Allergy, Asthma & Respiratory Disease

The Korean Academy of Asthma, Allergy and Clinical Immunology (대한천식알레르기학회)
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A Delphi approach to the development of standard questionnaire to investigate asthma in Koreans

소아 및 성인 천식 유병률 파악을 위한 델파이법을 활용한 표준조사서 개발

  • An, Jaewoo (Department of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine) ;
  • Lee, Kyung Suk (Department of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine) ;
  • Kim, Jin Tack (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Yang, Hyeon-Jong (Department of Pediatrics, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine) ;
  • Cho, You Sook (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jang, Kwang Cheon (Department of Pediatrics, National Health Insurance Corporation Ilsan Hospital) ;
  • Song, Woo-Jung (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kwon, Hyouk-Soo (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yoon, Jong Seo (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Han, Man Yong (Department of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine)
  • 안재우 (차의과학대학교 의과대학 소아청소년과학교실) ;
  • 이경석 (차의과학대학교 의과대학 소아청소년과학교실) ;
  • 김진택 (가톨릭대학교 의과대학 소아청소년과학교실) ;
  • 양현종 (순천향대학교 의과대학 순천향대학교 서울병원 소아청소년과) ;
  • 조유숙 (울산대학교 의과대학 서울아산병원 내과) ;
  • 장광천 (국민건강보험 일산병원 소아청소년과) ;
  • 송우정 (서울대학교 의과대학 내과학교실) ;
  • 권혁수 (울산대학교 의과대학 서울아산병원 내과) ;
  • 윤종서 (가톨릭대학교 의과대학 소아청소년과학교실) ;
  • 한만용 (차의과학대학교 의과대학 소아청소년과학교실)
  • Received : 2017.06.14
  • Accepted : 2017.08.14
  • Published : 2018.01.31
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Abstract

Purpose: Recently, the prevalence and disease burden of asthma have increased. Thus, the need for early diagnosis and appropriate management of asthma is emerging. However, it is difficult to identify the diagnosis, symptoms and the prevalence of asthma due to lack of reliable investigating items. The purpose of this study was to develop a standardized survey format in order to assess the prevalence of asthma in Koreans. Methods: We investigated surveys and related information that are utilized to assess asthma diagnosis and prevalence by systematic review. After that, Delphi survey was conducted on 44 Korean allergists in order to develop a standardized survey in Korea. The process consisted of 3 serial rounds across 3 age groups. Each subsequent round narrowed investigating items for the decision of standard set about asthma prevalence, current asthma, and asthma aggravation. Results: Lifetime asthma was defined as "ever doctor-diagnosed asthma" in all age groups. Current asthma was defined as "treatment for asthma during the past 12 months" in all age groups, and "doctor-diagnosed asthma during the past 12 months" was added on the ${\geq}5$-year-old and adult groups. "Wheezing ever" was defined as "wheezing at any time in the past," and current wheeze was defined as "wheezing in the last 12 months." Asthma aggravation was defined as "visits at the emergency department or admission due to asthma attack within the last 12 months" in all age groups. Conclusion: We established applicable nationwide definitions of "lifetime asthma," "current asthma," and "asthma aggravation" in Koreans by the Delphi survey.

Keywords

Acknowledgement

Supported by : Research of Korea Centers for Disease Control and Prevention

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