[Therapeutic adherence in asthma in France: A general review]

Abstract

Introduction: Adherence in asthma is a paramount issue of disease management. A general review of the French publications on this topic has been conducted.

Methods: Research equations used for bibliographic databases (MEDLINE, Science Direct, Banque de données en santé publique, Cochrane and Cairn.info) comprised the following keywords: "asthma", "therapeutic adherence" and "France". These publications unrelated to asthma, focused on asthma management without exploring adherence, or those conducted in populations without French patients were excluded.

Results: A total of 82 articles have been selected (36 surveys, 4 randomized trials and 42 reviews/syntheses). Whatever the methodology used and publication year, the inadequate therapeutic adherence in asthma was steadily reported, notably for controllers and the quality of use of inhaled devices.

Conclusion: The present review highlights the sustainability of adherence-related issues in asthma and the need to improve patients' knowledge on asthma and the finality of therapy. It also highlights the need of an improved communication between patients and physicians is also advocated. Further studies with more recent data are desirable to assess changes in disease management of asthma and the impact of potential future corrective interventions.

Keywords: Adhésion à la thérapie médicamenteuse; Asthma; Asthme; Disease management; Education of patients; France; Medication Adherence; Prise en charge de la maladie; Éducation du patient.