Abstract:
OBJECTIVES:To establish national baseline information on asthma management practices of physicians, to compare the reported practices with the Canadian Consensus recommendations and to identify results potentially useful for interventions that improve physician asthma management practices. DESIGN:National, stratified cross-sectional survey. SETTINGS:The 10 provinces and two territories of Canada, from 1996 to 1997. PARTICIPANTS:Questionnaires were sent to 4489 physicians stratified by province/territory and specialty group (family/general practice, respirology, internal medicine, pediatrics and allergy/immunology); 2605 responses were received. OUTCOME MEASURES:Methods for the diagnosis, treatment, education and follow-up of patients with asthma ('asthma management practices'). RESULTS:Significant variations existed among the five specialty groups in asthma management practices. A low use of objective measures of airflow limitation to assist with diagnosis was found among some respondents (mostly family physicians). Up to 40% of physicians regarded the daily fixed dosing (three or four times a day) of inhaled, short acting beta2-agonist as 'first-line therapy' for moderate to severe asthma. A minority of physicians reported using written action plans for patients or referring them to other health professionals for asthma education. Insufficient time during appointments and a perceived lack of appropriate educational materials were frequently cited as reasons for not providing asthma education. The perceived knowledge of the Canadian Consensus recommendations varied among physicians but was lowest among nonspecialists. CONCLUSIONS:The survey showed variations in certain aspects of the management of asthma by physicians. The findings will help to target specific areas for future physician education programs and other behavioural change strategies.
journal_name
Can Respir Jjournal_title
Canadian respiratory journalauthors
Jin R,Choi BC,Chan BT,McRae L,Li F,Cicutto L,Boulet LP,Mitchell I,Beveridge R,Leith Edoi
10.1155/2000/587151subject
Has Abstractpub_date
2000-11-01 00:00:00pages
456-65issue
6eissn
1198-2241issn
1916-7245journal_volume
7pub_type
杂志文章abstract:Background:Tracheal stenosis is able to lead to airway obstruction. Objective:To evaluate the efficacy and safety profile of Montgomery T-tube implantation in patients with tracheal stenosis. Methods:Fifty-two patients with tracheal stenosis diagnosed between 2016 and 2019 were included in this retrospective cohort s...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2020/2379814
更新日期:2020-10-07 00:00:00
abstract:OBJECTIVE:To compare the efficacy and safety of a new combination Diskus inhaler containing both salmeterol 50 mg and fluticasone propionate 250 mg (Seretide) with the two drugs delivered via separate Diskus inhalers. DESIGN:A multicentre, double-blind, double-dummy study. Three hundred and seventy-one symptomatic ast...
journal_title:Canadian respiratory journal
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1155/1999/894803
更新日期:1999-01-01 00:00:00
abstract::A case of pulmonary Langerhans cell histiocytosis, proved by both lung high-resolution computed tomography and lung biopsy, is described. Following smoking cessation, lung nodules and cysts gradually disappeared on serial computed tomography scans, with complete clearance of the lesions after 12 months. The role of to...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2007/941618
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Although underused, written asthma action plans (AAPs) are associated with reduced numbers of emergency department (ED) visits and hospitalizations. OBJECTIVE:To describe the frequency of use and contents of any AAPs reported by patients presenting with exacerbations to three urban Canadian EDs. METHODS:Pr...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2014/498946
更新日期:2014-11-01 00:00:00
abstract::Physical activity is difficult to measure in individuals with COPD. The Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire demonstrated strong clinometric properties when used with the elderly and with those affected by chronic disease. Study objectives were to translate, culturally adapt th...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2016/9304505
更新日期:2016-01-01 00:00:00
abstract:Objective:To investigate the effects of Apatinib on the "stemness" of lung cancer cells in vivo and to explore its related mechanisms. Methods:A xenograft model of lung cancer cells A549 was established in nude mice and randomized into a control group (n = 4) and an Apatinib group (n = 4). Tumor tissues were harvested...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2020/2479369
更新日期:2020-08-10 00:00:00
abstract::Physical activity is an important health behaviour in reducing morbidity and mortality in individuals with chronic obstructive pulmonary disease (COPD). Accurate measurement of the characteristics of physical activity is essential to understanding the impact of COPD on physical activity. In a previous article, we repo...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2019/2185207
