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Asthma Outcome Measures

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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

  1. Centers for Disease Control and Prevention; Asthma Mortality and Hospitalization Among Children and Adults, 1980–1993; MMWR; 45(17):350–353, May 3, 1996.

    Google Scholar 

  2. 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.

    Google Scholar 

  3. Outcomes Analysis in Asthma. JAMA 278:1874–1880, 1997.

  4. 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.

    Google Scholar 

  5. 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.

    Google Scholar 

  6. Toren, K., Brisman, J., and Jaervholm, B., Asthma and asthma-like symptoms in adults assessed by questionnaires. Chest. 104:600–608, 1993.

    Google Scholar 

  7. 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.

    Google Scholar 

  8. Richards, J.M., Bailey, W.C., and Windsor, R.A., Some simple scales for use in asthma research. J. Asthma 25:363–371, 1988.

    Google Scholar 

  9. 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.

    Google Scholar 

  10. Li, J.T.C., and O'Connell, E.J., Clinical evaluation of asthma. Ann. Allergy Asthma Immunol. 76:1–14, 1996.

    Google Scholar 

  11. McFadden, E.R., Clinical physiologic correlates in asthma. J. Allergy Clin. Immunol. 77:1–5, 1986.

    Google Scholar 

  12. 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.

    Google Scholar 

  13. 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.

    Google Scholar 

  14. Jackson, A., Accuracy, reproducibility, and variability of portable peak flowmeters. Chest. 151:353–359, 1995.

    Google Scholar 

  15. McSweeny, A.J., and Creer, T.L., Health-related quality-of-life assessment in medical care. Dis. Mon. 41:1–71, 1995.

    Google Scholar 

  16. World Health Organization. The First Ten Years of the World Health Organization. Geneva, Switzerland: World Health Organization 1958.

    Google Scholar 

  17. Bergner, M., Measurement of health status. Med. Care 23:696–704, 1985.

    Google Scholar 

  18. 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.

    Google Scholar 

  19. 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.

    Google Scholar 

  20. 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.

    Google Scholar 

  21. Aas, K., Heterogeneity of bronchial asthma. Allergy 36:3–10, 1981.

    Google Scholar 

  22. 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.

    Google Scholar 

  23. 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.

    Google Scholar 

  24. 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.

    Google Scholar 

  25. 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.

    Google Scholar 

  26. 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.

    Google Scholar 

  27. 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.

    Google Scholar 

  28. 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.

    Google Scholar 

  29. 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.

    Google Scholar 

  30. 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.

    Google Scholar 

  31. Weinstein, M.C., and Stason, B., Foundation of cost-effective analysis for health and medical practices. N. Engl. J. Med. 296:716–721, 1977.

    Google Scholar 

  32. 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.

    Google Scholar 

  33. Sullivan, S.D., Cost and cost-effectiveness in asthma. Immunol. Allergy Clin. North Am. 16:819–839, 1996.

    Google Scholar 

  34. 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.

    Google Scholar 

  35. 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.

    Google Scholar 

  36. Korenblat, P.E., Korenblat-Hanin, M., Gaioni, S.J., An asthma center: Outcomes validation. J. Allergy Clin. Immunol. 95:222, 1995.

    Google Scholar 

  37. 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.

    Google Scholar 

  38. 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.

    Google Scholar 

  39. 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.

    Google Scholar 

  40. 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.

    Google Scholar 

  41. 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.

    Google Scholar 

  42. 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.

    Google Scholar 

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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

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