title: [Therapeutic adherence in asthma in France: A general review].
abstract: BACKGROUND
  Adherence in asthma is a paramount issue of disease management. A general review of the French publications on this topic has been conducted.
  
  
  METHODS
  Research equations used for bibliographic databases (MEDLINE, Science Direct, Banque de données en santé publique, Cochrane and Cairn.info) comprised the following keywords: "asthma", "therapeutic adherence" and "France". These publications unrelated to asthma, focused on asthma management without exploring adherence, or those conducted in populations without French patients were excluded.
  
  
  RESULTS
  A total of 82 articles have been selected (36 surveys, 4 randomized trials and 42 reviews/syntheses). Whatever the methodology used and publication year, the inadequate therapeutic adherence in asthma was steadily reported, notably for controllers and the quality of use of inhaled devices.
  
  
  CONCLUSIONS
  The present review highlights the sustainability of adherence-related issues in asthma and the need to improve patients' knowledge on asthma and the finality of therapy. It also highlights the need of an improved communication between patients and physicians is also advocated. Further studies with more recent data are desirable to assess changes in disease management of asthma and the impact of potential future corrective interventions.
authors.affiliation: PELyon (Pharmacoepidemiology Lyon), faculté d'odontologie, 11, rue Guillaume Paradin, 69008 Lyon, France.
authors.forename: L
authors.initials: L
authors.lastname: Laforest
authors.affiliation: PELyon (Pharmacoepidemiology Lyon), faculté d'odontologie, 11, rue Guillaume Paradin, 69008 Lyon, France.
authors.forename: M
authors.initials: M
authors.lastname: Belhassen
authors.affiliation: Service de pneumologie, hôpital de la Croix-Rousse, hospices civils de Lyon, 69000, Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Devouassoux
authors.affiliation: Pôle des voies respiratoires, hôpital Larrey, CHU de Toulouse, 31000, Toulouse, France.
authors.forename: A
authors.initials: A
authors.lastname: Didier
authors.affiliation: Département de médecine générale, faculté de médecine, université Claude-Bernard Lyon I, 69000, Lyon, France.
authors.forename: L
authors.initials: L
authors.lastname: Letrilliart
authors.affiliation: PELyon (Pharmacoepidemiology Lyon), faculté d'odontologie, 11, rue Guillaume Paradin, 69008 Lyon, France; Service de pneumologie, hôpital de la Croix-Rousse, hospices civils de Lyon, 69000, Lyon, France; HESPER 7425, Health Services and Performance Research, Lyon, France. Electronic address: eric.van-ganse@univ-lyon1.fr.
authors.forename: É
authors.initials: É
authors.lastname: Van Ganse
mesh_terms: D001249:Asthma / Q000453:epidemiology* / Q000628:therapy*; D005602:France / Q000453:epidemiology; D006801:Humans; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010353:Patient Education as Topic
keywords: Adhésion à la thérapie médicamenteuse; Asthma; Asthme; Disease management; Education of patients; France; Medication Adherence; Prise en charge de la maladie; Éducation du patient