Prevalence and management of severe asthma in the Nordic countries: findings from the NORDSTAR cohort
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Prevalence and management of severe asthma in the Nordic countries: findings from the NORDSTAR cohort. / Hansen, Susanne; Von Bülow, Anna; Sandin, Patrik; Ernstsson, Olivia; Janson, Christer; Lehtimäki, Lauri; Kankaanranta, Hannu; Ulrik, Charlotte; Aarli, Bernt Bøgvald; Fues Wahl, Hanna; Geale, Kirk; Tang, Sheila Tuyet; Wolf, Maija; Larsen, Tom; Altraja, Alan; Backman, Helena; Kilpeläinen, Maritta; Viinanen, Arja; Ludviksdottir, Dora; Kauppi, Paula; Sverrild, Asger; Lehmann, Sverre; Backer, Vibeke; Yasinska, Valentyna; Skjold, Tina; Karjalainen, Jussi; Bossios, Apostolos; Porsbjerg, Celeste.
I: ERJ Open Research, Bind 9, Nr. 2, 2023, s. 00687-2022.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Prevalence and management of severe asthma in the Nordic countries: findings from the NORDSTAR cohort
AU - Hansen, Susanne
AU - Von Bülow, Anna
AU - Sandin, Patrik
AU - Ernstsson, Olivia
AU - Janson, Christer
AU - Lehtimäki, Lauri
AU - Kankaanranta, Hannu
AU - Ulrik, Charlotte
AU - Aarli, Bernt Bøgvald
AU - Fues Wahl, Hanna
AU - Geale, Kirk
AU - Tang, Sheila Tuyet
AU - Wolf, Maija
AU - Larsen, Tom
AU - Altraja, Alan
AU - Backman, Helena
AU - Kilpeläinen, Maritta
AU - Viinanen, Arja
AU - Ludviksdottir, Dora
AU - Kauppi, Paula
AU - Sverrild, Asger
AU - Lehmann, Sverre
AU - Backer, Vibeke
AU - Yasinska, Valentyna
AU - Skjold, Tina
AU - Karjalainen, Jussi
AU - Bossios, Apostolos
AU - Porsbjerg, Celeste
PY - 2023
Y1 - 2023
N2 - Background Real-life evidence on prevalence and management of severe asthma is limited. Nationwide population registries across the Nordic countries provide unique opportunities to describe prevalence and management patterns of severe asthma at population level.Aim In nationwide register data from Sweden, Norway, and Finland, we examined the prevalence of severe asthma and the proportion of severe asthma patients being managed in specialist care.Methods This is a cross-sectional study based on the NORdic Dataset for aSThmA Research (NORDSTAR) research collaboration platform. We identified patients with severe asthma in adults (≥18 years) and in children (6–17 years) in 2018 according to the ERS/ATS definition. Patients managed in specialist care were those with an asthma-related specialist outpatient contact (only available in Sweden and Finland).Results Overall, we identified 598 242 patients with current asthma in Sweden, Norway, and Finland in 2018. Among those, the prevalence of severe asthma was 3.5%, 5.4% and 5.2% in adults and 0.4%, 1.0%, and 0.3% in children in Sweden, Norway, and Finland, respectively. In Sweden and Finland, 37% and 40% of adult patients with severe asthma and ≥2 exacerbations were managed in specialist care; in children the numbers were 56% and 41%, respectively.Conclusion In three Nordic countries, population-based nationwide data demonstrated similar prevalence of severe asthma. In children, severe asthma was a rare condition. Notably, a large proportion of patients with severe asthma was not managed by a respiratory specialist, suggesting the need for increased recognition of severe asthma in primary care.
AB - Background Real-life evidence on prevalence and management of severe asthma is limited. Nationwide population registries across the Nordic countries provide unique opportunities to describe prevalence and management patterns of severe asthma at population level.Aim In nationwide register data from Sweden, Norway, and Finland, we examined the prevalence of severe asthma and the proportion of severe asthma patients being managed in specialist care.Methods This is a cross-sectional study based on the NORdic Dataset for aSThmA Research (NORDSTAR) research collaboration platform. We identified patients with severe asthma in adults (≥18 years) and in children (6–17 years) in 2018 according to the ERS/ATS definition. Patients managed in specialist care were those with an asthma-related specialist outpatient contact (only available in Sweden and Finland).Results Overall, we identified 598 242 patients with current asthma in Sweden, Norway, and Finland in 2018. Among those, the prevalence of severe asthma was 3.5%, 5.4% and 5.2% in adults and 0.4%, 1.0%, and 0.3% in children in Sweden, Norway, and Finland, respectively. In Sweden and Finland, 37% and 40% of adult patients with severe asthma and ≥2 exacerbations were managed in specialist care; in children the numbers were 56% and 41%, respectively.Conclusion In three Nordic countries, population-based nationwide data demonstrated similar prevalence of severe asthma. In children, severe asthma was a rare condition. Notably, a large proportion of patients with severe asthma was not managed by a respiratory specialist, suggesting the need for increased recognition of severe asthma in primary care.
U2 - 10.1183/23120541.00687-2022
DO - 10.1183/23120541.00687-2022
M3 - Journal article
C2 - 37020835
VL - 9
SP - 687
EP - 2022
JO - ERJ Open Research
JF - ERJ Open Research
SN - 2312-0541
IS - 2
ER -
ID: 344851048