Favorable results from a Dutch asthma/COPD service for primary care

Esther Metting, Roland Riemersma, Robbert Sanderman, Thys Van Der Molen, Janwillem Kocks

Research output: Contribution to conferenceAbstractAcademic


Introduction:In 2007, an asthma/COPD(AC) service was implemented in The North of the Netherlands to advice general practitioner(GP)s in diagnosing and treating their asthma and COPD patients by involving local pulmonologists. GPs may refer patients for single/yearly follow up assessments. If so, patients are automatically scheduled for an additional 3 months assessment if a change in medication is advised by the pulmonologist. At the moment, ∼12.000 baseline and ∼1000 follow up visits are performed.
Aim:To examine longitudinal data on disease related outcomes 
Methods:Spirometry, medical history, health status (Clinical COPD Questionnaire (CCQ)) and asthma control (Asthma Control Questionnaire (ACQ)) were assessed by the service. Non parametric tests were used for the evaluation of exacerbations and ACQ/CCQ scores between baseline and follow up. 
Results:The proportion of patients with ≥1 exacerbation/year decreased from 37% at baseline to 26% at 12 months (n=1062, p<0.000). In COPD patients scheduled for the 3 months follow up, the proportion of stable COPD patients (CCQ<1) increased from 37% (baseline) to 51% (3 months, n=149 p=0.001). In asthma patients the proportion of patients with well controlled asthma (ACQ <0.75) increased from 24% (baseline) to 49% (3 months, n=504 p<0.000).
Conclusion:Patients in the AC service improved on exacerbation/year. If change in medication was advised, COPD patients improved on health status and asthma patients improved on asthma control. Asthma and COPD patients referred to 12 months follow up stabilized in health status and asthma control. More research is needed to elucidate which factors contribute to the improvement.
Original languageEnglish
Number of pages1
Publication statusPublished - 1-Sept-2013
EventEuropean Respiratory Society Annual Congress 2013 - Barcelona, Spain
Duration: 7-Sept-201311-Sept-2013


ConferenceEuropean Respiratory Society Annual Congress 2013
Abbreviated titleERS 2013


  • Primary care
  • COPD - management
  • Asthma - management
  • primary medical care
  • European
  • asthma
  • society
  • human
  • patient
  • follow up
  • chronic obstructive lung disease
  • health status
  • pulmonologist
  • questionnaire
  • drug therapy
  • nonparametric test
  • general practitioner
  • medical history
  • spirometry
  • Netherlands

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