Introduction of a new paediatric asthma guideline: Effects on asthma control levels
In 2004, we assessed the level of asthma control in a Dutch paediatric outpatient population 15. In our study, only one in ten patients was optimally controlled, which was comparable with other surveys. A limited number of children received step‐up of their asthma treatment in case of uncontrolled asthma and step‐down therapy in case of controlled disease.
In 2008, a national paediatric asthma management guideline, based on the international GINA guideline, was launched in the Netherlands 16.
So far, no studies investigated the influence of this Dutch guideline on the level of asthma control in children. We hypothesized that an increase in asthma control has occurred due to the introduction of the guideline focusing on asthma control. We aim to assess (i) the level of asthma control in a paediatric outpatient clinic; (ii) the level of agreement of asthma control values as evaluated by patients, paediatricians and the objective GINA criteria (gold standard); (iii) the frequency of step‐up and step‐down treatment regimens by the paediatrician.