Changes in primary care prescribing patterns for paediatric asthma: a prescribing database analysis

Hajer Elkout; Peter J. Helms; Colin R. Simpson; James S. McLay

doi:10.1136/adc.2010.206268

Changes in primary care prescribing patterns for paediatric asthma: a prescribing database analysis

Hajer Elkout, Peter J. Helms, Colin R. Simpson, James S. McLay

Research output: Contribution to journal › Article › peer-review

25 Citations (Scopus)

Abstract

Background Little is known about the impact of British asthma management guideline revisions. Concerns about the use of high dose inhaled corticosteroids (ICS) in children have resulted in the promotion of add-on therapy.

Aims To assess prescribing patterns of asthma medication in children in the primary care setting.

Methods Retrospective observational study of asthma prescribing in children aged 0-18 years using primary care database from 2001 to 2006.

Results The proportion of children prescribed oral corticosteroids increased significantly (from 6% in 2001-2002 to 16% in 2005-2006, p<0.001), while the proportion of children prescribed an ICS dose of >400 mcg decreased from 16.2% to 11.7% (P<0.001). The proportion of children prescribed an add-on therapy and an ICS dose >400 µg, increased from 38.8 % in 2001-2002 to 61.2% in 2005-2006 (p<0.001).

Conclusions Although adherence with asthma management guidelines is not optimal, this study has identified improved adherence in primary care.

Original language	English
Pages (from-to)	521-525
Number of pages	5
Journal	Archives of Disease in Childhood
Volume	97
Issue number	6
Early online date	19 May 2011
DOIs	https://doi.org/10.1136/adc.2010.206268
Publication status	Published - Jun 2012

Keywords

medication use
inhaled corticosteroids
childhood asthma
children
trends
management
hospitalization
prevention
guidelines
community

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10.1136/adc.2010.206268

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title = "Changes in primary care prescribing patterns for paediatric asthma: a prescribing database analysis",

abstract = "Background Little is known about the impact of British asthma management guideline revisions. Concerns about the use of high dose inhaled corticosteroids (ICS) in children have resulted in the promotion of add-on therapy. Aims To assess prescribing patterns of asthma medication in children in the primary care setting. Methods Retrospective observational study of asthma prescribing in children aged 0-18 years using primary care database from 2001 to 2006. Results The proportion of children prescribed oral corticosteroids increased significantly (from 6% in 2001-2002 to 16% in 2005-2006, p<0.001), while the proportion of children prescribed an ICS dose of >400 mcg decreased from 16.2% to 11.7% (P<0.001). The proportion of children prescribed an add-on therapy and an ICS dose >400 µg, increased from 38.8 % in 2001-2002 to 61.2% in 2005-2006 (p<0.001). Conclusions Although adherence with asthma management guidelines is not optimal, this study has identified improved adherence in primary care.",

keywords = "medication use, inhaled corticosteroids, childhood asthma, children, trends, management, hospitalization, prevention, guidelines, community",

author = "Hajer Elkout and Helms, {Peter J.} and Simpson, {Colin R.} and McLay, {James S.}",

year = "2012",

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doi = "10.1136/adc.2010.206268",

language = "English",

volume = "97",

pages = "521--525",

journal = "Archives of Disease in Childhood",

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publisher = "BMJ Publishing Group",

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TY - JOUR

T1 - Changes in primary care prescribing patterns for paediatric asthma

T2 - a prescribing database analysis

AU - Elkout, Hajer

AU - Helms, Peter J.

AU - Simpson, Colin R.

AU - McLay, James S.

PY - 2012/6

Y1 - 2012/6

N2 - Background Little is known about the impact of British asthma management guideline revisions. Concerns about the use of high dose inhaled corticosteroids (ICS) in children have resulted in the promotion of add-on therapy. Aims To assess prescribing patterns of asthma medication in children in the primary care setting. Methods Retrospective observational study of asthma prescribing in children aged 0-18 years using primary care database from 2001 to 2006. Results The proportion of children prescribed oral corticosteroids increased significantly (from 6% in 2001-2002 to 16% in 2005-2006, p<0.001), while the proportion of children prescribed an ICS dose of >400 mcg decreased from 16.2% to 11.7% (P<0.001). The proportion of children prescribed an add-on therapy and an ICS dose >400 µg, increased from 38.8 % in 2001-2002 to 61.2% in 2005-2006 (p<0.001). Conclusions Although adherence with asthma management guidelines is not optimal, this study has identified improved adherence in primary care.

AB - Background Little is known about the impact of British asthma management guideline revisions. Concerns about the use of high dose inhaled corticosteroids (ICS) in children have resulted in the promotion of add-on therapy. Aims To assess prescribing patterns of asthma medication in children in the primary care setting. Methods Retrospective observational study of asthma prescribing in children aged 0-18 years using primary care database from 2001 to 2006. Results The proportion of children prescribed oral corticosteroids increased significantly (from 6% in 2001-2002 to 16% in 2005-2006, p<0.001), while the proportion of children prescribed an ICS dose of >400 mcg decreased from 16.2% to 11.7% (P<0.001). The proportion of children prescribed an add-on therapy and an ICS dose >400 µg, increased from 38.8 % in 2001-2002 to 61.2% in 2005-2006 (p<0.001). Conclusions Although adherence with asthma management guidelines is not optimal, this study has identified improved adherence in primary care.

KW - medication use

KW - inhaled corticosteroids

KW - childhood asthma

KW - children

KW - trends

KW - management

KW - hospitalization

KW - prevention

KW - guidelines

KW - community

U2 - 10.1136/adc.2010.206268

DO - 10.1136/adc.2010.206268

M3 - Article

SN - 0003-9888

VL - 97

SP - 521

EP - 525

JO - Archives of Disease in Childhood

JF - Archives of Disease in Childhood

IS - 6

ER -

Changes in primary care prescribing patterns for paediatric asthma: a prescribing database analysis

Abstract

Keywords

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