Clinical implications of the Royal College of Physicians three questions in routine asthma care: A real-life validation study

H Pinnock; C Burton; SM Campbell; Kevin Gruffydd-Jones; K Hannon; G Hoskins; H Lester; D Price

doi:10.4104/pcrj.2012.00052

Clinical implications of the Royal College of Physicians three questions in routine asthma care: A real-life validation study

H Pinnock, C Burton, SM Campbell, Kevin Gruffydd-Jones, K Hannon, G Hoskins, H Lester, D Price

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Annual recording of the Royal College of Physicians three questions (RCP3Q) morbidity score is rewarded within the UK 'pay-for-performance' Quality and Outcomes Framework. Aims: To investigate the performance of the RCP3Q for assessing control in real-life practice compared with the validated Asthma Control Questionnaire (ACQ) administered by self-completed questionnaire. Methods: We compared the RCP3Q score extracted from a patient's computerised medical record with the ACQ self-completed after the consultation. The anonymous data were paired by practice, age, sex, and dates of completion. We calculated the sensitivity and specificity of the RCP3Q scale compared with the threshold for good/poor asthma control (ACQ ≥1). Results: Of 291 ACQ questionnaires returned from 12 participating practices, 129 could be paired with complete RCP3Q data. Twentyfive of 27 patients who scored zero on the RCP3Q were well controlled (ACQ

Original language	English
Pages (from-to)	288-294
Number of pages	6
Journal	Primary Care Respiratory Journal
Volume	21
Issue number	3
DOIs	https://doi.org/10.4104/pcrj.2012.00052
Publication status	Published - Sept 2012

Keywords

Asthma control
Asthma reviews
Primary care
Royal College of Physicians three questions
Validation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.4104/pcrj.2012.00052

http://www.thepcrj.org/journ/vol21/21_3_288_294.pdf

Cite this

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title = "Clinical implications of the Royal College of Physicians three questions in routine asthma care: A real-life validation study",

abstract = "Background: Annual recording of the Royal College of Physicians three questions (RCP3Q) morbidity score is rewarded within the UK 'pay-for-performance' Quality and Outcomes Framework. Aims: To investigate the performance of the RCP3Q for assessing control in real-life practice compared with the validated Asthma Control Questionnaire (ACQ) administered by self-completed questionnaire. Methods: We compared the RCP3Q score extracted from a patient's computerised medical record with the ACQ self-completed after the consultation. The anonymous data were paired by practice, age, sex, and dates of completion. We calculated the sensitivity and specificity of the RCP3Q scale compared with the threshold for good/poor asthma control (ACQ ≥1). Results: Of 291 ACQ questionnaires returned from 12 participating practices, 129 could be paired with complete RCP3Q data. Twentyfive of 27 patients who scored zero on the RCP3Q were well controlled (ACQ",

keywords = "Asthma control, Asthma reviews, Primary care, Royal College of Physicians three questions, Validation",

author = "H Pinnock and C Burton and SM Campbell and Kevin Gruffydd-Jones and K Hannon and G Hoskins and H Lester and D Price",

year = "2012",

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doi = "10.4104/pcrj.2012.00052",

language = "English",

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AU - Pinnock, H

AU - Burton, C

AU - Campbell, SM

AU - Gruffydd-Jones, Kevin

AU - Hannon, K

AU - Hoskins, G

AU - Lester, H

AU - Price, D

PY - 2012/9

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N2 - Background: Annual recording of the Royal College of Physicians three questions (RCP3Q) morbidity score is rewarded within the UK 'pay-for-performance' Quality and Outcomes Framework. Aims: To investigate the performance of the RCP3Q for assessing control in real-life practice compared with the validated Asthma Control Questionnaire (ACQ) administered by self-completed questionnaire. Methods: We compared the RCP3Q score extracted from a patient's computerised medical record with the ACQ self-completed after the consultation. The anonymous data were paired by practice, age, sex, and dates of completion. We calculated the sensitivity and specificity of the RCP3Q scale compared with the threshold for good/poor asthma control (ACQ ≥1). Results: Of 291 ACQ questionnaires returned from 12 participating practices, 129 could be paired with complete RCP3Q data. Twentyfive of 27 patients who scored zero on the RCP3Q were well controlled (ACQ

AB - Background: Annual recording of the Royal College of Physicians three questions (RCP3Q) morbidity score is rewarded within the UK 'pay-for-performance' Quality and Outcomes Framework. Aims: To investigate the performance of the RCP3Q for assessing control in real-life practice compared with the validated Asthma Control Questionnaire (ACQ) administered by self-completed questionnaire. Methods: We compared the RCP3Q score extracted from a patient's computerised medical record with the ACQ self-completed after the consultation. The anonymous data were paired by practice, age, sex, and dates of completion. We calculated the sensitivity and specificity of the RCP3Q scale compared with the threshold for good/poor asthma control (ACQ ≥1). Results: Of 291 ACQ questionnaires returned from 12 participating practices, 129 could be paired with complete RCP3Q data. Twentyfive of 27 patients who scored zero on the RCP3Q were well controlled (ACQ

KW - Asthma control

KW - Asthma reviews

KW - Primary care

KW - Royal College of Physicians three questions

KW - Validation

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Clinical implications of the Royal College of Physicians three questions in routine asthma care: A real-life validation study

Abstract

Keywords

UN SDGs

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Cite this