Abstract
A survey of cases of asthma in two general practices with a special interest in the disease identified 212 asthmatic children aged 0-16 years by the end of January 1989 who had been registered in that practice since birth. Delay in diagnosis, both in terms of time (median 2.95 years) and number of consultations (median 7), was considerable. Annual rates of consultations for respiratory symptoms that were initiated by the patients fell significantly after diagnosis (median before = 1.80, after = 0.95 consultations/year), but the number initiated by the doctors rose significantly (median before = 0, after = 1.01 consultations/year). The overall rates before and after diagnosis were not significantly different (median before = 2.04, after = 2.21 consultations/year). Increased efforts are required to reduce this delay thereby minimising the morbidity of asthma in childhood.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson H. R., Bailey P. A., Cooper J. S., Palmer J. C. Influence of morbidity, illness label, and social, family, and health service factors on drug treatment of childhood asthma. Lancet. 1981 Nov 7;2(8254):1030–1032. doi: 10.1016/s0140-6736(81)91225-3. [DOI] [PubMed] [Google Scholar]
- Eriksen C. A., Anders C. J. Audit of results of operations for infantile pyloric stenosis in a district general hospital. Arch Dis Child. 1991 Jan;66(1):130–133. doi: 10.1136/adc.66.1.130. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Howie J. G. Diagnosis--the Achilles heel? J R Coll Gen Pract. 1972 May;22(118):310–315. [PMC free article] [PubMed] [Google Scholar]
- JACOBY N. M. Pyloric stenosis: selective medical and surgical treatment. A survey of sixteen years' experience. Lancet. 1962 Jan 20;1(7221):119–121. doi: 10.1016/s0140-6736(62)91128-5. [DOI] [PubMed] [Google Scholar]
- Jones A., Sykes A. The effect of symptom presentation on delay in asthma diagnosis in children in a general practice. Respir Med. 1990 Mar;84(2):139–142. doi: 10.1016/s0954-6111(08)80017-0. [DOI] [PubMed] [Google Scholar]
- Levy M., Bell L. General practice audit of asthma in childhood. Br Med J (Clin Res Ed) 1984 Oct 27;289(6452):1115–1116. doi: 10.1136/bmj.289.6452.1115. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Southern J. P., Smith R. M., Palmer S. R. Bird attack on milk bottles: possible mode of transmission of Campylobacter jejuni to man. Lancet. 1990 Dec 8;336(8728):1425–1427. doi: 10.1016/0140-6736(90)93114-5. [DOI] [PubMed] [Google Scholar]
- Speight A. N. Is childhood asthma being underdiagnosed and undertreated? Br Med J. 1978 Jul 29;2(6133):331–332. doi: 10.1136/bmj.2.6133.331. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Speight A. N., Lee D. A., Hey E. N. Underdiagnosis and undertreatment of asthma in childhood. Br Med J (Clin Res Ed) 1983 Apr 16;286(6373):1253–1256. doi: 10.1136/bmj.286.6373.1253. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zeidan B., Wyatt J., Mackersie A., Brereton R. J. Recent results of treatment of infantile hypertrophic pyloric stenosis. Arch Dis Child. 1988 Sep;63(9):1060–1064. doi: 10.1136/adc.63.9.1060. [DOI] [PMC free article] [PubMed] [Google Scholar]