Picturing asthma in Turkey: results from the Turkish adult asthma registry.

Autor: Celik GE; Department of Chest Disease, Division of Immunology and Allergy, Ankara University School of Medicine, Ankara, Turkey., Aydin O; Department of Chest Disease, Division of Immunology and Allergy, Ankara University School of Medicine, Ankara, Turkey., Gokmen D; Department of Biostatistics and Informatics, Ankara University School of Medicine, Ankara, Turkey., Koycu Buhari G; Department of Immunology and Allergy, University of Health Sciences, Ankara Ataturk Sanatoryum Training and Research Hospital, Ankara, Turkey., Celebi Sozener Z; Department of Chest Disease, Division of Immunology and Allergy, Ankara University School of Medicine, Ankara, Turkey.; Ankara City Hospital Clinic of Immunology and Allergic Diseases, Ankara, Turkey., Gemicioglu B; Cerrahpaşa Faculty of Medicine, Department of Pulmonary Diseases, Istanbul University-Cerrahpaşa, Istanbul, Turkey., Bulut I; Department of Immunology and Allergy, University of Health Sciences Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey., Beyaz S; Ankara City Hospital Clinic of Immunology and Allergic Diseases, Ankara, Turkey.; Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergic Diseases, Istanbul University, Istanbul, Turkey., Orcen C; Clinic of Allergy and Immunology, University of Health Sciences, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey., Ozdemir SK; Department of Chest Diseases, Division of Allergy and Immunology, University of Health Sciences, Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, Izmir, Turkey., Keren M; Department of Immunology and Allergy, University of Health Sciences Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey., Damadoglu E; Faculty of Medicine, Department of Chest Diseases, Division of Allergy and Clinical Immunology, Hacettepe University, Ankara, Turkey., Yakut T; Clinic of Immunology and Allergic Diseases, Diyarbakir Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey., Kalpaklioglu AF; Faculty of Medicine, Department of Allergy and Immunology, Kirikkale University, Kirikkale, Turkey., Baccioglu A; Faculty of Medicine, Department of Allergy and Immunology, Kirikkale University, Kirikkale, Turkey., Yalim SA; Faculty of Medicine, Department of Allergy and Immunology, Kirikkale University, Kirikkale, Turkey., Yilmaz I; School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Erciyes University, Kayseri, Turkey., Koca Kalkan I; Department of Immunology and Allergy, University of Health Sciences, Ankara Ataturk Sanatoryum Training and Research Hospital, Ankara, Turkey., Uysal MA; Department of Chest Diseases, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey., Ozgun Niksarlioglu EY; Department of Chest Diseases, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey., Kalyoncu AF; Faculty of Medicine, Department of Chest Diseases, Division of Allergy and Clinical Immunology, Hacettepe University, Ankara, Turkey., Karakaya G; Faculty of Medicine, Department of Chest Diseases, Division of Allergy and Clinical Immunology, Hacettepe University, Ankara, Turkey., Erbay M; Clinic of Immunology and Allergy Diseases, Mehmet Akif Inan Training and Research Hospital, Sanliurfa, Turkey., Nayci S; Faculty of Medicine, Department of Chest Diseases, Mersin University, Mersin, Turkey., Tepetam FM; Department of Immunology and Allergy, University of Health Sciences Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey., Gelincik AA; Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergic Diseases, Istanbul University, Istanbul, Turkey., Dirol H; Faculty of Medicine, Department of Chest Diseases, Akdeniz University, Antalya, Turkey., Goksel O; Faculty of Medicine, Pulmonary, Immunology and Allergy, Ege University, Izmir, Turkey., Karaoglanoglu S; Department of Pulmonology, Ordu University, Training and Research Hospital, Ordu, Turkey., Oner Erkekol F; Faculty of Medicine, Ankara City Hospital, Clinic of Immunology and Allergic Diseases, Ankara Yildirim Beyazit University, Ankara, Turkey.; Division of Allergy and Immunology, Medicana International Ankara Hospital, Ankara, Turkey., Isik SR; Adult Allergy and Immunology Department, American Hospital, Istanbul, Turkey., Yildiz F; Faculty of Medicine, Department of Pulmonary Diseases, Kocaeli University, Kocaeli, Turkey.; School of Medicine, Department of Pulmonary Diseases, Cyprus Internatıonal Unıversıty, Cyprus., Yavuz Y; Department of Biostatistics and Informatics, Ankara University School of Medicine, Ankara, Turkey., Karadogan D; School of Medicine, Department of Chest Diseases, Recep Tayyip Erdoğan University, Rize, Turkey., Bozkurt