Disparities in assessments of asthma control between children, parents, and physicians

Galit Shefer, Milka Donchin, Orly Manor, Revital Levy-Hevroni, Abraham Schechter, Rinat Cohen, Herman A Cohen, Eitan Kerem, Dan Engelhard

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    16 Citations (Scopus)

    Abstract

    Objective: Assessment of asthma control in children by physicians, patients and their parents was compared, assuming parents may underestimate symptoms in asthmatic children and exploring whether physicians tend to agree with them.Design: Asthma control perception was assessed in 4-to 11-year-old asthmatic children and their parents, using C-ACT, during 2011-2012. Pediatric pulmonologists used GINA guidelines for their assessment; pediatricians, not having spirometry, used the information given in addition to physical examination. The C-ACT scores given by the children and their parents were further analyzed separately, and compared with their physicians assessment. Statistical methods, which also measured possible influence of different variables, included kappa, Chi-square, linear-by-linear association, McNemar test and logistic regression. Patient Selection: The study comprised 354 parents and children aged 4-11 years with moderate-severe asthma; 129 (36.4 ) were treated by 23 pediatricians; 225 (63.6 ) by 11 pediatric pulmonologists.Results: The C-ACT was generally found valid in assessing asthma control (P
    Original languageEnglish
    Pages (from-to)943 - 951
    Number of pages9
    JournalPediatric Pulmonology
    Volume49
    Issue number10
    DOIs
    Publication statusPublished - 2014

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