Surveys of pediatric asthma patients using Japanese Pediatric Asthma Control Program (JPAC) in Hiroshima area in 2008 and 2012

Surveys of 1,308 pediatric asthma patients aged 4-15 years old in 89 outpatient clinics in 2008 and 1,044 such patients in 63 outpatient clinics in 2012 using the Japanese Pediatric Asthma Control Program (JPAC) in the Hiroshima area were performed, and JPAC scores were compared between 2008 and 201...

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Veröffentlicht in:Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology 2018, Vol.32(5), pp.785-797
Hauptverfasser: Okahata, Hiroyasu, Okano, Rika, Ono, Atsushi, Kato, Yasuhiro, Kawaguchi, Hiroshi, Kitamura, Tetsuro, Sasaki, Nobutaka, Shirao, Kenichiro, Sugihara, Yuzo, Tsuji, Tetsuro, Fujitaka, Michiko, Yasui, Kozo, Ikeda, Masanori, Arita, Masahiko
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container_title Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology
container_volume 32
creator Okahata, Hiroyasu
Okano, Rika
Ono, Atsushi
Kato, Yasuhiro
Kawaguchi, Hiroshi
Kitamura, Tetsuro
Sasaki, Nobutaka
Shirao, Kenichiro
Sugihara, Yuzo
Tsuji, Tetsuro
Fujitaka, Michiko
Yasui, Kozo
Ikeda, Masanori
Arita, Masahiko
description Surveys of 1,308 pediatric asthma patients aged 4-15 years old in 89 outpatient clinics in 2008 and 1,044 such patients in 63 outpatient clinics in 2012 using the Japanese Pediatric Asthma Control Program (JPAC) in the Hiroshima area were performed, and JPAC scores were compared between 2008 and 2012, while the associations were studied between JPAC scores and patient background factors such as age and types of consultation facilities, between scores and prescribed long-term management drugs (controller), and between scores and treatment steps. JPAC scores of patients in 2012 were higher than those in 2008 (p
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JPAC scores of patients in 2012 were higher than those in 2008 (p&lt;0.001). In all patients, those treated in clinics or hospitals where allergic disorder specialist doctors worked were associated with JPAC scores of 15, and patients treated with inhaled fluticasone-salmeterol were associated with JPAC scores below 14, whereas, in patients treated with step 1 therapy (almost half of the patients were treated with this therapy step), those treated in 2012 were associated with JPAC scores of 15, based on logistic regression analysis. 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In all patients, those treated in clinics or hospitals where allergic disorder specialist doctors worked were associated with JPAC scores of 15, and patients treated with inhaled fluticasone-salmeterol were associated with JPAC scores below 14, whereas, in patients treated with step 1 therapy (almost half of the patients were treated with this therapy step), those treated in 2012 were associated with JPAC scores of 15, based on logistic regression analysis. These results suggest that increases of the JPAC scores in 2012 compared with those in 2008 might not have been related to the selection of potent anti-asthma drugs, but to the selection of effective treatment steps.</abstract><pub>THE JAPANESE SOCIETY OF PEDIATRIC ALLERGY AND CLINICAL IMMUNOLOGY</pub><doi>10.3388/jspaci.32.785</doi><tpages>13</tpages></addata></record>
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subjects asthma
children
JPAC (Japanese Pediatric Asthma Control Program)
severity
survey
title Surveys of pediatric asthma patients using Japanese Pediatric Asthma Control Program (JPAC) in Hiroshima area in 2008 and 2012
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