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Insights into frequent asthma exacerbations from a primary care perspective and the implications of UK National Review of Asthma Deaths recommendations
Insights into frequent asthma exacerbations from a primary care perspective and the implications of UK National Review of Asthma Deaths recommendations, Published online: 19 September 2018; doi:10.1038/s41533-018-0103-9An audit of asthma patients in Scotland reveals the need for better integration between primary care providers and secondary asthma specialists. The UK National Review of Asthma Deaths highlighted 19 recommendations to prevent avoidable asthma deaths, including specialist referrals for those who over-use reliever inhalers or are admitted to hospital regularly. Wai-Ting Lee at the University of Glasgow, Scotl...
Source: npj Primary Care Respiratory Medicine - September 19, 2018 Category: Primary Care Authors: Jieqiong Freda Yang Rekha Chaudhuri Neil C. Thomson Nitish Ramparsad Hugh O ’Pray Stephen Barclay Sean MacBride-Stewart Craig McCallum Varun Sharma Charles McSharry Dianne Murray Malcolm Shepherd Wai-Ting Nicola Lee Source Type: research

A patient-centric analysis to identify key influences in allergic rhinitis management
A patient-centric analysis to identify key influences in allergic rhinitis management, Published online: 13 September 2018; doi:10.1038/s41533-018-0100-zIn-depth interviews with allergy sufferers about their treatment decisions highlights a need for healthcare professionals to help optimize allergy management. Allergic rhinitis (AR), a set of conditions including hayfever, is often poorly managed by patients, partly due to the growing availability of over-the-counter medications. However, little is known about what influences patients’ self-management decisions. Biljana Cvetkovski at the University of Sydney, Australia, ...
Source: npj Primary Care Respiratory Medicine - September 13, 2018 Category: Primary Care Authors: Biljana Cvetkovski Rachel Tan Vicky Kritikos Kwok Yan Elizabeth Azzi Pamela Srour Sinthia Bosnic-Anticevich Source Type: research

Real-world retrospective cohort study ARCTIC shows burden of comorbidities in Swedish COPD versus non-COPD patients
Real-world retrospective cohort study ARCTIC shows burden of comorbidities in Swedish COPD versus non-COPD patients, Published online: 10 September 2018; doi:10.1038/s41533-018-0101-yCo-existing conditions should be taken into consideration when treating patients with chronic lung disease to ensure coherent and cost-effective disease management. In a large-scale study of the Swedish population, Björn Ställberg at Uppsala University and co-workers analyzed electronic medical records spanning fourteen years for 17,479 patients with chronic obstructive pulmonary disease (COPD) and compared their health status with 84,514 ag...
Source: npj Primary Care Respiratory Medicine - September 10, 2018 Category: Primary Care Authors: Bj örn Ställberg Christer Janson Kjell Larsson Gunnar Johansson Konstantinos Kostikas Jean-Bernard Gruenberger Florian S. Gutzwiller Leif Jorgensen Milica Uhde Karin Lisspers Source Type: research

Systematic literature review and meta-analysis of US-approved LAMA/LABA therapies versus tiotropium in moderate-to-severe COPD
Systematic literature review and meta-analysis of US-approved LAMA/LABA therapies versus tiotropium in moderate-to-severe COPD, Published online: 27 August 2018; doi:10.1038/s41533-018-0099-1Dual maintenance therapies combining two types of long-acting bronchodilator appear to be effective and safe for treating moderate-to-severe chronic obstructive pulmonary disease (COPD). Given that patients with COPD often have poor quality of life and, in the US, incur substantial healthcare costs, it is vital to provide optimal symptom management to improve lung function and limit exacerbations over time. Beth Hahn at GSK, North Caro...
Source: npj Primary Care Respiratory Medicine - August 27, 2018 Category: Primary Care Authors: MeiLan K. Han Riju Ray Jason Foo Chaienna Morel Beth Hahn Source Type: research

Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management
Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management, Published online: 14 August 2018; doi:10.1038/s41533-018-0098-2Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management (Source: npj Primary Care Respiratory Medicine)
Source: npj Primary Care Respiratory Medicine - August 14, 2018 Category: Primary Care Authors: Bhumika Aggarwal Aruni Mulgirigama Norbert Berend Source Type: research

