{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:38:16Z","timestamp":1786653496070,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,1]]},"abstract":"\n Introduction:<\/jats:title>\n The prevalence of asthma in Jaipur district of Rajasthan was reported as 0.96% in an earlier survey. It was far below the national average of 2.38%. It was reasoned then that this could be due to under diagnosis of asthma in the Jaipur population.<\/jats:p>\n <\/jats:sec>\n \n Material and Methods:<\/jats:title>\n A resurvey of the symptomatics, not diagnosed as asthma at time of the original survey was, therefore, undertaken. The resurvey data were analysed and those who now fulfilled the twin criteria for diagnosis of asthma, as used in the original survey, were diagnosed as having asthma. The original data of these newly diagnosed asthma patients were reanalyzed in search for an alternative diagnostic criterion.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Of the 382 symptomatics, 344 (90%) could be resurveyed and of them, 85 now fulfilled the twin diagnostic criteria for asthma. The reanalysis of the original survey data of these patients revealed that presence of shortness of breath (SOB) had the highest sensitivity, the presence of allergic symptoms in self or the family had the highest specificity and the presence of wheezing had the highest odds ratio (OR) for diagnosing asthma. Further, the OR for diagnosing asthma increased further and was highest with the presence of SOB and 2 additional symptoms. With the use of the \u201csymptom criteria\u201d for diagnosis of asthma i.e. the presence of SOB with 2 additional symptoms, it would have been possible to diagnose majority of the missed cases at the time of the original survey itself.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Based on this study data it can be concluded that (a) the twin criteria for diagnosing asthma as used in earlier surveys led to under diagnosis of asthma and (b) the use of symptom criteria alone effectively checks the problem of under diagnosis of asthma. The symptom criteria are being suggested as an alternative method for use in future epidemiological surveys on asthma.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/0970-2113.173053","type":"journal-article","created":{"date-parts":[[2016,1,4]],"date-time":"2016-01-04T05:45:14Z","timestamp":1451886314000},"page":"32-35","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Resurvey of symptomatics of the Jaipur district population and suggestion for alternative diagnostic criteria of asthma for epidemiological surveys"],"prefix":"10.4103","volume":"33","author":[{"given":"Prahlad Rai","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine, NIMS Medical College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankit","family":"Bansal","sequence":"additional","affiliation":[{"name":"Consultant, Respiratory Medicine, Fortis Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupam","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, NIMS Medical College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251007","first-page":"13","article-title":"Prevalence and risk factors for bronchial asthma in Indian adults: A multicentre study","volume":"48","author":"Aggarwal","year":"2006","journal-title":"Indian J Chest Dis Allied Sci"},{"key":"R2-20251007","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4103\/0970-2113.44409","article-title":"Prevalence and risk factors for bronchial asthma in adults in Jaipur district of Rajasthan (India)","volume":"23","author":"Gupta","year":"2006","journal-title":"Lung India"},{"key":"R3-20251007","doi-asserted-by":"crossref","first-page":"20","DOI":"10.4103\/0970-2113.148432","article-title":"Value of past clinical history in differentiating bronchial asthma from COPD in male smokers presenting with SOB and fixed airway obstruction","volume":"32","author":"Gupta","year":"2015","journal-title":"Lung India"},{"key":"R4-20251007","doi-asserted-by":"crossref","first-page":"1720","DOI":"10.1164\/ajrccm.161.5.9903102","article-title":"Asthma. From bronchoconstriction to airways inflammation and remodeling","volume":"161","author":"Bousquet","year":"2000","journal-title":"Am J Respir Crit Care Med"},{"key":"R5-20251007","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1183\/09031936.01.17202140","article-title":"Clinical diagnosis of current asthma: Predicted value of respiratory symptoms in the SAPALDIA study. Swiss Study on Air Pollution and Lung Diseases in Adults","volume":"17","author":"Sistek","year":"2001","journal-title":"Eur Respir J"},{"key":"R6-20251007","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/S0749-3797(02)00589-5","article-title":"Family history as a predictor of asthma risk","volume":"24","author":"Burke","year":"2003","journal-title":"Am J Prev Med"},{"key":"R7-20251007","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1093\/aje\/kwh303","article-title":"Body mass index in relation to adult asthma among 135,000 Norwegian men and women","volume":"160","author":"Nystad","year":"2004","journal-title":"Am J Epidemiol"},{"key":"R8-20251007","first-page":"124","article-title":"Prevalence of bronchial asthma among Egyptian school children","volume":"3","author":"Zedan","year":"2009","journal-title":"Egypt J Bronchol"}],"container-title":["Lung India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01408641-201633010-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:38:33Z","timestamp":1786649913000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01408641-201633010-00007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.4103\/0970-2113.173053","relation":{},"ISSN":["0970-2113","0974-598X"],"issn-type":[{"value":"0970-2113","type":"print"},{"value":"0974-598X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1]]}}}