Asthma Control and Management Changes in Japan: Questionnaire Survey
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概要
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Background Despite the advances of asthma management and the accompanying improved asthma control, many problems related to asthma management still remain. The Niigata Asthma Treatment Study Group has been regularly collecting information via surveys since 1998 using a questionnaire, on problems related to asthma management; various studies on asthma management have been reported using data from the questionnaire. Methods The aim of this study was to investigate the changes in asthma control and management for every two-year period using the data from 1998 to 2008; future problems requiring resolution were extracted and discussed. Results The number of cases surveyed each year was about 3,000 (2,593-3,347 cases). The changes in the data from 1998 to 2008, including asthma attacks and symptoms rate, indicated the improvement of asthma control with the spread of medication according to the guidelines; of particular note, there was a 24.1% increase in the usage rate of inhaled corticosteroids during the study period. From 2002 to 2008, however, some asthmatic conditions seemed to show no improvement with regards to asthma control related to the rates of changes in peak flow meter use, leukotriene receptor antagonist use and oral sustained-released theophylline use. Moreover, there was no decrease in the occurrence of emergency episodes related to asthma deaths. Conclusion In the actual clinical setting, asthma control seems to be progressing well with the appropriate changes of medication according to the guidelines, and in part due to inhaled corticosteroid use. However, there were two problems which need to be addressed: 1) no improvement in some asthmatic conditions and 2) the occurrence of emergency episodes related to asthma deaths. In the future, it will be necessary to manage asthma in view of these points.
著者
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ARAKAWA Masaaki
Division of Respiratory Medicine, Niigata University Graduate School of Medical and Dental Sciences
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Kagamu Hiroshi
Division Of Respiratory Medicine Department Of Homeostatic Regulation And Development Course In Biol
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Narita Ichiei
Division Of Clinical Nephrology And Intensive Care Medicine Niigata University Graduate School Of Me
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Sakagami Takuro
Division Of Respiratory Medicine Niigata University Graduate School Of Medical And Dental Sciences
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Koya Toshiyuki
Division Of Respiratory Medicine Department Of Homeostatic Regulation And Development Course In Biol
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Toyabe Shinichi
Department Of Medical Informatics Niigata University Medial And Dental Hospital
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Gejyo Fumitake
Division Of Clinical Infection Control And Prevention Niigata University Graduate School Of Medical
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Hasegawa Takashi
Department Of Biology Division Of Natural Science International Christian University
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Suzuki Eiichi
Department Of Applied Chemistry Tokyo Institute Of Technology
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Gejyo Fumitake
Division of Respiratory Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
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Kagamu Hiroshi
Division of Respiratory Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
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