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npj Primary Care Respiratory Medicine Articles

The new title for Primary Care Respiratory Journal following an agreement with Nature Publishing Group to re-launch the journal as part of the Nature Partner Journals series.

The association of aspirin use with severity of acute exacerbation of chronic obstructive pulmonary disease: a retrospective cohort study

The association of aspirin use with severity of acute exacerbation of chronic obstructive pulmonary disease: a retrospective cohort study, Published online: 21 February 2018; doi:10.1038/s41533-018-0074-x

The association of aspirin use with severity of acute exacerbation of chronic obstructive pulmonary disease: a retrospective cohort study

Quality and learning aspects of the first 9000 spirometries of the LifeGene study

Quality and learning aspects of the first 9000 spirometries of the LifeGene study, Published online: 19 February 2018; doi:10.1038/s41533-018-0073-y

On-screen, real-time feedback for technicians and patients during spirometry raises the efficiency and quality of tests. Spirometry measures air flow passing through the lungs to determine lung function. However, the test relies on patients co-operating and performing at their best to achieve high quality results and avoid mis-diagnosis. As part of the LifeGene study at Karolinska University in Stockholm, Sweden, Mikaela Qvarfordt and co-workers trialled an automated method of providing feedback during testing to inexperienced spirometry technicians and their patients. 9000 patients were split into two groups, LG1 and LG2. LG1 received on-screen feedback plus a quality grade during testing, while LG2 received grading feedback after tests had finished. For every technician, approved quality tests were achieved for 94 per cent of their first 40 patients in LG1, compared with 73 per cent in LG2.

Interventions to enhance the adoption of asthma self-management behaviour in the South Asian and African American population: a systematic review

Interventions to enhance the adoption of asthma self-management behaviour in the South Asian and African American population: a systematic review, Published online: 15 February 2018; doi:10.1038/s41533-017-0070-6

Interventions to enhance the adoption of asthma self-management behaviour in the South Asian and African American population: a systematic review

Adherence and quality of life in adults and children during 3-years of SLIT treatment with Grazax—a real life study

Adherence and quality of life in adults and children during 3-years of SLIT treatment with Grazax—a real life study, Published online: 12 February 2018; doi:10.1038/s41533-018-0072-z

A three-year trial of the allergy immunotherapy GRAZAX shows good adherence and tolerance among adults and children. Respiratory allergic disease is a significant global health burden, with 30 per cent of Europe’s population suffering from hayfever and 20 per cent from allergic asthma. While antihistamines and steroids can treat symptoms successfully, they do not tackle the underlying allergy. Recent progress in immunotherapies such as GRAZAX—a therapy specifically targeting grass pollen allergy—have shown promise. Hampus Kiotseridis at Lund University, Sweden, and co-workers tracked patient adherence and health in 399 adults and children taking GRAZAX over three years. 55 per cent of patients completed the study treatment, with 85 per cent taking GRAZAX six to seven times a week. GRAZAX proved to be well-tolerated overall, effectively tackling symptoms and improving patients’ quality of life.

Tell me about your hay fever: a qualitative investigation of allergic rhinitis management from the perspective of the patient

Tell me about your hay fever: a qualitative investigation of allergic rhinitis management from the perspective of the patient, Published online: 23 January 2018; doi:10.1038/s41533-018-0071-0

Healthcare professionals must engage fully with allergic rhinitis patients to optimize treatment and avoid issues triggered by constant self-care. Allergic rhinitis, or hay fever, can impact hugely on individuals’ health but remains poorly managed, partly because of the multiple medications available that allow people to bypass doctors and treat themselves. Biljana Cvetkovski at the University of Sydney, Australia, and co-workers, interviewed 47 adults with hay fever to analyze perceptions of the condition and its management. Many patients reported disenchantment with professional guidance for hay fever, often citing delayed diagnosis and endless tests leading to long-term ‘treatment fatigue’ and a loss of confidence in healthcare services. Patients often prefer self-treatment with limited medical help, repeatedly switching between medications and opting for ‘quick fixes’ rather than treating the chronic condition, with sometimes serious consequences.

Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals

Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals, Published online: 17 January 2018; doi:10.1038/s41533-017-0069-z

Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals

Solving the mystery of the yellow zone of the asthma action plan

Solving the mystery of the yellow zone of the asthma action plan, Published online: 11 January 2018; doi:10.1038/s41533-017-0067-1

Solving the mystery of the yellow zone of the asthma action plan