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Poorly controlled asthma costly
Date:8/4/2011

y controlled asthma at $4,983, compared to $3,236 for not well controlled asthma, and $3,588 for well controlled asthma.

Indirect costs were much greater for poorly controlled asthma as measured by the impact on work and school. Children with poorly controlled asthma missed an average of 18 school days per year, compared to 2 missed days for poorly controlled asthma, and 0 for the well controlled asthma.

The researchers estimated that one parent would have to stay home for each missed school day, at an average cost of $172 dollars per day. Indirect costs for very poorly controlled asthma, $3,078, were more than eight times as great as the costs for not well controlled asthma, $369. With no missed school days among well controlled asthma patients, their indirect costs were $0.

The large variance for missed school days suggested another cost not included in the researchers' calculationslow educational achievement. They cited a study of 3,812 students in Missouri indicating a much higher chance of failure for those absent an average of 12 school days. The very poorly controlled asthma patients in the current study missed an average of 18 days.

But the researchers also cited another study that suggested about 85 percent of asthma patients can bring asthma under control with careful education and supervision. Their data do indicate that improvement in asthma control does reduce asthma-related costs.

"There are effective strategies to improve asthma control among children," said Dr. Szefler. "By addressing medication adherence, inhaler technique, proper medications, and other asthma management strategies, we could improve asthma and reduce costs significantly."


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Contact: William Allstetter
allstetterw@njhealth.org
303-398-1002
National Jewish Health
Source:Eurekalert

Page: 1 2

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