Who should Perform the Asthma Control Test: Patient? Physician?

INTRODUCTION[|]In the management of asthma disease, the aim is to keep the disease under control with treatment. Asthma control test (ACT) is the most widely used and important test that is easily figured out by the patients. This test is filled by the patient during the clinical practice. The prese...

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Bibliographic Details
Main Authors: Seda Beyhan Sagmen, Sevda Şener Cömert, Coşkun Doğan, Elif Torun Parmaksız, Ali Fidan, Banu Musaffa Salepci, Nesrin Kıral
Format: Article
Language:English
Published: KARE Publishing 2020-03-01
Series:Southern Clinics of Istanbul Eurasia
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Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-42243
Description
Summary:INTRODUCTION[|]In the management of asthma disease, the aim is to keep the disease under control with treatment. Asthma control test (ACT) is the most widely used and important test that is easily figured out by the patients. This test is filled by the patient during the clinical practice. The present study aims to evaluate how the filling of ACT by the physician will affect the outcome and the concordance of results with clinical and functional parameters.[¤]METHODS[|]Patients who applied to the Outpatient Clinic of Chest Diseases in our Hospital between dates of June–August 2016 and who had at least one year of asthma diagnosis were included in this study. The patients filled their own answers to the ACT before the outpatient clinic examination. The same test was given to the patients by the doctor during physical examination.[¤]RESULTS[|]A total of 105 asthma patients were included in this study whose mean age was 38.8+-13.6 (14–76) years, 58 (55%) of them were female and 47 (44.8%) of them were male. Mean ACT score of the cases was 14.5+-5.8, while it was 13.9+-4.4 in the tests filled by the doctor. 33.3% of the cases were college graduates, 23.8% of them were high school graduates, 38.1% of them were primary school graduates, and 4.8% of them were middle school graduates. A statistically significant difference was detected (p=0.02) between the results of asthma control tests filled by the doctor and that of those filled by the patients. It was detected that the status of education of the patient was the factor with the highest impact on the situation. It was found that ACT results filled by doctors were in higher concordance with clinical and functional parameters.[¤]DISCUSSION AND CONCLUSION[|]Our study demonstrated that ACT being filled by the doctor in societies with lower levels of educational status would yield results that were in higher concordance with asthma control.[¤]
ISSN:2587-0998