Routine primary care data—the new crystal ball?

Routine primary care data—the new crystal ball?

Jaime Correia de Sousa

Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal, ICVS/3B's - PT Government Associate Laboratory, Braga/Guimarães, Portugal

Correspondence to: Jaime Correia de Sousa, MD, PhD, President of the IPCRG, Associate Professor. Community Health, School of Health Sciences, University of Minho, Braga, Portugal. Email:

Submitted Jun 10, 2016. Accepted for publication Jun 14, 2016.

doi: 10.21037/jtd.2016.06.69

In their 2014 recommendation update, the Global Initiative for Asthma (GINA) called for a more risk-focused approach to management. If used appropriately primary care records capturing routine data can be used not only to characterize current asthma control and current/prior practice, but also to “predict future risk”. By considering aggregate patient data, it is possible to identify common characteristics associated with future events and to explore combinations of factors that, together, may have a stronger association with specific future risks, such as exacerbations, multiple exacerbations, hospitalisations. Used in this way, clinical records can point to opportunities to modify risk and to intervene to mitigate against future events. This presentation will consider examples of how primary are records have been used in this risk prediction capacity within asthma and, in particular, at how they have been used to examine the potential role of routinely collected blood eosinophils (rather than more invasive and less routinely recorded sputum eosinophils) as biomarkers in asthma and allergy. Future opportunities for biometric use of primary care databases (e.g., IgE, FeNO and multi-allergen screening) will also be discussed.




Conflicts of Interest: This is from the WONCA 2016 Symposium: Harnessing real world data to address unmet needs in asthma and allergy care.

Cite this article as: Correia de Sousa J. Routine primary care data—the new crystal ball? J Thorac Dis 2016;8(Suppl 5):S447. doi: 10.21037/jtd.2016.06.69

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