The physical, mental, and social impact of COPD in a population-based sample: results from the Longitudinal Aging Study Amsterdam
The physical, mental, and social impact of COPD in a population-based sample: results from the Longitudinal Aging Study Amsterdam, Published online: 10 August 2018; doi:10.1038/s41533-018-0097-3Patients with early-stage chronic lung disease need holistic support to limit the physical, mental and social impacts of the condition. There is more to chronic obstructive pulmonary disease (COPD) than persistent airflow limitation; systemic effects, including loss of muscle strength and higher risk of heart conditions, mental health and social problems can manifest from the early stages. Frits Franssen at CIRO, the Netherlands, an...
Source: npj Primary Care Respiratory Medicine - August 10, 2018 Category: Primary Care Authors: Frits M. E. Franssen Dionne E. Smid Dorly J. H. Deeg Martijn Huisman Jan Poppelaars Emiel F. M. Wouters Martijn A. Spruit Source Type: research

A review of asthma care in 50 general practices in Bedfordshire, United Kingdom
A review of asthma care in 50 general practices in Bedfordshire, United Kingdom, Published online: 26 July 2018; doi:10.1038/s41533-018-0093-7Pro-active disease management for patients with asthma is crucial and could be vastly improved with an overhaul of computer systems in primary care. Following the UK National Review of Asthma Deaths (NRAD) in 2011–2014, multiple mortality risk factors were identified that have yet to be factored into asthma care. The NHS Bedfordshire Clinical Commissioning Group, with support from NSHI and Dr Mark L Levy (Harrow CCG), conducted a manual audit of 50 Bedfordshire doctors’ surgeries...
Source: npj Primary Care Respiratory Medicine - July 26, 2018 Category: Primary Care Authors: Mark L Levy Fiona Garnett Adedayo Kuku Inna Pertsovskaya Eddie McKnight John Haughney Source Type: research

Applying UK real-world primary care data to predict asthma attacks in 3776 well-characterised children: a retrospective cohort study
Applying UK real-world primary care data to predict asthma attacks in 3776 well-characterised children: a retrospective cohort study, Published online: 23 July 2018; doi:10.1038/s41533-018-0095-5A past history of asthma attacks in young children is a strong predictor for future attacks and should be factored into treatment regimes. Childhood asthma attacks take considerable toll on sufferers and their carers, yet risk factors for future attacks are unclear. David Price at the Observational and Pragmatic Research Institute in Singapore and co-workers searched UK primary care databases to find at least two years’ worth of ...
Source: npj Primary Care Respiratory Medicine - July 23, 2018 Category: Primary Care Authors: Steve W Turner Clare Murray Mike Thomas Annie Burden David B Price Source Type: research

High health gain patients with asthma: a cross-sectional study analysing national Scottish data sets
High health gain patients with asthma: a cross-sectional study analysing national Scottish data sets, Published online: 19 July 2018; doi:10.1038/s41533-018-0094-6Insights from a detailed analysis of asthma severity in the Scottish population could help researchers develop a tool to identify high risk patients. A small percentage of asthma patients are classed as ‘high health gain’ (HHG) patients — those with severe symptoms who use healthcare services more regularly than others. However, national data on these difficult-to-identify HHG cases have not been explored. Mome Mukerjee and co-workers at the University of E...
Source: npj Primary Care Respiratory Medicine - July 19, 2018 Category: Primary Care Authors: Mome Mukherjee Bright I. Nwaru Ireneous Soyiri Ian Grant Aziz Sheikh Source Type: research

“Tossing a coin:” defining the excessive use of short-acting beta2-agonists in asthma—the views of general practitioners and asthma experts in primary and secondary care
“Tossing a coin:” defining the excessive use of short-acting beta₂-agonists in asthma—the views of general practitioners and asthma experts in primary and secondary care, Published online: 18 July 2018; doi:10.1038/s41533-018-0096-4“Tossing a coin:” defining the excessive use of short-acting beta2-agonists in asthma—the views of general practitioners and asthma experts in primary and secondary care (Source: npj Primary Care Respiratory Medicine)
Source: npj Primary Care Respiratory Medicine - July 18, 2018 Category: Primary Care Authors: Shauna McKibben Andy Bush Mike Thomas Chris Griffiths Source Type: research

