Taking Aim at Asthma Around the World: Global Results of the Asthma Insight and Management Survey in the Asia-Pacific Region, Latin America, Europe, Canada, and the United States

Robert A Nathan; Philip J Thompson; David Price; Leonardo M Fabbri; Sundeep Salvi; Sandra González-Díaz; Jorge F Maspero; Jorge J Moreno-Cantu; James E Fish; Kevin Murphy

doi:10.1016/j.jaip.2015.04.013

Taking Aim at Asthma Around the World: Global Results of the Asthma Insight and Management Survey in the Asia-Pacific Region, Latin America, Europe, Canada, and the United States

Robert A Nathan, Philip J Thompson, David Price, Leonardo M Fabbri, Sundeep Salvi, Sandra González-Díaz, Jorge F Maspero, Jorge J Moreno-Cantu, James E Fish, Kevin Murphy

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

63 Citations (Scopus)

Abstract

BACKGROUND: Asthma, a worldwide health problem, can be controlled if properly diagnosed and managed. Multinational surveys conducted in patients with asthma from 1998 to 2003 indicated that asthma was inadequately controlled. The Asthma Insight and Management (AIM) study represents the largest survey conducted on patients with asthma since 2003.

OBJECTIVE: The objective of this study was to assess findings from the United States (US), Europe and Canada (EUCAN), Latin America (LA), and the Asia-Pacific (AP) region surveys to identify differences and similarities with earlier surveys on patients with asthma.

METHODS: The US, EUCAN, LA, and AP AIM surveys conducted from 2009 to 2011 all used a common set of questions. Responses to these are reported as proportions of patients with asthma for each country individually, and as totals for all regions. Results are presented as mean/median proportions for US, EUCAN, LA, and AP survey populations individually. Global medians and the range of regional response values are also described.

RESULTS: A total of 10,302 patients or parents of adolescents with asthma were interviewed. Approximately one-quarter reported daytime symptoms daily or on most days over the previous 4 weeks. Globally, a median of 67% (range, 27%-88%) of patients perceived their asthma as completely and/or well controlled, but a median of only 9% (range, 0%-29%) of patients had well-controlled asthma using criteria from asthma guidelines. A majority (≥60%) of patients felt that quick-relief medication could be used daily if needed, contrary to guideline recommendations.

CONCLUSIONS: Patients exhibited a lack of knowledge and conviction for treatment recommendations and guidelines that was relatively uniform across the regions, similar to earlier survey findings. These results reveal an ongoing need for improvement in asthma care and education in most populations.

Original language	English
Pages (from-to)	734-742.e5
Number of pages	9
Journal	The Journal of Allergy and Clinical Immunology: In Practice
Volume	3
Issue number	5
Early online date	23 Jun 2015
DOIs	https://doi.org/10.1016/j.jaip.2015.04.013
Publication status	Published - Sept 2015

Bibliographical note

Keywords

asthma
control
guidelines
management
symptoms
survey
treatment

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Cite this

Nathan, R. A., Thompson, P. J., Price, D., Fabbri, L. M., Salvi, S., González-Díaz, S., Maspero, J. F., Moreno-Cantu, J. J., Fish, J. E., & Murphy, K. (2015). Taking Aim at Asthma Around the World: Global Results of the Asthma Insight and Management Survey in the Asia-Pacific Region, Latin America, Europe, Canada, and the United States. The Journal of Allergy and Clinical Immunology: In Practice, 3(5), 734-742.e5. https://doi.org/10.1016/j.jaip.2015.04.013

Taking Aim at Asthma Around the World: Global Results of the Asthma Insight and Management Survey in the Asia-Pacific Region, Latin America, Europe, Canada, and the United States. / Nathan, Robert A; Thompson, Philip J; Price, David et al.
In: The Journal of Allergy and Clinical Immunology: In Practice, Vol. 3, No. 5, 09.2015, p. 734-742.e5.

