Inadequate Asthma Control

McClure’s Choice – Inadequate Asthma Control

July 15, 2019…….Dr. Jeremiah McClure has recommended another article.

Check out this article about asthma and inadequate asthma control….

What Can We Do to Address Inadequate Asthma Control in the United States?

Asthma burden continues to grow and inadequate control plays a major role

  • In 2007, the total cost of asthma in the United States was approximately $56 billion, due to medical costs, missed school and work days, and early deaths1
  • The total cost of asthma has increased to $81.9 billion in 20132

Asthma Burden Cost Comparison1,2

The US has high level of inadequate asthma control4,5

What are some key drivers leading to inadequate asthma control?

Therapy Adherence

  • Rates of therapy nonadherenceamong patients with asthma range from 30% to 70%6,7

  • Low adherence to asthma management regimens results in inadequate asthma control, which has7
    • Clinical consequences, including asthma exacerbations and decreased quality of life
    • Economic consequences, such as increased hospitalization and ED visits, resulting in high healthcare costs

Inhaler Technique


A 2016 systematic review of 144 articles (N=54,354 patients) reported the average of correct, acceptable, and poor inhaler technique tests over 40 years of observation8


Over 59,000 tests of inhaler technique were directly observed by trained personnel between 1975 and 20148


Only about one third of patients demonstrated correct technique, and there has not been a significant improvement in inhaler device technique over time8

Figure 3. Average Inhaler Technique over Time8

Click here for more information on a call for collaboration to address inadequate asthma control


  1. CDC Vital Signs. Asthma in the US: growing every year. https:/​/​www.​cdc.​gov/​vitalsigns/​asthma/​index.​html. Accessed November 20, 2018.
  2. Nurmagambetov T, Kuwahara R, Garbe P. The economic burden of asthma in the United States, 2008-2013. Ann Am Thorac Soc. 2018;15(3):348-356.
  3. CDC. Most recent asthma data. https:/​/​www.​cdc.​gov/​asthma/​most_recent_data.​htm. November 20, 2018.
  4. CDC. AsthmaStats. Uncontrolled asthma among persons with current asthma. https:/​/​www.​cdc.​gov/​asthma/​asthma_stats/​Uncontrolled_Asthma.​pdf. Accessed November 20, 2018.
  5. CDC. Asthma. 2016 National Health Interview Survey (NHIS) Data. https:/​/​www.​cdc.​gov/​asthma/​nhis/​2016/​table3-1.htm. Accessed November 20, 2018.
  6. Klok T, Kaptein AA, Brand PLP. Non-adherence in children with asthma reviewed: the need for improvement of asthma care and medical education.Pediatr Allergy Immunol. 2015;26(3):197-205.
  7. World Health Organization. Adherence to long-term therapies: evidence for action. 2003. http:/​/​www.​who.​int/​chp/​knowledge/​publications/​adherence_full_report.​pdf. Accessed November 20, 2018.
  8. Sanchis J, Gich I, Pedersen S, Aerosol Drug Management Improvement Team (ADMIT). Systematic review of errors in inhaler use: has patient technique improved over time? Chest. 2016;150(2):394-406.

© 2019 Teva Pharmaceuticals USA, Inc. RESP-41901. All Rights Reserved. January 2019


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