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npj Primary Care Respiratory Medicine Articles


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Npj Primary Care Respiratory Medicine, a Nature Research Journal is the official Journal of the PCRS and the International Primary Care Group (IPCRG). An online, open access, journal, jointly owned by PCRS and Springer Nature, npj Primary Care Respiratory Medicine is the only indexed scientific journal devoted to the management of respiratory diseases in primary care. The latest content published by the journal can be found below. Visit https://www.nature.com/npjpcrm for the full range of articles and information on how to submit.


Author Correction: “Tossing a coin:” defining the excessive use of short-acting beta2-agonists in asthma—the views of general practitioners and asthma experts in primary and secondary care

Author Correction: “Tossing a coin:” defining the excessive use of short-acting beta2-agonists in asthma—the views of general practitioners and asthma experts in primary and secondary care, Published online: 14 January 2019; doi:10.1038/s41533-018-0114-6

Author Correction: “Tossing a coin:” defining the excessive use of short-acting beta2-agonists in asthma—the views of general practitioners and asthma experts in primary and secondary care

Prospective observational study validating the German version of the Control of Allergic Rhinitis and Asthma Test (CARAT10)

Prospective observational study validating the German version of the Control of Allergic Rhinitis and Asthma Test (CARAT10), Published online: 04 December 2018; doi:10.1038/s41533-018-0112-8

A newly-translated German version of a two-factor asthma test shows promise as a reliable tool for assessing disease control. Asthma frequently co-exists with allergic rhinitis (AR), a condition in which allergies cause irritation and inflammation of the nasal passages. To verify asthma control under AR, a Portuguese team developed the Control of Allergic Rhinitis and Asthma Test (CARAT10). Now, Christoph Ulrich Werner at the Technical University of Munich in Germany and co-workers have translated CARAT10 into German and verified its reliability and validity for use in the German population. The team trialed their CARAT10 version with 213 patients, 101 of whom had concurrent AR, and compared the results with three standardised asthma questionnaires. They found that CARAT10 was a better fit to verify disease control for patients with co-existing AR than in such.

Systematic review of the effectiveness of community-based self-management interventions among primary care COPD patients

Systematic review of the effectiveness of community-based self-management interventions among primary care COPD patients, Published online: 23 November 2018; doi:10.1038/s41533-018-0111-9

Further work is needed to ensure that self-management of chronic lung disease in primary care settings actively improves patients’ quality of life. While self-management is beneficial to patients in secondary care with severe chronic obstructive pulmonary disease (COPD), few studies have examined self-management effectiveness in primary care patients with milder COPD. Kate Jolly at the University of Birmingham, UK, and co-workers identified only 12 studies out of over 12,500 that specifically examined self-management in primary care. Of these, seven were suitable for metanalysis. The team found that community-based interventions to support self-management did not make a significant difference to patients’ perceived quality of life, or in reducing anxiety and depression. They call for further research to identify specific support that will help patients with mild to moderate COPD cope and adapt to the progressive condition.

Systematic review of association between critical errors in inhalation and health outcomes in asthma and COPD

Systematic review of association between critical errors in inhalation and health outcomes in asthma and COPD, Published online: 16 November 2018; doi:10.1038/s41533-018-0110-x

Systematic review of association between critical errors in inhalation and health outcomes in asthma and COPD

IMP2ART systematic review of education for healthcare professionals implementing supported self-management for asthma

IMP<sup>2</sup>ART systematic review of education for healthcare professionals implementing supported self-management for asthma, Published online: 06 November 2018; doi:10.1038/s41533-018-0108-4

IMP2ART systematic review of education for healthcare professionals implementing supported self-management for asthma

Cross-sectional study assessing the performance of the Arabic translated childhood asthma control test

Cross-sectional study assessing the performance of the Arabic translated childhood asthma control test, Published online: 01 November 2018; doi:10.1038/s41533-018-0109-3

The cut-off score suggestive of poor disease management in the Childhood Asthma Control Test (C-ACT) may need to be changed for different geographical populations. Majid AlTeneiji at Tawam Hospital in Al-Ain, and co-workers across the United Arab Emirates compared the performance of the Arabic version of the C-ACT with the global asthma control test, GINA, in verifying levels of asthma and treatment control. The researchers enrolled 105 children aged 4 to 11 who completed both tests. The Arabic C-ACT performed with high reliability and validity, but the team found that the original English cut-point score of 19, indicating poor disease management, should be raised to 20 in their Arabic population to improve test accuracy. AlTeneiji’s team suggest that the C-ACT test points system may need to be revised for different geographical settings around the world.

Diagnostic value of signs, symptoms and diagnostic tests for diagnosing pneumonia in ambulant children in developed countries: a systematic review

Diagnostic value of signs, symptoms and diagnostic tests for diagnosing pneumonia in ambulant children in developed countries: a systematic review, Published online: 26 October 2018; doi:10.1038/s41533-018-0104-8

Diagnostic value of signs, symptoms and diagnostic tests for diagnosing pneumonia in ambulant children in developed countries: a systematic review