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Determinants and impact of suboptimal asthma control in Europe: The INTERNATIONAL CROSS-SECTIONAL AND LONGITUDINAL ASSESSMENT ON ASTHMA CONTROL (LIAISON) study
Open accessAbstract
BACKGROUND: According to the Global Initiative of Asthma, the aim of asthma treatment is to gain and maintain control. In the INTERNATIONAL CROSS-SECTIONAL AND LONGITUDINAL ASSESSMENT ON ASTHMA CONTROL (LIAISON) study, we evaluated the level of asthma control and quality of life (QoL), as well as their determinants and impact in a population consulting specialist settings. METHODS: LIAISON is a prospective, multicentre, observational study with a cross-sectional and a 12-month longitudinal phase. Adults with an asthma diagnosis since at least 6 months, receiving the same asthma treatment in the 4 weeks before enrolment were included. Asthma control was assessed with the 6-item Asthma Control Questionnaire (ACQ) and QoL with the MiniAsthma Quality of Life Questionnaire (MiniAQLQ). RESULTS: Overall, 8111 asthmatic patients were enrolled in 12 European countries. Asthma control was suboptimal in 56.5 % of patients and it was associated with poorer asthma-related QoL, higher risk of exacerbations and greater consumption of healthcare resources. Variables associated with suboptimal control were age, gender, obesity, smoking and comorbidities. Major determinants of poor asthma control were seasonal worsening and persisting exposure to allergens/irritants/triggers, followed by treatment-related issues. CONCLUSIONS: The cross-sectional phase results confirm that suboptimal control is frequent and has a high individual and economic impact. TRIAL REGISTRATION: The clinicaltrials.gov identifier is NCT01567280 .
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“A diagnosis of asthma and a comorbid anxiety disorder increase the risk for poor asthma control, impaired quality of life as well as increased health care utilization (Braido et al., 2016; Strine et al., 2008).”
From Targeting excessive avoidance behavior to reduce anxiety related to asthma: A feasibility study of an exposure-based treatment delivered online (2021) · cites this paper as Braido et al., 2016
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Toh, M. R., Ng, G. X. Z., Goel, I., Lam, S. W., Wu, J. T., Lee, C. F., Ong, M. E. H., Matchar, D. B., Tan, N. C., Loo, C. M., et al. (2024) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-024-00391-w · Cited by 8
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Khramova, R. N., Tush, Е. V., Khramov, A. A., Ovsyannikov, D. Y., Popov, K., Dolbin, I. V., Khaletskaya, О. V., Строганов, А. Б., Kubysheva, N. I., & Eliseeva, T. I. (2020) · Современные технологии в медицине · doi:10.17691/stm2020.12.3.02 · Cited by 8
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Choi, J. Y., Yoon, H. K., Lee, J. H., Yoo, K. H., Kim, B., Bae, H. W., Kim, Y. K., & Rhee, C. K. (2018) · Journal of Thoracic Disease · doi:10.21037/jtd.2018.06.109 · Cited by 8
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Latorre, M., Rizzi, A., Paggiaro, P., Baiardini, I., Bagnasco, D., Giacco, S. D., Lombardi, C., Patella, V., Nucera, E., Parente, R., et al. (2024) · Journal of Asthma · doi:10.1080/02770903.2024.2338863 · Cited by 7
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Verhamme, K. M. C., Lucet, C., MEERHAEGHE, A. V., Brusselle, G., & Lambert, M. (2019) · ERJ Open Research · doi:10.1183/23120541.00253-2018 · Cited by 7
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Metadata
- Authors
- on behalf of the LIAISON Study Group, Braido, F., Brusselle, G., Guastalla, D., Ingrassia, E., Nicolini, G., Price, D., Roche, N., Soriano, J. B., & Worth, H.
- Affiliations
- Ospedale Policlinico San Martino (IT)
- Ghent University Hospital (BE)
- Chiesi (Italy) (IT)
- University of Aberdeen (GB)
- Hospital Universitario de La Princesa (ES)
- Corresponding author
- Ingrassia, Eleonora
- Venue
- Respiratory Research
- Published
- 2016-05-14
- Volume
- 17
- Issue
- 1
- Pages
- 51-51
- ISSN
- 1465-9921 (ISSN-L)
- 1465-993X
- PMC
- PMC4894377
- OpenAlex
- W2360510406
- Cited by
- 152
- References
- 22
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 11 · 2023: 13 · 2022: 19 · 2021: 21 · 2020: 19 · 2019: 21 · 2018: 14 · 2017: 9 · 2016: 2
- FWCI
- 12.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Respiratory Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (publishedVersion, cc-by)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion)
- Tesis Doctorals en Xarxa (Consorci de Serveis Universitaris de Catalunya) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (acceptedVersion, other-oa)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, cc-by)
- Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
- Biblos-e Archivo (Universidad Autónoma de Madrid) (submittedVersion, public-domain)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Hispana (submittedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- Funders
- Chiesi Farmaceutici
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- asthma control, asthma quality of life, asthma exacerbations, healthcare resource utilization, Asthma Control Questionnaire, smoking, obesity, comorbidities
- MeSH terms
- Adult, Age Factors, Aged, Asthma, Cross-Sectional Studies, Europe, Female, Health Resources, Humans, Longitudinal Studies, Lung, Male, Middle Aged, Obesity, Prospective Studies, Quality of Life, Surveys and Questionnaires, Risk Factors, Seasons, Sex Factors, Smoking, Time Factors, Comorbidity, Drug Costs, Treatment Outcome, Disease Progression, Anti-Asthmatic Agents, Medication Adherence
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