Abstract
Aim:
To compare the degree of asthma control in 2001 and 2005 in a primary care setting in Sweden.
Method:
Two similar questionnaire surveys were performed in 2001 and 2005 with 1,012 and 224 asthma patients aged 18-45 randomly selected from 42 and 56 primary health care centres, respectively. A classification of asthma control similar to the GINA guidelines was made using information obtained from the questionnaire.
Results:
In 2001, 36.6% had achieved asthma control, 23.8% were partly controlled and 39.6% uncontrolled. In 2005, the corresponding figures were 40.2%, 26.8% and 33.0%, respectively, with no difference between the two surveys (p=0.114). Uncontrolled asthma was more common in women (p<0.001 in the first and p<0.05 in the second survey) and smokers (p<0.01 in the first and p<0.01 in the second survey). The use of combination corticosteroid/long-acting bronchodilator inhalers had increased — 34.2% and 48.2%, respectively (p<0.001) — and many patients used their inhaled corticosteroids periodically.
Conclusion:
In spite of treatment guidelines many patients in Swedish primary care still have insufficient asthma control.
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Bjorn Stallberg has been paid for lectures and for consulting from AstraZeneca,
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Ställberg, B., Lisspers, K., Hasselgren, M. et al. Asthma control in primary care in Sweden: a comparison between 2001 and 2005. Prim Care Respir J 18, 279–286 (2009). https://doi.org/10.4104/pcrj.2009.00024
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DOI: https://doi.org/10.4104/pcrj.2009.00024
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