Hilary Pinnock|Christopher Burton|Stephen Campbell|Kevin Gruffydd?Jones|Kerin L Hannon|Gaylor Hoskins|Helen Lester|David Price
Clinical implications of the Royal College of Physicians three questions in routine asthma care: a real-life validation study
University of Edinburgh|University of Edinburgh|Manchester Academic Health Science Centre|University of Manchester|University of Bath|University of Manchester|University of Stirling|University of Birmingham|University of Aberdeen
annual recording royal college physicians three questions rcp3q morbidity score rewarded within uk payforperformance quality outcomes frameworkto investigate performance rcp3qs assessing control reallife practice compared validated asthma control questionnaire acq administered selfcompleted questionnairewe compared rcp3q score extracted patients computerised medical record acq selfcompleted consultation anonymous data paired practice age sex dates completion calculated sensitivity specificity rcp3q scale compared threshold goodpoor asthma control acq 1of 291 acq questionnaires returned 12 participating practices 129 could paired complete rcp3q data twentyfive 27 patients scored zero rcp3q well controlled acq 1 rcp3q score 1 predicted inadequate control acq 1 sensitivity 096 specificity 034 comparable values rcp3q2 sensitivity 050 specificity 094 intraclass correlation coefficient 013 indicated substantial variability practices exacerbations use reliever inhalers moderately correlated acq spearmans rho 03 035 may reflect different aspects controlin routine practice rcp3q score zero indicates good asthma control score 2 3 indicates poor control rcp3q score 1 good sensitivity poor specificity suboptimal control provoke enquiry consideration aspects control exacerbations use reliever inhalers