some simple scales for use in asthma research. J. Asthma 25:363–371, 1988.
Usherwood, T.P., Scrimgeour, A., and Barber, J.H. Questionnaire to measure perceived symptoms and disability in asthma. Arch. Dis. Child. 65:779–781, 1990.
Li, J.T.C., and O'Connell, E.J., Clinical evaluation of asthma. Ann. Allergy Asthma Immunol. 76:1–14, 1996.
McFadden, E.R., Clinical physiologic correlates in asthma. J. Allergy Clin. Immunol. 77:1–5, 1986.
Enright, P.L., Lebowitz, M.D., and Cockroft, D.W., Physiologic measures: pulmonary function tests: asthma outcome. Am. J. Respir. Crit. Care Med. 149(2, pt 2):S9–S18, 1994.
Noviski, N., Cohen, L., Springer, C., et al. Bronchial provocation determined by breath sounds compared with lung function. Arch. Dis. Child. 66:952–955, 1991.
Jackson, A., Accuracy, reproducibility, and variability of portable peak flowmeters. Chest. 151:353–359, 1995.
McSweeny, A.J., and Creer, T.L., Health-related quality-of-life assessment in medical care. Dis. Mon. 41:1–71, 1995.
World Health Organization. The First Ten Years of the World Health Organization. Geneva, Switzerland: World Health Organization 1958.
Bergner, M., Measurement of health status. Med. Care 23:696–704, 1985.
Hyland, M.E., Ley, A., Fisher, D.W., and Woodward, V., Measurement of psychological distress in asthma and asthma management programs. Br. J. Clin. Psychol. 349(pt 4):601–611, 1995.
Ware, J.E., and Sherbourne, C.D., The MOS 36-item Short Form Health Survey (SF-36), I: Conceptual framework and item selection. Med Care 30:473–483, 1992.
Bousquet, J., Knani, J., Dhivert, H., et al., Quality of life inasthma, I: Internal consistency and validity of the SF-36 questionnaire. Am. J. Respir. Crit. Care Med. 149(2, pt 1):371–375, 1994.
Aas, K., Heterogeneity of bronchial asthma. Allergy 36:3–10, 1981.
Steinwachs, D.M., Wu, A., Skinner, E.A., and Campbell, D., Managed Health Care Association Outcomes Study Baseline Survey Summary Report, Health Outcomes Institute, Bloomington, MN, 1995.
Marks, G.B., Dunn, S.M., and Woolcock, A.J., An evaluation of an asthma quality of life questionnaire as a measure of change in adults with asthma. J. Clin. Epidemiol. 46:1103–1111, 1993.
Stormms, B., Olden, L., Nathan, R., and Bodman, S., Effect of allergy soecialist care on the quality of life in patients with asthma. Ann. Allergy Asthma Immunol. 75:491–494, 1995.
Juniper, E.F., Guyatt, G.H., Epstein, R.S., Ferrie, P.J., Jaeschke, R., and Hiller, T.K., Evaluation of impairment of health related quality of life in asthma: Development of a questionnaire for use in clinical trials. Thorax 47:76–83, 1992.
Juniper, E.F., Guyatt, G.H., Ferrie, P.J., and Griffith, L.E., Measuring quality of life in asthma. Am. Rev. Respir. Dis. 147:832–838, 1993.
Malo, J.L., Bouler, L.P., Dewitte, J.D., et al., Quality of life of subjects with occupational asthma. J. Allergy Clin. Immunol. 148:675–681, 1993.
Rowe, B.H., and Oxman, A.D., Performance of an asthma quality of life questionnaire in an outpatient setting. Am. Rev. Respir. Dis. 148:675–681, 1993.
Weiss, K.B., Gergen, P.J., and Hodgson, T.A., An economic evaluation of asthma in the United States. N. Engl. J. Med. 326:862–866, 1992.
Feeny, D., and Labelle, R., Intergrating economeic evaluations and quality of life assessments. In Quality of Life Assessments in Clinical Trials, (B. Spilker, ed.), Raven Press, New York, pp. 71–84, 1990.
Weinstein, M.C., and Stason, B., Foundation of cost-effective analysis for health and medical practices. N. Engl. J. Med. 296:716–721, 1977.
Sullivan, S., Elixhauser, A., Buist, A.S., Luce, B.R., Eisenberg, J., and Weiss, K.B., National Asthma Education and Prevention Program working group report on the cost-effectiveness of asthma care. Am. J. Respir. Crit. Care Med. 154(3, pt 2):S84–S95, 1996.
Sullivan, S.D., Cost and cost-effectiveness in asthma. Immunol. Allergy Clin. North Am. 16:819–839, 1996.
Bolton, M.B., Tilley, B.C., Kuder, J., Reeves, T., and Schultz, L.R., The cost and effectiveness of an education program for adults who have asthma. J. Gen. Intern. Med. 6:401–407, 1991.
McFadden, E.R., Jr., Elsanadi, N., Dixon, L., et al., Protocol therapy for acute asthma: therapeutic benefits and cost savings. Am. J. Med. 99:651–661, 1995.
Korenblat, P.E., Korenblat-Hanin, M., Gaioni, S.J., An asthma center: Outcomes validation. J. Allergy Clin. Immunol. 95:222, 1995.
Lahdensuo, A., Haahtela, T., Herrala, J., et al., Randomized comparison of guided self management and traditional treatment of asthma over one year. BMJ 312:748–752, 1996.
Kelso, T.M., Self, T.H., Rumbak, M.J., Stephens, M.A., Garrett, W., and Arheart, K.L., Educational and long-term therapeutic intervention in the ED: Effect on outcomes in adult indigent minority asthmatics. Am. J. Emerg. Med. 13:632–637, 1995.
Mayo, P.H., Richman, J., Harris, H.W., Results of a program to reduce admissions for adult asthma. Ann. Intern. Med. 112:864–871, 1990.
Greineder, D.K., Loane, K.C., and Parks, P. Reduction in resource utilization by an asthma outreach program. Arch. Pediatr. Adolesc. Med. 149:415–420, 1995.
Doan, T., Grammer, L.C., and Yarnold, P.R., An intervention program to reduce the hospitalization cost of asthmatic patients requiring intubation. Ann. Allergy Asthma Immunol. 76:513–518, 1996.
Bailey, W.C., Richards, J.M., and Brooks, M., A randomized trial to improve self-management practices of adults with asthma. Arch. Intern. Med. 150:1664–1668, 1990.
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Watkins, K.D. Asthma Outcome Measures. Journal of Medical Systems 23, 261–268 (1999). https://doi.org/10.1023/A:1020518125649
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DOI: https://doi.org/10.1023/A:1020518125649