Assessment of asthma severity according to treatment steps in Japanese pediatric patients: A descriptive cross-sectional study using an administrative claims database.
Assessment of asthma severity according to treatment steps in Japanese pediatric patients: A descriptive cross-sectional study using an administrative claims database.
复制标题
根据日本儿科患者的治疗步骤评估哮喘严重程度：使用行政索赔数据库的描述性横断面研究。
DOI：
10.1080/02770903.2020.1821057
复制
发表时间：
2020
影响因子：
1.9
通讯作者：
Koji Kawakami.
中科院分区：
文献类型：
--
作者：
Satomi Yoshida;Shiro Tanaka;Yuichi Adachi;Hajime Yoshisue;Masanari Kozawa;Koji Kawakami.
日本是亚洲哮喘患病率最高的国家之一，然而，日本儿童哮喘的流行病学研究还很缺乏。本研究的目的是描述哮喘的严重程度和处方模式，其治疗的儿科患者，通过使用一个大规模的索赔database.MethodsThe分析数据集从JMDC数据库中提取的2009年4月1日至2015年3月30日期间，包括记录仅限于2至15岁的患者。使用日本儿科哮喘治疗和管理指南（JPGL）步骤作为哮喘治疗和严重程度的代表。我们还描述了儿童哮喘的特点分层的患病率和发病率队列指数years.ResultsIn患病率队列（56%男性），从2010年至2014年，约80-90%的儿童接受第1步或第2步治疗，其余的接受第3步或第4步治疗，定义由JPGL。大多数（约90%）的患者访问诊所哮喘治疗，而少数访问hospital.ConclusionsOur研究表明，哮喘的严重程度在日本的儿科患者，以及他们的人口统计学特征，使用大规模的索赔数据库。大多数儿童哮喘患者接受轻度至中度哮喘治疗，而不到10%的儿童哮喘患者接受重度哮喘治疗。
ObjectivesJapan has one of the highest asthma prevalence rates in Asia; however, there is a lack of epidemiological studies on asthma among children in Japan. This study aimed to describe the severity of asthma and the prescription patterns for its treatment among pediatric patients, by using a large-scale claims database.MethodsThe analysis datasets were extracted from the JMDC database for the period of April 1, 2009 to March 30, 2015; included records were restricted to patients between 2 and 15 years of age. The Japanese Pediatric Guidelines for the treatment and management of asthma (JPGL) steps were used as a proxy for asthma treatment and severity. We also described the characteristics of asthma in children by stratifying the prevalence and incidence cohorts by index years.ResultsIn the prevalence cohort (56% male), from 2010 to 2014, approximately 80–90% of the children received step 1 or 2 treatment, with the remainder receiving step 3 or 4 treatment, as defined by the JPGL. The majority (approximately 90%) of patients visited clinics for asthma treatment, while a minority visited hospitals.ConclusionsOur study showed the severity of asthma among Japanese pediatric patients, as well as their demographic characteristics, using a large-scale claims database. The majority of pediatric asthma patients received treatment for mild-to-moderate asthma, while less than 10% received treatment for severe asthma.