Asthma Medication Prescribing Practices in Pediatric Office Visits

This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, w...

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Bibliographic Details
Published in:Clinical pediatrics 2019-04, Vol.58 (4), p.395-405
Main Authors: Rege, Sanika, Kavati, Abhishek, Ortiz, Benjamin, Mosnaim, Giselle, Cabana, Michael D., Murphy, Kevin, Aparasu, Rajender R.
Format: Article
Language:English
Subjects:
Administration, Inhalation
Adolescent
Adrenal Cortex Hormones - administration & dosage
Adrenal Cortex Hormones - therapeutic use
Anti-Asthmatic Agents - administration & dosage
Anti-Asthmatic Agents - therapeutic use
Asthma
Asthma - drug therapy
Child
Children
Corticosteroids
Cross-Sectional Studies
Demographics
Female
Humans
Male
Males
Pediatrics
Practice Patterns, Physicians' - statistics & numerical data
United States
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Summary:This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, with asthma as a primary diagnosis (International Classification of Diseases, Ninth Revision, Clinical Modification, code 493.xx). Descriptive weighted analysis evaluated asthma medication use. Multivariable logistic regression examined characteristics associated with asthma prescribing practices. An estimated 2.5 million pediatric office visits were made annually for asthma. The majority of asthma visits involved males (59.3%), children aged 6 to 11 years (54.8%), and whites (73.6%). Several clinical and demographic characteristics contributed to the variations in overall asthma medication use as well as specific drug classes. Lack of documentation of asthma control and uncontrolled asthma were associated with oral corticosteroid and inhaled corticosteroid use in pediatric asthma patients, but not with overall asthma medication use.
ISSN:0009-9228
1938-2707
DOI:10.1177/0009922818822980