Author Correction: Recurrent lower respiratory illnesses among young children in rural Kyrgyzstan: overuse of antibiotics and possible under-diagnosis of asthma. A qualitative FRESH AIR study
Author Correction: Recurrent lower respiratory illnesses among young children in rural Kyrgyzstan: overuse of antibiotics and possible under-diagnosis of asthma. A qualitative FRESH AIR study, Published online: 28 June 2018; doi:10.1038/s41533-018-0082-xAuthor Correction: Recurrent lower respiratory illnesses among young children in rural Kyrgyzstan: overuse of antibiotics and possible under-diagnosis of asthma. A qualitative FRESH AIR study (Source: npj Primary Care Respiratory Medicine)
Source: npj Primary Care Respiratory Medicine - June 28, 2018 Category: Primary Care Authors: Marianne Stubbe Østergaard Jesper Kj ærgaard Mette Marie Kristensen Susanne Reventlow Anja Poulsen Elvira Isaeva Azamat Akylbekov Talant Sooronbaev Source Type: research

Personalising adherence-enhancing interventions using a smart inhaler in patients with COPD: an exploratory cost-effectiveness analysis
Personalising adherence-enhancing interventions using a smart inhaler in patients with COPD: an exploratory cost-effectiveness analysis, Published online: 27 June 2018; doi:10.1038/s41533-018-0092-8Personalising adherence-enhancing interventions using a smart inhaler in patients with COPD: an exploratory cost-effectiveness analysis (Source: npj Primary Care Respiratory Medicine)
Source: npj Primary Care Respiratory Medicine - June 27, 2018 Category: Primary Care Authors: Job F. M. van Boven Breda Cushen Imran Sulaiman Garrett Greene Elaine MacHale Matshediso C. Mokoka Frank Doyle Richard B. Reilly Kathleen Bennett Richard W. Costello Source Type: research

Breathlessness and sexual activity in older adults: the Australian Longitudinal Study of Ageing
Breathlessness and sexual activity in older adults: the Australian Longitudinal Study of Ageing, Published online: 22 June 2018; doi:10.1038/s41533-018-0090-xTreating breathlessness in older people could help improve well-being and prolong their sex lives. Chronic breathlessness in older age has psychological effects on perceived physical health, and can cause depression and anxiety, all of which can impact on levels of sexual activity. However, little data is available on the links between self-reported breathlessness and sexual activity in over 65s. Magnus Ekstrom at the University of Technology Sydney and co-workers ana...
Source: npj Primary Care Respiratory Medicine - June 22, 2018 Category: Primary Care Authors: Magnus Ekstr öm Miriam J. Johnson Bridget Taylor Mary Luszcz Pia Wohland Diana H. Ferreira David C. Currow Source Type: research

“A palliative end-stage COPD patient does not exist”: a qualitative study of barriers to and facilitators for early integration of palliative home care for end-stage COPD
“A palliative end-stage COPD patient does not exist”: a qualitative study of barriers to and facilitators for early integration of palliative home care for end-stage COPD, Published online: 20 June 2018; doi:10.1038/s41533-018-0091-9Research in Belgium provides insights into the possible implementation of early palliative care (PC) for patients with chronic obstructive pulmonary disease (COPD). While many sufferers of end-stage COPD would benefit emotionally and physically from palliative home care in their final months, many only receive PC in their last few days. Charlotte Scheerens at End-of-life Care Research Group...
Source: npj Primary Care Respiratory Medicine - June 20, 2018 Category: Primary Care Authors: Charlotte Scheerens Luc Deliens Simon Van Belle Guy Joos Peter Pype Kenneth Chambaere Source Type: research

Identifying patients with asthma-chronic obstructive pulmonary disease overlap syndrome using latent class analysis of electronic health record data: a study protocol
Identifying patients with asthma-chronic obstructive pulmonary disease overlap syndrome using latent class analysis of electronic health record data: a study protocol, Published online: 20 June 2018; doi:10.1038/s41533-018-0088-4Identifying patients with asthma-chronic obstructive pulmonary disease overlap syndrome using latent class analysis of electronic health record data: a study protocol (Source: npj Primary Care Respiratory Medicine)
Source: npj Primary Care Respiratory Medicine - June 20, 2018 Category: Primary Care Authors: Mohammad A Al Sallakh Sarah E Rodgers Ronan A Lyons Aziz Sheikh Gwyneth A Davies Source Type: research