N; Faculty of Medicine, Department of Chest Diseases, Akdeniz University, Antalya, Turkey., Seker U; Clinic of Immunology and Allergic Diseases, Bursa City Hospital, Bursa, Turkey., Oguzulgen IK; School of Medicine, Department of Pulmonary Diseases, Gazi University, Ankara, Turkey., Basyigit I; Faculty of Medicine, Department of Pulmonary Diseases, Kocaeli University, Kocaeli, Turkey., Baris SA; Faculty of Medicine, Department of Pulmonary Diseases, Kocaeli University, Kocaeli, Turkey., Yilmazel Ucar E; Faculty of Medicine, Department of Pulmonary Disease, Ataturk University, Erzurum, Turkey., Erdogan T; Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergy, Baskent University, Ankara, Turkey., Polatli M; School of Medicine, Department of Pulmonology, Aydin Adnan Menderes University, Aydin, Turkey., Ediger D; Faculty of Medicine, Department of Chest Diseases, Division of Immunology and Allergy, Bursa Uludag University, Bursa, Turkey., Gunaydin FE; Faculty of Medicine, Department of Chest Diseases, Division of Immunology and Allergy, Bursa Uludag University, Bursa, Turkey., Turk M; School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Erciyes University, Kayseri, Turkey.; Clinic of Immunologic and Allergic Diseases, Kayseri City Hospital, Kayseri, Turkey., Pur L; Adult Allergy Service, Glenfield Hospital, University Hospitals of Leicester, Leicester, UK., Katran ZY; Department of Immunology and Allergy, University of Health Sciences Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey., Sekibag Y; Cerrahpaşa Faculty of Medicine, Department of Pulmonary Diseases, Istanbul University-Cerrahpaşa, Istanbul, Turkey., Aykac EF; Cerrahpaşa Faculty of Medicine, Department of Pulmonary Diseases, Istanbul University-Cerrahpaşa, Istanbul, Turkey., Mungan D; Department of Chest Disease, Division of Immunology and Allergy, Ankara University School of Medicine, Ankara, Turkey., Gul O; Department of Chest Disease, Division of Immunology and Allergy, Ankara University School of Medicine, Ankara, Turkey., Cengiz A; Department of Chest Disease, Division of Immunology and Allergy, Ankara University School of Medicine, Ankara, Turkey., Akkurt B; Department of Chest Diseases, Division of Allergy and Immunology, University of Health Sciences, Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, Izmir, Turkey., Ozden S; Department of Immunology and Allergy, University of Health Sciences Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey., Demir S; Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergic Diseases, Istanbul University, Istanbul, Turkey., Unal D; Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergic Diseases, Istanbul University, Istanbul, Turkey., Aslan AF; Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergic Diseases, Istanbul University, Istanbul, Turkey., Can A; Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergic Diseases, Istanbul University, Istanbul, Turkey., Gumusburun R; Faculty of Medicine, Pulmonary, Immunology and Allergy, Ege University, Izmir, Turkey., Bogatekin G; Faculty of Medicine, Pulmonary, Immunology and Allergy, Ege University, Izmir, Turkey., Akten HS; Faculty of Medicine, Pulmonary, Immunology and Allergy, Ege University, Izmir, Turkey., Inan S; Faculty of Medicine, Pulmonary, Immunology and Allergy, Ege University, Izmir, Turkey., Erdinc M; Faculty of Medicine, Department of Pulmonology, Ege University, Izmir, Turkey., Ogus AC; Faculty of Medicine, Department of Chest Diseases, Akdeniz University, Antalya, Turkey., Kavas M; Department of Immunology and Allergy, University of Health Sciences Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey., Polat Yulug D; Clinic of Chest Diseases, Mersin City Training and Research Hospital, Mersin, Turkey., Cakmak ME; Faculty of Medicine, Department of Chest Diseases, Division of Allergy and Clinical Immunology, Hacettepe University, Ankara, Turkey., Kaya SB; Faculty of Medicine, Department of Chest Diseases, Division of Allergy and Clinical Immunology, Hacettepe University, Ankara, Turkey., Alpagat G; Faculty of Medicine, Department of Allergy and Immunology, Kirikkale University, Kirikkale, Turkey., Ozgur ES; Faculty of Medicine, Department of Chest Diseases, Mersin University, Mersin, Turkey., Uzun O; Department of Pulmonary Medicine, Ondokuz Mayis University, Samsun, Turkey., Tas Gulen S; School of Medicine, Department of Pulmonology, Aydin Adnan Menderes University, Aydin, Turkey., Pekbak G; Faculty of Medicine, Department of Chest Diseases, Division of Immunology and Allergy, Bursa Uludag University, Bursa, Turkey., Kizilirmak D; Faculty of Medicine, Department