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Gemicioglu B 1 , Williams AE 2 , Lloyd AC 3 , Sekerel B E 4

A derived Asthma Control Test TM (ACT) score reflects poor asthma control with increased unscheduled healthcare resource use (UnHCRU) in Turkey. Gemicioglu B 1 , Williams AE 2 , Lloyd AC 3 , Sekerel B E 4 1 Istanbul Un. Fac of Medicine Cerrahpasa Dept of Pulmonary Dis.Istanbul-Turkey

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Gemicioglu B 1 , Williams AE 2 , Lloyd AC 3 , Sekerel B E 4

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  1. A derived Asthma Control TestTM (ACT) score reflects poor asthma control with increased unscheduled healthcare resource use (UnHCRU) in Turkey Gemicioglu B1, Williams AE2, Lloyd AC3, Sekerel BE4 1Istanbul Un. Fac of Medicine Cerrahpasa Dept of Pulmonary Dis.Istanbul-Turkey 2Global Health Outcomes, GlaxoSmithKline R&D, Greenford, Middlesex, United Kingdom 3Fourth Hurdle Consulting, London, United Kingdom 4Hacettepe Un. Fac of Medicine Dept of Pediatric Allergy and Asthma, Ankara, Turkey.

  2. Background • Simple tools are needed in busy daily clinical practise to help assess asthma control. The ACT is a validated, self-administered, patient completed, 5-item questionnaire with a total score ranging from 5 (poor control) to 25 (total control).

  3. Aim • To compare the level of UnHCRU (unscheduled healthcare resource use) associated with controlled versus not well controlled asthma patients in Turkey using a derived ACT score.

  4. Method In the AIRET Study*, face to face questionnaires conducted in 15 cities from 7 geographical districts, 8350 house were scanned. Respondents asked about asthma symptoms, healthcare utilization, activity limitations and medication use *Sekerel et al. Respir Med (in press)

  5. Method: AIRET to ACT Mapping • Within the AIRET survey five questions were identified that could be mapped to the five items in ACT – varying degree of ‘match’, but all valid for mapping • Both sources used a recall period of 4 weeks • Group the AIRET population (aged ≥ 12 years) for asthma control status as defined using the derivedACT score

  6. ACT mapping: Question 1 * 1 missing observation $ 2 missing observations

  7. ACT mapping: Question 2 * No missing observations

  8. ACT mapping: Question 3 * No missing observations

  9. ACT mapping: Question 4 * 5 missing observations

  10. ACT mapping: Question 5 * No missing observations

  11. RESULTSAIRET to ACT mapping

  12. Sections of Results • Distribution of responses for each ACT question from AIRET question mapping • Distribution of ACT scores • Unscheduled Healthcare Resource Use (HCRU)

  13. Patient Demographics • 354 patients aged ≥12 years • Mean age 48.1 years ( 16.5) • 73% female • 32% current smokers

  14. Distribution of responses foreach ACT question

  15. Distribution of ACT scores

  16. Unscheduled HealthcareResource Use * % patients reporting use in previous 12 months

  17. Conclusion • Asthma that is not well controlled, as defined by the derived ACT score, was found to be associated with higher levels of unscheduled healthcare resource use in Turkey.

  18. In Summary …. • Of the 354 patients analysed, 43% considered their asthma to be well/totally controlled(ACT Q5) • Yet 79% did not achieve well controlled asthma (ACT Total score ≥ 20) • Only 3 patients (1%) achieved total control(ACT Total score 25) • Poorer asthma control is associated with an increased requirement for costly unscheduled care

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