Stephen P. Peters|Craig Jones|Tmirah Haselkorn|David R. Mink|David J. Valacer|Scott T. Weiss
Real-world Evaluation of Asthma Control and Treatment (REACT): Findings from a national Web-based survey
Wake Forest University|Los Angeles Medical Center|University of Southern California|Ovation Fertility|Brigham and Women's Hospital
backgrounddespite health initiatives advancing management asthma evidence suggests many asthmatic subjects uncontrolled disease however prevalence uncontrolled asthma united states known fully characterizedobjectivewe sought assess prevalence morbidity factors associated uncontrolled asthma nationally representative sample patients moderatetosevere asthma using standard asthma medicationsmethodsa webbased survey administered patients diagnoses asthma least 1 year receiving multiple controller medications asthma control test score used stratify respondents controlled uncontrolled cohortsresultsa total 1812 patients assessed 809 45 controlled asthma 1003 55 uncontrolled asthma patients health care coverage received care general practitioner large proportion patients controlled asthma 74 patients uncontrolled asthma 65 reported never receiving asthma action plan inhaled corticosteroid plus longacting agonist common medication regimen patients controlled asthma 60 patients uncontrolled asthma 48 patients patients uncontrolled asthma reported significantly higher rates health care use several comorbidities predictive uncontrolled asthmaconclusionuncontrolled asthma highly prevalent 55 patients using standard asthma medications need improved asthma care patients moderatetosevere asthma including global evaluation asthma control implementation treatment plans asthma control tests addressing comorbid conditionsclinical implicationsimproved asthma care requires broader assessments asthma control including asthmarelated health care medication use comorbidities implementation treatment plans formal asthma control tests despite health initiatives advancing management asthma evidence suggests many asthmatic subjects uncontrolled disease however prevalence uncontrolled asthma united states known fully characterized sought assess prevalence morbidity factors associated uncontrolled asthma nationally representative sample patients moderatetosevere asthma using standard asthma medications webbased survey administered patients diagnoses asthma least 1 year receiving multiple controller medications asthma control test score used stratify respondents controlled uncontrolled cohorts total 1812 patients assessed 809 45 controlled asthma 1003 55 uncontrolled asthma patients health care coverage received care general practitioner large proportion patients controlled asthma 74 patients uncontrolled asthma 65 reported never receiving asthma action plan inhaled corticosteroid plus longacting agonist common medication regimen patients controlled asthma 60 patients uncontrolled asthma 48 patients patients uncontrolled asthma reported significantly higher rates health care use several comorbidities predictive uncontrolled asthma uncontrolled asthma highly prevalent 55 patients using standard asthma medications need improved asthma care patients moderatetosevere asthma including global evaluation asthma control implementation treatment plans asthma control tests addressing comorbid conditions