更新日期:2019-09-17 00:00:00
abstract:BACKGROUND:Pulmonary hypertension (PH) in patients with connective tissue disease (CTD) can occur in isolation or concomitantly with interstitial lung disease (ILD). Targeted therapies for PH can mitigate clinical deterioration in CTD patients with isolated PH; however, the effect of these therapies in CTD patients wit...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2010/686098
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND/AIM:Asthma is a common chronic condition that can be aggravated by workplace exposures. Young adults with asthma should know how their future occupation might affect their asthma, and potentially, their quality of life. The aim of the present study was to assess the awareness of young adults to occupational ...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2009/810820
更新日期:2009-11-01 00:00:00
abstract::Pulmonary arteritis is a rare cause of pulmonary hypertension. Causes of pulmonary arteritis can be divided into primary and secondary, as well as classified according to vessel size. Only large vessel vasculitis is associated with pulmonary hypertension; primary forms include Takayasu arteritis and giant cell arterit...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2014/396217
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Quantitative cell counts in sputum provide an accurate assessment of the type and severity of bronchitis. OBJECTIVE:To examine whether sputum cell counts could identify bronchiectasis in patients with recurrent bronchitis. METHODS:A retrospective survey of a clinical database (January 2004 to January 2005)...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2011/920465
更新日期:2011-07-01 00:00:00
abstract::Diffuse pulmonary ossification (DPO) is a rare form of interstitial lung disease. The present article describes a case of DPO in an elderly man who presented with progressive dyspnea on exertion and an isolated reduction in diffusing capacity for carbon monoxide. DPO may occur as sequelae of mitral stenosis, left hear...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2014/640419
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION:No national Canadian data define resource requirements and care delivery for ventilator-assisted individuals (VAIs) requiring long-term institutional care. Such data will assist in planning health care services to this population. OBJECTIVE:To describe institutional and patient characteristics, prevalence...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2014/538687
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:A validated health-related quality of life questionnaire in chronic obstructive pulmonary disease (COPD) with advantages of both generic- and disease-specific questionnaires is needed to capture patients' perspectives of severity and impact of the disease. The McGill COPD questionnaire was created to include...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2012/914138
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Monitoring noninvasive biomarkers of inflammation is an important adjunct in asthma therapy. OBJECTIVE:The goal of the present study was to identify airway and alveolar site(s) of inflammation using exhaled nitric oxide (NO) as a marker in asthmatic patients, and to evaluate the NO response to maintenance f...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2008/415391
更新日期:2008-05-01 00:00:00
abstract::Theophylline acts as a bronchodilator and has bronchoprotective activity in asthma. The importance of the anti-inflammatory properties of theophylline to its clinical efficacy remains uncertain. Theophylline has a place in management as an additional long term control medication for patients whose asthma is not contro...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,评审
doi:
更新日期:1998-07-01 00:00:00
abstract::Alpha-1 antitrypsin (A1AT) functions primarily to inhibit neutrophil elastase, and deficiency predisposes individuals to the development of chronic obstructive pulmonary disease (COPD). Severe A1AT deficiency occurs in one in 5000 to one in 5500 of the North American population. While the exact prevalence of A1AT defi...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,实务指引
doi:10.1155/2012/920918
更新日期:2012-03-01 00:00:00
abstract::Poor inhaler technique and nonadherence impair the efficacy of medications for asthma and chronic obstructive pulmonary disease (COPD). A range of factors, including age, dexterity, inspiratory capacity, cognitive ability, health literacy, and ethnicity, can impact a patient's ability and intention to use their device...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,评审
doi:10.1155/2018/9473051
更新日期:2018-05-23 00:00:00
