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A multicenter, cross-sectional, observational study of budesonide/formoterol maintenance and reliever therapy in real-world settings

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机构: [a]Department of Respiratory Diseases, China-Japan Friendship Hospital, Peking University, Beijing 100029, China [b]State Key Laboratory of Respiratory Disease, Department of Allergy and Clinical Immunology, Guangzhou Institute of Respiratory Disease, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China [c]Department of Respiratory Medicine, Affiliated Hospital of Qingdao Medical College, Qingdao 266071, China [d]Department of Respiratory Medicine, Sichuan Provincial People's Hospital, Chengdu 610072, China [e]Department of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, China [f]Department of Respiratory Medicine, The Second Xiangya Hospital of Central South University, Changsha 410011, China [g]Department of Respiratory and Critical Care, The First Affiliated Hospital of Baotou Medical College, Baotou 014040, China [h]Department of Respiratory Medicine, Peking University Third Hospital, Beijing 100191, China [i]Department of Respiratory and Critical Care, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China [j]Department of Respiratory Medicine, Southwest Hospital, 1st Affiliated Hospital of Third Military Medical University, Chongqing 400038, China
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关键词: Asthma Control Test GINA ICS/LABA SMART Symbicort Maintenance And Reliever Therapy

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Background To assess the level of asthma control achieved with budesonide/formoterol in Chinese patients with asthma, based on the Global Initiative for Asthma (GINA) definition and Asthma Control Test (ACT) score. Methods This multicenter, cross-sectional study (NCT01785901) evaluated asthma control levels in Chinese patients receiving physician-prescribed budesonide/formoterol treatment. Adults with a diagnosis of asthma ≥6 months and receiving budesonide/formoterol treatment ≥3 months before screening were consecutively enrolled. Data including medical and medication history were collected using face-to-face questionnaires and physical examinations during a single visit. Results A total of 1483 asthma out-patients from 27 medical centers were enrolled; 217 (14.6%) were treated with budesonide/formoterol using a fixed-dose strategy and 1266 (85.4%) with the SMART (Symbicort ® Maintenance And Reliever Therapy) strategy. According to GINA criteria, asthma was controlled in 58.6% (95% CI: 56.1%–61.1%) of patients and was either controlled or partly controlled in 94.1% (95% CI: 92.8%–95.3%) of patients. According to ACT score, asthma was completely controlled in 22.4% (95% CI: 20.3%–24.6%) of patients and was either completely or well controlled in 83.3% (95% CI: 81.4%–85.2%) of patients. Multivariate logistic regression analysis revealed that a >5-year history of asthma and an age of >50 years were factors associated with lower levels of asthma control. Conclusions This study demonstrated high levels of asthma control (GINA: controlled and partly controlled and ACT: completely and well controlled) in Chinese patients with asthma treated with budesonide/formoterol. Greater age and a longer disease history were associated with lower levels of asthma control. Trial registration ClinicalTrials.govNCT01785901. Registered February 5, 2013. © 2017 Elsevier Ltd

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出版当年[2016]版:
大类 | 3 区 医学
小类 | 3 区 心脏和心血管系统 3 区 呼吸系统
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 心脏和心血管系统 3 区 呼吸系统
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出版当年[2015]版:
Q2 RESPIRATORY SYSTEM Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 RESPIRATORY SYSTEM

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [a]Department of Respiratory Diseases, China-Japan Friendship Hospital, Peking University, Beijing 100029, China [*1]Department of Respiratory Diseases, China-Japan Friendship Hospital, Peking University, No.2 Yinghua East Street, Chaoyang District, Beijing 100029, China.
通讯作者:
通讯机构: [a]Department of Respiratory Diseases, China-Japan Friendship Hospital, Peking University, Beijing 100029, China [*1]Department of Respiratory Diseases, China-Japan Friendship Hospital, Peking University, No.2 Yinghua East Street, Chaoyang District, Beijing 100029, China.
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