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Patients and physicians independently assessed adherence to inhaled controller medication during the previous week using a 100\u2009mm Visual Analogue Scale (VAS). Discordance was defined as classification in distinct VAS categories (low 0\u201350; medium 51\u201380; high 81\u2013100) or as an absolute difference in VAS scores \u226510\u2009mm. Correlation between patients\u2019 and physicians\u2019 VAS scores\/categories was explored. A multinomial logistic regression identified the predictors of physician overestimation and underestimation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>High inhaler adherence was reported both by patients (median (percentile 25 to percentile 75) 85 (65\u201395) mm; 53% VAS&gt;80) and by physicians (84 (68\u201395) mm; 53% VAS&gt;80). Correlation between patient and physician VAS scores was moderate (r<jats:sub>s<\/jats:sub>=0.580; p&lt;0.001). Discordance occurred in 56% of cases: in 28% physicians overestimated adherence and in 27% underestimated. Low adherence as assessed by the physician (OR=27.35 (9.85 to 75.95)), FEV<jats:sub>1<\/jats:sub>\u226580% (OR=2.59 (1.08 to 6.20)) and a first appointment (OR=5.63 (1.24 to 25.56)) were predictors of underestimation. An uncontrolled asthma (OR=2.33 (1.25 to 4.34)), uncontrolled upper airway disease (OR=2.86 (1.35 to 6.04)) and prescription of short-acting beta-agonists alone (OR=3.05 (1.15 to 8.08)) were associated with overestimation. Medium adherence as assessed by the physician was significantly associated with higher risk of discordance, both for overestimation and underestimation of adherence (OR=14.50 (6.04 to 34.81); OR=2.21 (1.07 to 4.58)), while having a written action plan decreased the likelihood of discordance (OR=0.25 (0.12 to 0.52); OR=0.41 (0.22 to 0.78)) (R<jats:sup>2<\/jats:sup>=44%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although both patients and physicians report high inhaler adherence, discordance occurred in half of cases. Implementation of objective adherence measures and effective communication are needed to improve patient-physician agreement.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2019-031732","type":"journal-article","created":{"date-parts":[[2019,11,7]],"date-time":"2019-11-07T18:55:25Z","timestamp":1573152925000},"page":"e031732","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Patient-physician discordance in assessment of adherence to inhaled controller medication: a cross-sectional analysis of two cohorts"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1151-8791","authenticated-orcid":false,"given":"Cristina","family":"J\u00e1come","sequence":"first","affiliation":[]},{"given":"Ana 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