Asthma incidence and accuracy of diagnosis in the Portuguese sentinel practice network.
OBJECTIVE
Asthma is frequently under-diagnosed with a wide variation in incidence rates. We aimed to assess how physicians in a Portuguese sentinel practice network perform using standardised diagnostic criteria.


METHODS
Patients consulting one of the 43 network physicians with complaints suggestive of asthma were enrolled in the study over a four-year period. Symptom frequency and diagnoses of asthma were tabulated. Diagnostic accuracy was computed by dividing the rate of asthma diagnosis by the true rate using established diagnostic criteria.


RESULTS
Over four years, 43 physicians followed 32,103 patients (128,412 patient-years) and diagnosed asthma in 310. The diagnosis was confirmed in 260 cases, giving a true incidence rate of 2.02/1000/year (95% confidence interval 1.8 to 2.2) and an accuracy of diagnosis of 84%.


CONCLUSIONS
Asthma incidence approaches published rates if accepted criteria are used. Educational efforts to ensure more accurate diagnosis may improve outcomes for asthma patients.
Correia de Sousa
Jaime
J
School of Health Sciences, University of Minho, Braga, Portugal. jaimecsousa@gmail.com
Silva
Manuel Luciano
ML
Lobo
Filipa Almada
FA
Yaphe
John
J
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001249:Asthma / Q000175:diagnosis / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008875:Middle Aged; D011174:Portugal / Q000453:epidemiology; D017410:Practice Guidelines as Topic; D018571:Sentinel Surveillance; D055815:Young Adult