Combining Asthma Treatments Works Best for Daily Control and Relieving Attacks, AHRQ-Supported Study Finds

Issue 607
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
March 20, 2018

AHRQ Stats: Hospital Stays Involving Surgery

The number of hospitalizations involving operating room procedures decreased from 11.1 million in 2011 to 10.1 million in 2014. Total costs for those hospitalizations, however, increased from about $185 billion to $187 billion. (Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #233: Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2014, and Statistical Brief #170: Characteristics of Operating Room Procedures in U.S. Hospitals, 2011.)

Today's Headlines:

Combining Asthma Treatments Works Best for Daily Control and Relieving Attacks, AHRQ-Supported Study Finds

When treating persistent asthma in patients older than 12, using a corticosteroid and a long-acting bronchodilator for both daily asthma control and relief during asthma attacks is more effective than using different medications, according to an AHRQ-supported article in JAMA. Treatment guidelines currently suggest using an inhaled corticosteroid, with or without a long-acting bronchodilator, for daily control, and a different medication (short-acting beta-agonist, albuterol) for rescue relief. Researchers found that using the same combination therapy for both asthma control and for relief resulted in significantly fewer asthma attacks, hospitalizations and emergency room visits.  Differences in harms were not evaluated, however.  The findings are based on a new AHRQ-supported evidence review, Intermittent Inhaled Corticosteroids and Long-Acting Muscarinic Antagonists for Asthma.

AHRQ Grantee Profile Highlights Work of Gregory Maynard, M.D., To Prevent Blood Clots and Ensure Proper Blood Sugar Management

Our latest grantee profile examines how AHRQ funding has helped Gregory Maynard, M.D., chief quality officer at University of California Davis Medical Center, make care safer for numerous hospital patients by applying quality improvement principles in the areas of blood clots and the proper management of blood sugar levels. Access Dr. Maynard's profile and those of other AHRQ grantees who have made major advances in health services research.

New AHRQ Views Blog Posts

Building a Future for Shared Clinical Decision Support: Edwin Lomotan, M.D., a medical officer and chief of clinical informatics at AHRQ, discusses AHRQ's efforts to improve the interoperability of clinical decision support systems, or CDS, and how the agency is helping to make CDS more shareable, standards-based and publicly available. AHRQ's efforts include establishment of a learning network, funding opportunities for disseminating and implementing evidence into practice through CDS and development of CDS Connect, a project to demonstrate how evidence-based care can be incorporated more rapidly into clinical practice through interoperable decision support.

Bringing the Patient Voice to Evidence Generation: Arlene Bierman, M.D., director of AHRQ's Center for Evidence and Practice Improvement, highlights the release of the 21st Century Patient Registries report, an e-book addendum to AHRQ's Registries for Evaluating Patient Outcomes: A User's Guide. The publication is aimed at increasing the focus on patients. Chapters offer guidance on engaging patients throughout the design and use of registries; methodological considerations for using digital health technologies in registries; designing direct-to-patient and other patient-centric studies; and building registry networks that allow greater use and sharing of information.

Register Now: March 29 Webinar, May 1 Workshop on Opioid Stewardship

Registration is open for a March 29 webinar and a May 1 workshop sponsored by the National Quality Forum on strategies for opioid stewardship. The webinar will highlight the National Quality Partners' (NQP) Playbook™: Opioid Stewardship, developed in partnership with AHRQ. The playbook encourages health care organizations to develop realistic measurement strategies to assess key issues such as clinician prescribing patterns, adherence to best practices and the use of non-pharmacologic pain management. Register for the March 29 webinar, "Strategies for Strengthening Opioid Stewardship: A Conversation with the NQP™ Opioid Stewardship Action Team," or the May 1 workshop, "Driving Patient Safety and Quality through Opioid Stewardship," in Washington, D.C.

Highlights From AHRQ's Patient Safety Network

AHRQ's Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:

Review additional new publications in PSNet's current issue or access recent cases and commentaries in AHRQ's WebM&M (Morbidity and Mortality Rounds on the Web).

Features Added to AHRQ Surveys on Patient Experiences With Care

AHRQ has supplemented its Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys to ask about patients' experiences with health literacy and interpreter services. Refinements are intended to better meet users' needs and align these items with current CAHPS standards and approaches. The CAHPS Health Literacy Item Sets ask patients about communication with providers and about self-management of diseases and conditions, medications, tests and test results. The Interpreter Services items ask about patients' experiences with interpreter services in health care settings. The new additions are available for the CAHPS Clinician & Group Survey and the CAHPS Health Plan Survey. Email or call (800) 492-9261 for questions or comments. Access other AHRQ health literacy resources.

New Research and Evidence From AHRQ

AHRQ in the Professional Literature

Patient portal utilization among ethnically diverse low income older adults: observational study. Arcury TA, Quandt SA, Sandberg JC, et al. JMIR Med Inform 2017 Nov 14;5(4):e47. Access the abstract at PubMed®.

Hospital variation in cost of childbirth and contributing factors: a cross-sectional study. Xu X, Lee HC, Lin H, et al. BJOG 2017 Nov 1. [Epub ahead off print.] Access the abstract at PubMed®.

Factors associated with pediatric ventilator-associated conditions in six U.S. hospitals: a nested case-control study. Cocoros NM, Priebe G, Gray JE, et al. Pediatr Crit Care Med 2017 Nov;18(11):e536-45. Access the abstract at PubMed®.

Recruitment methods for survey research: findings from the Mid-South Clinical Data Research Network. Heerman WJ, Jackson N, Roumie CL, et al. Contemp Clin Trials 2017 Nov;62:50-5. Epub 2017 Aug 17. Access the abstract at PubMed®.

Effect of match-run frequencies on the number of transplants and waiting times in kidney exchange. Ashlagi I, Bingaman A, Burq M, et al. Am J Transplant 2017 Oct 31. [Epub ahead off print.] Access the abstract at PubMed®.

Using wise interventions to motivate deliberate practice. Eskreis-Winkler L, Shulman EP, Young V, et al. J Pers Soc Psychol 2016 Nov;111(5):728-44. Access the abstract at PubMed®.

Programs for the prevention of youth depression: evaluation of efficacy, effectiveness, and readiness for dissemination. Brunwasser SM, Garber J. J Clin Child Adolesc Psychol 2016 Nov-Dec;45(6):763-83. Epub 2015 May 1. Access the abstract at PubMed®.

Personalizing Nursing Home Compare and the discharge from hospitals to nursing homes. Mukamel DB, Amin A, Weimer DL, et al. Health Serv Res 2016 Dec;51(6):2076-94. Epub 2016 Oct 24. Access the abstract at PubMed®.

Contact Information

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Page last reviewed March 2018
Page originally created March 2018
Internet Citation: Combining Asthma Treatments Works Best for Daily Control and Relieving Attacks, AHRQ-Supported Study Finds. Content last reviewed March 2018. Agency for Healthcare Research and Quality, Rockville, MD.
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