In Dutch primary care children with asthma were mainly prescribed SABA, and ICS. Children with good adherence (Q4 = MPR > 87%) were younger at start of ICS, more often visited specialists and had more exacerbations during follow-up compared to children with low adherence (Q1 = MPR < 37%). ![]() The total asthma cohort (n = 14,303 35,181 person-years (PY) of follow-up) was mainly treated with short-acting β2-agonists (SABA 40 users/100 PY) and inhaled corticosteroids (ICS 32/100 PY). Characteristics of children with high-vs.-low adherence were compared. Adherence was calculated using medication possession ratio (MPR) and ratio of controller to total asthma drug (CTT). From asthma medication prescriptions, age, gender, seasonal and calendar year rates were calculated. Population-based cohort study in a Dutch primary care database (IPCI), containing medical records of 176,516 children, aged 5–18 years, between 20. To describe prescription patterns, adherence and factors of adherence to drugs in children with asthma. Knowledge about asthma medication use and adherence in real-life offers opportunities to improve asthma treatment in children. Adherence to treatment remains important for successful asthma management.
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