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

Nathan, RA, Thompson, PJ, Price, D, Fabbri, LM, Salvi, S, González-Díaz, S, Maspero, JF, Moreno-Cantu, JJ, Fish, JE & Murphy, K 2015, 'Taking Aim at Asthma Around the World: Global Results of the Asthma Insight and Management Survey in the Asia-Pacific Region, Latin America, Europe, Canada, and the United States', The Journal of Allergy and Clinical Immunology: In Practice, vol. 3, no. 5, pp. 734-742.e5. https://doi.org/10.1016/j.jaip.2015.04.013

Nathan RA, Thompson PJ, Price D, Fabbri LM, Salvi S, González-Díaz S et al. Taking Aim at Asthma Around the World: Global Results of the Asthma Insight and Management Survey in the Asia-Pacific Region, Latin America, Europe, Canada, and the United States. The Journal of Allergy and Clinical Immunology: In Practice. 2015 Sept;3(5):734-742.e5. Epub 2015 Jun 23. doi: 10.1016/j.jaip.2015.04.013

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abstract = "BACKGROUND: Asthma, a worldwide health problem, can be controlled if properly diagnosed and managed. Multinational surveys conducted in patients with asthma from 1998 to 2003 indicated that asthma was inadequately controlled. The Asthma Insight and Management (AIM) study represents the largest survey conducted on patients with asthma since 2003.OBJECTIVE: The objective of this study was to assess findings from the United States (US), Europe and Canada (EUCAN), Latin America (LA), and the Asia-Pacific (AP) region surveys to identify differences and similarities with earlier surveys on patients with asthma.METHODS: The US, EUCAN, LA, and AP AIM surveys conducted from 2009 to 2011 all used a common set of questions. Responses to these are reported as proportions of patients with asthma for each country individually, and as totals for all regions. Results are presented as mean/median proportions for US, EUCAN, LA, and AP survey populations individually. Global medians and the range of regional response values are also described.RESULTS: A total of 10,302 patients or parents of adolescents with asthma were interviewed. Approximately one-quarter reported daytime symptoms daily or on most days over the previous 4 weeks. Globally, a median of 67% (range, 27%-88%) of patients perceived their asthma as completely and/or well controlled, but a median of only 9% (range, 0%-29%) of patients had well-controlled asthma using criteria from asthma guidelines. A majority (≥60%) of patients felt that quick-relief medication could be used daily if needed, contrary to guideline recommendations.CONCLUSIONS: Patients exhibited a lack of knowledge and conviction for treatment recommendations and guidelines that was relatively uniform across the regions, similar to earlier survey findings. These results reveal an ongoing need for improvement in asthma care and education in most populations.",

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AU - Salvi, Sundeep

AU - González-Díaz, Sandra

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N2 - BACKGROUND: Asthma, a worldwide health problem, can be controlled if properly diagnosed and managed. Multinational surveys conducted in patients with asthma from 1998 to 2003 indicated that asthma was inadequately controlled. The Asthma Insight and Management (AIM) study represents the largest survey conducted on patients with asthma since 2003.OBJECTIVE: The objective of this study was to assess findings from the United States (US), Europe and Canada (EUCAN), Latin America (LA), and the Asia-Pacific (AP) region surveys to identify differences and similarities with earlier surveys on patients with asthma.METHODS: The US, EUCAN, LA, and AP AIM surveys conducted from 2009 to 2011 all used a common set of questions. Responses to these are reported as proportions of patients with asthma for each country individually, and as totals for all regions. Results are presented as mean/median proportions for US, EUCAN, LA, and AP survey populations individually. Global medians and the range of regional response values are also described.RESULTS: A total of 10,302 patients or parents of adolescents with asthma were interviewed. Approximately one-quarter reported daytime symptoms daily or on most days over the previous 4 weeks. Globally, a median of 67% (range, 27%-88%) of patients perceived their asthma as completely and/or well controlled, but a median of only 9% (range, 0%-29%) of patients had well-controlled asthma using criteria from asthma guidelines. A majority (≥60%) of patients felt that quick-relief medication could be used daily if needed, contrary to guideline recommendations.CONCLUSIONS: Patients exhibited a lack of knowledge and conviction for treatment recommendations and guidelines that was relatively uniform across the regions, similar to earlier survey findings. These results reveal an ongoing need for improvement in asthma care and education in most populations.

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