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. 1996 May;46(406):295–297.

Use of a postal questionnaire to estimate the likely under-diagnosis of asthma-like illness in adults.

P Frank 1, S Ferry 1, T Moorhead 1, P Hannaford 1
PMCID: PMC1239638  PMID: 8762746

Abstract

BACKGROUND: Asthma is thought to be under-diagnosed. AIM: To estimate how many adults in two practices may have unknown asthma-like illness. METHOD: Results from a postal respiratory questionnaire, sent to 11,206 adults registered with two practices, were linked with practice records to identify patients who may have unknown asthma-like illness. RESULTS: The questionnaire replies were almost identical in both practices; 30.4% of respondents [95% confidence interval (CI) 29.4-31.4] reported wheezing and 14.1% (95% CI 13.3-14.9) had been woken by breathlessness during the previous year. Using a simple scoring system, 1112 (13.8%) of the respondents were judged possibly to have asthma-like illness; 529 (6.6%) had not previously been diagnosed as having asthma and had not received asthma treatments. CONCLUSION: The frequency of asthma-like symptoms was high. A large proportion of adults in the practices may have an unknown asthma-like illness which warrants further evaluation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Burney P. G., Chinn S., Britton J. R., Tattersfield A. E., Papacosta A. O. What symptoms predict the bronchial response to histamine? Evaluation in a community survey of the bronchial symptoms questionnaire (1984) of the International Union Against Tuberculosis and Lung Disease. Int J Epidemiol. 1989 Mar;18(1):165–173. doi: 10.1093/ije/18.1.165. [DOI] [PubMed] [Google Scholar]
  2. Burney P. G., Luczynska C., Chinn S., Jarvis D. The European Community Respiratory Health Survey. Eur Respir J. 1994 May;7(5):954–960. doi: 10.1183/09031936.94.07050954. [DOI] [PubMed] [Google Scholar]
  3. Cockcroft D. W. Cigarette smoking, airway hyperresponsiveness, and asthma. Chest. 1988 Oct;94(4):675–676. doi: 10.1378/chest.94.4.675. [DOI] [PubMed] [Google Scholar]
  4. Fleming D. M., Crombie D. L. Prevalence of asthma and hay fever in England and Wales. Br Med J (Clin Res Ed) 1987 Jan 31;294(6567):279–283. doi: 10.1136/bmj.294.6567.279. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Haahtela T., Lindholm H., Björkstén F., Koskenvuo K., Laitinen L. A. Prevalence of asthma in Finnish young men. BMJ. 1990 Aug 4;301(6746):266–268. doi: 10.1136/bmj.301.6746.266. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Jarvis D., Lai E., Luczynska C., Chinn S., Burney P. Prevalence of asthma and asthma-like symptoms in young adults living in three east Anglian towns. Br J Gen Pract. 1994 Nov;44(388):493–497. [PMC free article] [PubMed] [Google Scholar]
  7. Jones K. Asthma--still a challenge for general practice. J R Coll Gen Pract. 1989 Jun;39(323):254–256. [PMC free article] [PubMed] [Google Scholar]
  8. Peat J. K., Haby M., Spijker J., Berry G., Woolcock A. J. Prevalence of asthma in adults in Busselton, Western Australia. BMJ. 1992 Nov 28;305(6865):1326–1329. doi: 10.1136/bmj.305.6865.1326. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Senthilselvan A., Chen Y., Dosman J. A. Predictors of asthma and wheezing in adults. Grain farming, sex, and smoking. Am Rev Respir Dis. 1993 Sep;148(3):667–670. doi: 10.1164/ajrccm/148.3.667. [DOI] [PubMed] [Google Scholar]
  10. Stableforth D. E. Asthma mortality and physician competence. J Allergy Clin Immunol. 1987 Sep;80(3 Pt 2):463–466. doi: 10.1016/0091-6749(87)90076-5. [DOI] [PubMed] [Google Scholar]
  11. Weiss S. T. Environmental tobacco smoke and asthma. Chest. 1993 Oct;104(4):991–992. doi: 10.1378/chest.104.4.991. [DOI] [PubMed] [Google Scholar]

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