Is Clinical Judgment of Asthma Control Adequate?

A prospective survey in a tertiary hospital pulmonary clinic

Sawsan Baddar, B. Jayakrishnan, Omar Al-Rawas, Jojy George, Khalfan Al-Zeedy

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: Asthma control is often difficult to measure. The aim of this study was to compare physicians' personal clinical assessments of asthma control with the Global Initiative for Asthma (GINA) scoring. Methods: Physicians in the adult pulmonary clinics of a tertiary hospital in Oman first documented their subjective judgment of asthma control on 157 consecutive patients. Immediately after that and in the same proforma, they selected the individual components from the GINA asthma control table as applicable to each patient. Results: The same classification of asthma control was achieved by physicians' clinical judgment and GINA classification in 106 cases (67.5%). In the other 32.5% (n = 51), the degree of control by clinical judgment was one level higher than the GINA classification. The agreement was higher for the pulmonologists (72%) as compared to non-pulmonologists (47%; P = 0.009). Physicians classified 76 patients (48.4%) as well-controlled by clinical judgment compared to 48 (30.6%) using GINA criteria (P

Original languageEnglish
Pages (from-to)63-68
Number of pages6
JournalSultan Qaboos University Medical Journal
Volume13
Issue number1
Publication statusPublished - Feb 2013

Fingerprint

Tertiary Care Centers
Asthma
Lung
Physicians
Surveys and Questionnaires
Oman

Keywords

  • Asthma control
  • Asthma management
  • Oman
  • Physicians
  • Treatment

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{6570b34a38704bc2a22259b205e9ec3f,
title = "Is Clinical Judgment of Asthma Control Adequate?: A prospective survey in a tertiary hospital pulmonary clinic",
abstract = "Objectives: Asthma control is often difficult to measure. The aim of this study was to compare physicians' personal clinical assessments of asthma control with the Global Initiative for Asthma (GINA) scoring. Methods: Physicians in the adult pulmonary clinics of a tertiary hospital in Oman first documented their subjective judgment of asthma control on 157 consecutive patients. Immediately after that and in the same proforma, they selected the individual components from the GINA asthma control table as applicable to each patient. Results: The same classification of asthma control was achieved by physicians' clinical judgment and GINA classification in 106 cases (67.5{\%}). In the other 32.5{\%} (n = 51), the degree of control by clinical judgment was one level higher than the GINA classification. The agreement was higher for the pulmonologists (72{\%}) as compared to non-pulmonologists (47{\%}; P = 0.009). Physicians classified 76 patients (48.4{\%}) as well-controlled by clinical judgment compared to 48 (30.6{\%}) using GINA criteria (P",
keywords = "Asthma control, Asthma management, Oman, Physicians, Treatment",
author = "Sawsan Baddar and B. Jayakrishnan and Omar Al-Rawas and Jojy George and Khalfan Al-Zeedy",
year = "2013",
month = "2",
language = "English",
volume = "13",
pages = "63--68",
journal = "Sultan Qaboos University Medical Journal",
issn = "2075-051X",
publisher = "Sultan Qaboos University",
number = "1",

}

TY - JOUR

T1 - Is Clinical Judgment of Asthma Control Adequate?

T2 - A prospective survey in a tertiary hospital pulmonary clinic

AU - Baddar, Sawsan

AU - Jayakrishnan, B.

AU - Al-Rawas, Omar

AU - George, Jojy

AU - Al-Zeedy, Khalfan

PY - 2013/2

Y1 - 2013/2

N2 - Objectives: Asthma control is often difficult to measure. The aim of this study was to compare physicians' personal clinical assessments of asthma control with the Global Initiative for Asthma (GINA) scoring. Methods: Physicians in the adult pulmonary clinics of a tertiary hospital in Oman first documented their subjective judgment of asthma control on 157 consecutive patients. Immediately after that and in the same proforma, they selected the individual components from the GINA asthma control table as applicable to each patient. Results: The same classification of asthma control was achieved by physicians' clinical judgment and GINA classification in 106 cases (67.5%). In the other 32.5% (n = 51), the degree of control by clinical judgment was one level higher than the GINA classification. The agreement was higher for the pulmonologists (72%) as compared to non-pulmonologists (47%; P = 0.009). Physicians classified 76 patients (48.4%) as well-controlled by clinical judgment compared to 48 (30.6%) using GINA criteria (P

AB - Objectives: Asthma control is often difficult to measure. The aim of this study was to compare physicians' personal clinical assessments of asthma control with the Global Initiative for Asthma (GINA) scoring. Methods: Physicians in the adult pulmonary clinics of a tertiary hospital in Oman first documented their subjective judgment of asthma control on 157 consecutive patients. Immediately after that and in the same proforma, they selected the individual components from the GINA asthma control table as applicable to each patient. Results: The same classification of asthma control was achieved by physicians' clinical judgment and GINA classification in 106 cases (67.5%). In the other 32.5% (n = 51), the degree of control by clinical judgment was one level higher than the GINA classification. The agreement was higher for the pulmonologists (72%) as compared to non-pulmonologists (47%; P = 0.009). Physicians classified 76 patients (48.4%) as well-controlled by clinical judgment compared to 48 (30.6%) using GINA criteria (P

KW - Asthma control

KW - Asthma management

KW - Oman

KW - Physicians

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=84875207888&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875207888&partnerID=8YFLogxK

M3 - Article

VL - 13

SP - 63

EP - 68

JO - Sultan Qaboos University Medical Journal

JF - Sultan Qaboos University Medical Journal

SN - 2075-051X

IS - 1

ER -