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    Saturday, April 16, 2005

    Ignoring the Guidelines: Several years ago, the National Institutes of Health came out with a set of guidelines for the treatment of asthma. These guidelines were initially intended to help doctors provide the best care possible based on existing evidence. They've since evolved to also become a way for insurance companies to rate the quality of care a doctor gives. According to the guidelines, people with mild asthma should be on a maintenance medication such as an inhaled steroid or a leukotriene inhibitor to minimize future asthma attacks. Unfortunately, few asthma patients are willing to live by the guidelines. Even those whose insurance companies pick up the tab for the drugs only fill them 42% of the time. Now, new research says the patients are right:

    Boushey and colleagues studied 225 adults with mild persistent asthma, divided into three groups. One used an inhaled steroid daily, the second took a daily asthma pill, and the third used an inhaler only when symptoms appeared.

    After a year, those getting the inhaled steroid each day had about 26 more days a year without symptoms, but still reported the same quality of life as the two other groups.

    The findings are likely to be controversial, given that earlier research showed daily treatment not only prevents symptoms but may also limit the progressive loss of lung function. The current guidelines were based on those earlier studies.


    According to the study, the slackers had the same number of asthma exacerbations as those who took their medications religiously. Guess it's time to stop nagging my mild asthmatics.

     

    posted by Sydney on 4/16/2005 10:06:00 PM 0 comments

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