of Pulmonology, Manisa Celal Bayar University, Manisa, Turkey., Havlucu Y; Faculty of Medicine, Department of Pulmonology, Manisa Celal Bayar University, Manisa, Turkey., Donmez H; School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Recep Tayyip Erdogan University, Rize, Turkey., Arslan B; School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Erciyes University, Kayseri, Turkey., Cetin GP; School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Erciyes University, Kayseri, Turkey., Soyyigit S; Faculty of Medicine, Ankara City Hospital, Clinic of Immunology and Allergic Diseases, Ankara Yildirim Beyazit University, Ankara, Turkey., Kara BY; School of Medicine, Department of Chest Diseases, Recep Tayyip Erdoğan University, Rize, Turkey., Pasaoglu Karakis G; School of Medicine, Department of Chest Diseases, Adult Allergy-Immunology Unit, Biruni University, Istanbul, Turkey., Dursun AB; School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Recep Tayyip Erdogan University, Rize, Turkey.; Medical School, Department of Respiratory Medicine, Lokman Hekim University, Ankara, Turkey., Kendirlinan R; Clinic of Immunology and Allergic Diseases, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkey., Ozturk AB; Faculty of Medicine, Department of Allergy and Immunology, Medeniyet University, Istanbul, Turkey., Sevinc C; School of Medicine, Department of Respiratory Diseases, Dokuz Eylul University, Izmir, Turkey., Omeroglu Simsek G; School of Medicine, Department of Respiratory Diseases, Dokuz Eylul University, Izmir, Turkey., Abadoglu O; Private Immunology and Allergy Clinic, Istanbul, Turkey., Cerci P; Clinic of Immunology and Allergic Diseases, Van Regional Training and Research Hospital, Van, Turkey., Yucel T; School of Medicine Department of Ear Nose and Throat, Hacettepe University, Ankara, Turkey., Yorulmaz I; School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Ankara University, Ankara, Turkey., Tezcaner ZC; School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Ankara University, Ankara, Turkey., Tatar EC; Department of Otolaryngology, University of Health Sciences, Etlik City Hospital, Ankara, Turkey., Suslu AE; School of Medicine Department of Ear Nose and Throat, Hacettepe University, Ankara, Turkey.; Ahmet Emre Suslu Private Ear Nose and Throat Clinic, Ankara, Turkey., Ozer S; School of Medicine Department of Ear Nose and Throat, Hacettepe University, Ankara, Turkey., Dursun E; Faculty of Medicine, Department of Otorhinolaryngology, Lokman Hekim University, Ankara, Turkey., Yorgancioglu A; Faculty of Medicine, Department of Pulmonology, Manisa Celal Bayar University, Manisa, Turkey.
Jazyk: angličtina
Zdroj: The Journal of asthma : official journal of the Association for the Care of Asthma [J Asthma] 2023 Nov; Vol. 60 (11), pp. 1973-1986. Date of Electronic Publication: 2023 May 31.
DOI: 10.1080/02770903.2023.2206902
Abstrakt: Introduction: National data on asthma characteristics and the factors associated with uncontrolled asthma seem to be necessary for every country. For this purpose, we developed the Turkish Adult Asthma Registry for patients with asthma aiming to take a snapshot of our patients, thereby assigning the unmet needs and niche areas of intervention.
Methods: Case entries were performed between March 2018 and March 2022. A web-based application was used to record data. Study outcomes were demographic features, disease characteristics, asthma control levels, and phenotypes.
Results: The registry included 2053 patients from 36 study centers in Turkey. Female subjects dominated the group ( n  = 1535, 74.8%). The majority of the patients had allergic ( n  = 1158, 65.3%) and eosinophilic ( n  = 1174, 57.2%) asthma. Six hundred nineteen (32.2%) of the patients had obese asthma. Severe asthma existed in 670 (32.6%) patients. Majority of cases were on step 3-5 treatment (n: 1525; 88.1%). Uncontrolled asthma was associated with low educational level, severe asthma attacks in the last year, low FEV 1 , existence of chronic rhinosinusitis and living in particular regions.
Conclusion: The picture of this registry showed a dominancy of middle-aged obese women with moderate-to-severe asthma. We also determined particular strategic targets such as low educational level, severe asthma attacks, low FEV 1, and chronic rhinosinusitis to decrease uncontrolled asthma in our country. Moreover, some regional strategies may also be needed as uncontrolled asthma is higher in certain regions. We believe that these data will guide authorities to reestablish national asthma programs to improve asthma service delivery.
Databáze: MEDLINE