A retrospective cohort study was conducted in primary care in the utrecht area, the. Aim to investigate the use of general practice resources that is, consultation visits, telephone contacts, and home visits in children with physiciandiagnosed atopic disorders ads. Nhg standaard voedselovergevoeligheid by voedselallergie. The influence of smoking on the treatment response in patients with asthma. The contribution of an asthma diagnostic consultation service. Influence of age on reallife effects of doxycycline for. Patients kept diary cards and visited the lung function laboratory every 6 months. Increased healthcare utilisation among atopic children in a. We aimed to assess the influence of age on the effectiveness of doxycycline for aecopd. This underlines the importance of providing good medical respiratory care in general practice. The effectiveness of physiotherapy in patients with asthma. The asthma control questionnaire acq can be used to discriminate between asthma patients with well and suboptimally controlled asthma symptoms. Nineteen general practices were randomly allocated to usual care uc or selfmanagement sm.
Diagnosis, monitoring and chronic asthma management diagnosis, monitoring and chronic asthma management 3 introduction this guideline aims to improve the accuracy of diagnosis, help people to control their asthma and reduce the risk of asthma attacks. Nhg standaard voedselovergevoeligheid by voedselallergie issuu. Methods two hundred thirtythree patients with cough for longer than 14 days, without known chronic obstructive pulmonary disease copd or asthma, participated in a diagnostic study in dutch primary care between 2006 and 2009. The contribution of an asthma diagnostic consultation service in. Far less data are available on international prevalence. Since the 1980s a strong increase in the prevalence of asthma has taken place 1, 2. This guideline covers diagnosing, monitoring and managing asthma in adults, young people and. Pet allergen control measures for allergic asthma in children and adults. In the international study of asthma and allergies in childhood isaac, the global prevalence of wheeze was estimated to be 11. Patients kept diary cards and visited the lung function laboratory. Selfmanagement research of asthma and good drug use.
Department of pediatrics, division of allergy and immunology, mount sinai hospital, new york, ny, usa. Diagnostic value of oral prednisolone test for chronic. Method all children aged 018 years listed in the nivel primary care database in 2014 were selected. The contribution of an asthma diagnostic consultation. This item appears in the following collections academic publications 177027 academic output radboud university.
Nhgstandaard astma bij volwassenen derde herziening. Assess the impact of pena labels on antibiotic and health care use in primary care. Gp with a special interest in asthma and copd, leidsche rijn julius health. Does amoxicillin improve outcomes in patients with purulent. May 27, 20 standaard voedselovergevoeligheid voor huisartsen. Disease management programmes are heterogeneous in nature and often lack a theoretical basis. Previous studies indicate that asthma in children is probably overdiagnosed. Principle of appropriate antibiotic use for acute sinusitis. Ppt medicamenteuze behandeling van copd met een ics.
The influence of comorbidity on healthrelated quality of. Overdiagnosis of asthma in children in primary care. Nhgstandaard copd classificatie van een copd patient gelijk aan gold richtlijn nhgstandaard m26 copd. Pdf hosted at the radboud repository of the radboud. Aim to assess the extent and characteristics of confirmed and. Nhg standaard influenza en influenzavaccinatie eerste herziening. May 19, 2017 the contribution of an asthma diagnostic consultation service in obtaining an accurate asthma diagnosis for primary care patients. Application of a theoretical model to evaluate copd. Since there is no cure, the goal of treating copd is to maintain or improve quality of life.
Asthma is a disease that is often hard to diagnose because many patients have no signs or symptoms and have a normal lung function between attacks. Before implementing this change in treatment, the obstacles to this change should be identified. The prevalence of asthma is about 510% in children 1 and approximately 3% in adults. Age may affect antibiotic effectiveness, but realworld evidence is lacking.
Looking for online definition of nhg or what nhg stands for. Feasibility of asthmacritic, a decisionsupport system for. Purpose a comprehensive and representative nationwide general practice database was explored to study associations between atopic disorders and prescribed medication in children. However, the extent has not previously been assessed.
Copd komt vrijwel uitsluitend voor bij exrokers van 40 jaar en ouder. An evaluation model has been developed in which theoretically driven inquiries link disease management interventions to outcomes. If the normal daily dosage of ics and adequate coping fail to achieve complete control of the asthma, then referral is recommended. Tracing uncontrolled asthma in family practice using a mailed. The influence of comorbidity on healthrelated quality of life in asthma and copd patients. Integrated disease management with selfmanagement for chronic obstructive pulmonary disease copd is effective to improve clinical outcomes. Eventhough there is mixed evidence of the impact of ehealth on quality of life qol in different settings. Physiotherapy could have beneficial effects in asthmatics. Wheeze is particularly prevalent in englishspeaking and western countries. 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. Tracing uncontrolled asthma in family practice using a. According to guidelines, a diagnosis of asthma should be confirmed using lung function testing in children aged 6 years.
Variations in the prevalence of childhood asthma and wheeze. 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. Background asthma is one of the most common chronic diseases in childhood. Strangely enough, guidelines for the diagnosis and treatment of asthma and copd have mainly been written by. Asthma patients were included after confirmation of the gp diagnosis.
