Over diagnosis of childhood asthma and inappropriate prescribing is rife in Australia, while children continue to die unnecessarily from the disease, says a leading respiratory physician.
Professor Adam Jaffe, John Beveridge Professor of Paediatrics and Head of Discipline of Paediatrics at the University of NSW, and Consultant in Respiratory Medicine at Sydney Children’s Hospital comments follow an article in the Archives of Disease in Childhood journal, in which UK-based respiratory doctors claimed inhalers were often dispensed for no good reason, and had “almost become a fashion accessory”.
Authors, outspoken Professor Andrew Bush, and Dr Louise Fleming, of Imperial College and Royal Brompton and Harefield NHS Foundation Trust, said that while asthma had in the past been undoubtedly under-diagnosed, evidence suggested the pendulum had swung too far in the opposite direction.
“We propose that one contributing factor is that the diagnosis of asthma has been trivialised and inhalers dispensed for no good reason, and have become almost a fashion accessory,” they wrote. “The result is that asthma is a killing disease if not correctly managed, is overlooked.”
Professor Jaffe, who has previously worked with Professor Bush, stopped short of endorsing the view that inhalers had become fashion accessories, but said they made good points about over diagnosis and the misuse of inhalers.
“Definitely asthma is over diagnosed – I would completely agree with him on that,” he told the limbic.
He said one of his favourite jobs was ‘undiagnosing’ asthma in young patients.