Abstract
The achievement and the maintenance of asthma control is currently considered the main goal of asthma treatment. Recent guidelines recommend regular assessment of asthma control and indicate questionnaires as important tools that can facilitate its evaluation. Questionnaires relate to GINA or NAEPP guidelines. Questionnaires constitute complex numerical or categorical scales and consist of several to over a dozen questions relating to the patient's symptoms of asthma, limitations in daily activities and usage of rescue medications within a period of time. Each questionnaire is characterized by the features that affect its reliability and usefulness. In the following paper we discuss most of the questionnaires which assess asthma control. We focus on the items they include and present the results of studies that prove the effectiveness of individual questionnaires in assessment of asthma control. Attention was drawn to the patient groups to which the questionnaires are addressed. We list the features of the questionnaire which should be considered before choosing a test, so that it satisfies both the doctor's and the patient's needs. The role of questionnaires as the easy-to-use tools is growing steadily. Unfortunately, not all are available in Polish language. Conducting appropriate validation studies may allow to use many of them in Polish conditions.
Highlights
Asthma is a chronic inflammatory disease of the airways, in which the enormous progress of treatment has been recently achieved
Asthma control is defined as the extent to which symptoms of the disease have been reduced by treatment
In order to improve the quality of asthma control assessment among minority patients, specialists developed a questionnaire dedicated for them
Summary
Asthma is a chronic inflammatory disease of the airways, in which the enormous progress of treatment has been recently achieved. The guidelines advice how to carry out an assessment of asthma control It is based on three questions, which concern the frequency of symptoms of the disease, use of short-acting inhaled bronchodilators and spirometry (percentage of predicted values of PEF or FEV1). A simplified versions of the test were developed: consisting of five (questions relating only to symptoms), six (questions about the symptoms and use of b2-agonist) and seven (the assessment of PEF instead of FEV1) questions They have been validated and are characterized by a good, but slightly lower than the full version of the questionnaire, ability to assess asthma control [17]. In order to improve the quality of asthma control assessment among minority patients, specialists developed a questionnaire dedicated for them It contains 12 items relating to four domains of the disease.
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