abstract:OBJECTIVES:The present study was designed to compare the performance of a new oxygen delivery device, the OxyArm (OA) (Southmedic Inc, Canada), with a standard nasal cannula (NC) (Salter-Style 1600, Salter Labs, USA) for both oxygen delivery and patient preference in patients on long-term oxygen therapy (LTOT). DESIGN...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,随机对照试验
doi:10.1155/2006/729878
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVE:To assess the length of stay required to initiate long-term invasive ventilation at the authors' institution, which would inform future interventional strategies to streamline the in-hospital stay for these families. METHODS:A retrospective chart review of children initiated on invasive long-term ventilation...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2015/107914
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:To achieve national consensus on standards of training, quality assurance and maintenance of competence for critical care ultrasound for intensivists and critical care trainees in Canada using recently published international training statements. DATA SOURCES:Existing internationally endorsed guidelines and ...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2014/216591
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Noneosinophilic asthma has been regarded as a distinct phenotype characterized by a poor response to inhaled corticosteroids (ICS). OBJECTIVE:To determine whether noneosinophilic, steroid-naive asthmatic subjects show an improvement in asthma control, asthma symptoms and spirometry after four weeks of treat...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1155/2011/108079
更新日期:2011-09-01 00:00:00
abstract::Background. Mild obstructive sleep apnea is common in pregnancy and may have an exacerbating role in gestational hypertension, although currently the interaction between these two diseases is uncertain. Methods. We analyzed 43 pregnant subjects, 28 with gestational hypertension (GH) and 15 with normal healthy pregnanc...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2016/9816494
更新日期:2016-01-01 00:00:00
abstract::The removal of chlorofluorocarbon (CFC) propellants from industrial and household products has been agreed to by over 165 countries of which more than 135 are developing countries. The timetable for this process is outlined in the Montreal Protocol on Substances that Deplete the Ozone Layer document and in several sub...
journal_title:Canadian respiratory journal
pub_type: 杂志文章,评审
doi:10.1155/1999/682405
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:The potential benefits of positron emission tomography (PET) scanning stem from the fact that it can reduce the number of diagnostic examinations; particularly, the number of unnecessary thoracic surgeries. OBJECTIVE:To evaluate the economic impact and cost-effectiveness of PET scanning in the management of...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2005/612387
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Approximately 10% of patients hospitalized with community-acquired pneumonia (CAP) are bacteremic. Bacteremic Streptococcus pneumoniae pneumonia (BSPP) is the number one cause of mortality, representing up to 70% of all CAP deaths. In fact, all CAP guidelines have identified this issue as one of the most imp...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2004/461392
更新日期:2004-11-01 00:00:00
abstract::Asthma often starts before six years of age. However, there remains uncertainty as to when and how a preschool-age child with symptoms suggestive of asthma can be diagnosed with this condition. This delays treatment and contributes to both short- and long-term morbidity. Members of the Canadian Thoracic Society Asthma...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2015/101572
更新日期:2015-05-01 00:00:00
abstract:Objectives:Clarithromycin is recommended as the core agent for treating M. abscessus infections, which usually calls for at least one year of treatment course, facilitating the development of resistance. This study aimed to identify the underlying mechanism of in vivo development of clarithromycin resistance in M. absc...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2020/7623828
更新日期:2020-03-28 00:00:00
abstract::A case of azygos lobe is presented. An azygos lobe is an accessory lobe of the lung that may occasionally be confused with a pathological process such as a bulla, lung abscess or neoplasm. Its pathogenesis is discussed, as are the characteristic x-ray features that enable an accurate diagnosis. ...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2011/474678
更新日期:2011-03-01 00:00:00
abstract::Background. Routine vaccination against Streptococcus pneumoniae is recommended in Canada for infants, the elderly, and individuals with chronic comorbidity. National incidence and burden of all-cause and pneumococcal pneumonia in Canada (excluding Quebec) were assessed. Methods. Incidence, length of stay, and case-fa...
journal_title:Canadian respiratory journal
pub_type: 杂志文章
doi:10.1155/2016/3605834
更新日期:2016-01-01 00:00:00