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Consistency of GINA criteria and childhood asthma control test on the determination of asthma control

Authors

  • Mustafa Erkoçoğlu,

    1. Ankara Children’s Hematology Oncology Education and Research Hospital, Department of Pediatric Allergy, Ankara, Turkey
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    • Mustafa Erkoçoğlu and Ayşegül Akan had contributed to the study equally.

  • Ayşegül Akan,

    1. Ankara Children’s Hematology Oncology Education and Research Hospital, Department of Pediatric Allergy, Ankara, Turkey
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    • Mustafa Erkoçoğlu and Ayşegül Akan had contributed to the study equally.

  • Ersoy Civelek,

    1. Ankara Children’s Hematology Oncology Education and Research Hospital, Department of Pediatric Allergy, Ankara, Turkey
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  • Rojdan Kan,

    1. Ankara Children’s Hematology Oncology Education and Research Hospital, Department of Pediatrics, Ankara, Turkey
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  • Dilek Azkur,

    1. Ankara Children’s Hematology Oncology Education and Research Hospital, Department of Pediatric Allergy, Ankara, Turkey
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  • Can N. Kocabaş

    1. Ankara Children’s Hematology Oncology Education and Research Hospital, Department of Pediatric Allergy, Ankara, Turkey
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Can N. Kocabaş, MD, Ankara Children’s Hematology Oncology, Education and Research Hospital, Department of Pediatric Allergy and Immunology, Altındağ/Ankara 06100 Turkey
Tel.: +90 506 7188089
Fax: +90 312 3472330
E-mail: cankocabas@yahoo.com

Abstract

To cite this article: Erkoçoğlu M, Akan A, Civelek E, Kan R, Azkur D, Kocabaş CN. Consistency of GINA criteria and childhood asthma control test on the determination of asthma control. Pediatric Allergy Immunology 2012: 23: 34–39.

Abstract

Background:  Reliable assessment of asthma control is essential for effective treatment. Although several methods are used to assess asthma control, it is still suboptimal all over the world. Childhood asthma control test (C-ACT) is a widely used complementary test in determining the level of asthma control in conjunction with GINA guidelines.

Objective:  To evaluate the consistency between the childhood asthma control test (C-ACT) and the Global Initiative for Asthma (GINA) guideline–based asthma control measure in children with asthma and, if present, to investigate the reasons for any discrepancy.

Methods:  Patients and their caregivers filled a C-ACT and a socioeconomic status survey before the physician visit. Asthma control level was also assessed according to GINA criteria by a pediatric allergist who was blinded to C-ACT scores.

Results:  The mean age of the total 314 patients was 9.0 ± 1.9 yr, ranging between 4.3 and 11.8 yr, of whom 56.1% (n = 176) were men. Regarding the study group, 54.8% of patients were controlled according to GINA, and 51.0% of patients were controlled according to C-ACT (score ≥20). There was inconsistency between GINA and C-ACT in 26.7% (84/314) of the study group when the patients were evaluated individually (κ = 0.464). There was not any significant variable that could predict the consistency and inconsistency between these methods.

Conclusion:  Consistency between GINA and C-ACT is not as to be expected. Using only one method for determining the control level of asthma does not seem to be reliable and accurate.

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