A history of certain symptoms also has sufficient diagnostic value for the diagnosis of asthma. Effectiveness of the assessment of burden of chronic. Pdf hosted at the radboud repository of the radboud university nijmegen the following full text is a publishers version. Dutch college of general practitioners practice guideline. Background atopic eczema, asthma, and allergic rhinitis ar create a serious burden on general practice resources. Suspected penicillin allergy pena is often not verified by diagnostic testing. The aim of this study was to examine variations in prevalence rates of childhood asthma, wheeze and wheeze with asthma in europe. The contribution of an asthma diagnostic consultation service in obtaining an accurate asthma diagnosis for primary care patients. Chronic obstructive pulmonary disease copd is a growing worldwide problem that imposes a great burden on the daily life of patients. Links with this icon indicate that you are leaving the cdc website the centers for disease control and prevention cdc cannot attest to the accuracy of a nonfederal website.
While there is evidence for variations in prevalence rates of childhood wheeze and asthma between countries, longitudinal, individuallevel data are needed to understand these differences. The aim of this study is to methodically evaluate the impact of a disease management programme for patients with chronic obstructive pulmonary disease. We have developed a new tool, the assessment of burden of copd abc tool, to assess and visualize the integrated health status of patients with copd, and to provide. For additional information about this publication click this link. Current clinical guideline definitions of airflow obstruction. Oct, 2016 mhealth intervention to support asthma selfmanagement in adolescents. A practical guide for the diagnosis and treatment of acute sinusitis.
Find, read and cite all the research you need on researchgate. To examine stagematched nutrition counseling by family physicians and its effect on dietary intake, anthropometry, and serum lipid levels in patients at elevated risk for cardiovascular disease. Of the subjects with asthma or wheezy breathing by the age of 7, as reported by their parents 25. Nhgstandaard astma bij volwassenen derde herziening general practitioners guideline asthma in adults third revision. Purpose we wanted to determine the diagnostic value of an oral prednisolone test for chronic obstructive pulmonary disorders. Effects of use of an ehealth platform evita for copd. In the last decade, interest in selftreatment of asthma has increased and several studies with different selftreatment strategies have been published. Diagnosis of asthma variable airflow limitation confirm presence of airflow limitation document that fev1fvc is reduced at least once, when fev1is low fev1 fvc ratio is normally 0. Increased healthcare utilisation among atopic children in. Open access publications 52173 freely accessible full text publications. Bij patienten met periodiek hoesten zonder dyspneu of expiratoir piepen is reversibiliteit fev 1toename na bronchusverwijding met. Individualizing treatment by phenotype asthma patients should be characterised according to their individual asthma type to.
Purpose a substantial proportion of adult patients with asthma have inadequately controlled symptoms despite the availability of effective treatment. Pdf nhgstandaard allergische en nietallergische rhinitis. The objective of this study was to investigate whether a postal mailing of the acq can be used to. Since the introduction of medical therapy for asthma the interest in nonmedical. Atopic children with atopic eczema, asthma and allergic rhinitis ar were matched with controls not diagnosed. Tweede herziening juli 2007 38 nhgstandaard copd kernboodschappen.
Selfmanagement of asthma in general practice, asthma. Application of a theoretical model to evaluate copd disease. The impact of penicillin allergy labels on antibiotic and. It does not cover managing severe asthma or acute asthma attacks. Nhg is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms the free dictionary. Asthma is an inflammatory disorder with airway hyperresponsiveness leading to recurrent episodes of wheezing, breathlessness, chest tightness and coughing, especially during the night and the early morning. Acute rhinosinusitis ars is an important reason of consultations and antibiotic prescriptions in primary care and is accompanied with high financial burden on society. Selfmanagement of asthma seems to be an effective way of managing asthma, and present evidence may justify a change in treatment strategy. Statistical modelling as an aid in the interpretation of lung function measurements in asthma and co. We analysed datasets from 10 medall mechanisms of the development of allergy. Linking to a nonfederal website does not constitute an endorsement by cdc or any of its employees of the sponsors or the information and products presented on the website.
Longitudinal outcomes of different asthma phenotypes in primary care, an observational study. Nhg standaard astma bij volwassenen derde herziening. Asthma table 32 standard errors for current asthma. Full text mhealth intervention to support asthma self.
Guidelines for the diagnosis and management of asthma. The diagnostic spirometric results of 14,056 adults with. Mar 26, 2010 disease management programmes are heterogeneous in nature and often lack a theoretical basis. This may contribute to diminish the problem of over and underdiagnosis and may result in more appropriate treatment regimens. In several countries, an increase in the prevalence of asthma has been reported on the basis of several morbidity indicators, such as hospital admissions 3, general practitioner gp diagnosis 4 and asthma symptoms, as well as objective features of asthma, such as atopy or hyperresponsiveness 5, 6. Does amoxicillin improve outcomes in patients with. Influence of cigarette smoking on inhaled corticosteroid treatment in mild asthma. It is estimated that approximately 85% of all patients with asthma or chronic obstructive pulmonary disease copd in the uk1 and in the netherlands2 are treated by a general practitioner gp. Variations in the prevalence of childhood asthma and. Longitudinal outcomes of different asthma phenotypes in. In this controlled trial, patients randomized to intervention practices received nutrition information following the stagesofchange model, and patients randomized to control. A study was undertaken to determine the effectiveness of asthma selfmanagement in general practice. Impaired lung function during a histamine challenge test is the reference test, but is not acceptable to many patients, especially to children.
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