A J Apter

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. doi request reprint Advances in adult asthma diagnosis and treatment and health outcomes, education, delivery, and quality in 2011: what goes around comes around
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 129:69-75. 2012
  2. doi request reprint Advances in adult asthma diagnosis and treatment in 2013
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA Electronic address
    J Allergy Clin Immunol 133:49-56. 2014
  3. pmc The association of health literacy with adherence and outcomes in moderate-severe asthma
    Andrea J Apter
    Section of Allergy and Immunology, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 132:321-7. 2013
  4. doi request reprint Advances in adult asthma diagnosis and treatment in 2012: potential therapeutics and gene-environment interactions
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 131:47-54. 2013
  5. pmc Advances in adult asthma diagnosis and treatment in 2009
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 125:79-84. 2010
  6. pmc Problem solving to improve adherence and asthma outcomes in urban adults with moderate or severe asthma: a randomized controlled trial
    Andrea J Apter
    Allergy and Immunology Section, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 128:516-23.e1-5. 2011
  7. ncbi request reprint Is there cross-reactivity between penicillins and cephalosporins?
    Andrea J Apter
    Division of Pulmonary, Allergy Critical Care Medicine, Department of Medicine, Philadelphia, PA, USA
    Am J Med 119:354.e11-9. 2006
  8. ncbi request reprint Advances in adult and pediatric asthma
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia 19104, USA
    J Allergy Clin Immunol 117:512-8. 2006
  9. pmc Exposure to community violence is associated with asthma hospitalizations and emergency department visits
    Andrea J Apter
    Section of Allergy and Immunology, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 126:552-7. 2010
  10. doi request reprint Advances in the care of adults with asthma and allergy in 2007
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 121:839-44. 2008

Detail Information

Publications47

  1. doi request reprint Advances in adult asthma diagnosis and treatment and health outcomes, education, delivery, and quality in 2011: what goes around comes around
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 129:69-75. 2012
    ....
  2. doi request reprint Advances in adult asthma diagnosis and treatment in 2013
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA Electronic address
    J Allergy Clin Immunol 133:49-56. 2014
    ..Once new therapeutics pass the initial clinical trials, patient-oriented and real-world research will be needed. ..
  3. pmc The association of health literacy with adherence and outcomes in moderate-severe asthma
    Andrea J Apter
    Section of Allergy and Immunology, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 132:321-7. 2013
    ..Low health literacy is associated with poor outcomes in asthma and other diseases, but the mechanisms governing this relationship are not well defined...
  4. doi request reprint Advances in adult asthma diagnosis and treatment in 2012: potential therapeutics and gene-environment interactions
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 131:47-54. 2013
    ....
  5. pmc Advances in adult asthma diagnosis and treatment in 2009
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 125:79-84. 2010
    ..In this review of asthma-related publications from the Journal in 2009, efforts to standardize methodology and reporting of translational research, the influence of the environment, therapeutics, and management of asthma are highlighted...
  6. pmc Problem solving to improve adherence and asthma outcomes in urban adults with moderate or severe asthma: a randomized controlled trial
    Andrea J Apter
    Allergy and Immunology Section, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 128:516-23.e1-5. 2011
    ..Improving inhaled corticosteroid (ICS) adherence should improve asthma outcomes...
  7. ncbi request reprint Is there cross-reactivity between penicillins and cephalosporins?
    Andrea J Apter
    Division of Pulmonary, Allergy Critical Care Medicine, Department of Medicine, Philadelphia, PA, USA
    Am J Med 119:354.e11-9. 2006
    ..We sought to determine the risk of an allergic reaction to a cephalosporin exposure in those with prior penicillin reactions...
  8. ncbi request reprint Advances in adult and pediatric asthma
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia 19104, USA
    J Allergy Clin Immunol 117:512-8. 2006
    ..Meanwhile, more effective health care strategies must be developed to reduce the reported disparities in asthma care noted in our patient populations...
  9. pmc Exposure to community violence is associated with asthma hospitalizations and emergency department visits
    Andrea J Apter
    Section of Allergy and Immunology, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 126:552-7. 2010
    ..Exposure to community violence (ECV) has been associated with asthma morbidity of children living in inner-city neighborhoods...
  10. doi request reprint Advances in the care of adults with asthma and allergy in 2007
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 121:839-44. 2008
    ..This review focuses on the Journal articles published in 2007 pertaining to risk and impairment in adult asthma and interventions to improve its control...
  11. pmc Linking numeracy and asthma-related quality of life
    Andrea J Apter
    Division of Pulmonary, Allergy, Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    Patient Educ Couns 75:386-91. 2009
    ..To examine the correlation of numerical skills used in patients' self-management of asthma with asthma-related quality of life (AQOL)...
  12. ncbi request reprint Asthma numeracy skill and health literacy
    Andrea J Apter
    Division of Pulmonary, Allergy Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Asthma 43:705-10. 2006
    ..At higher STOFHLA levels there was a wide range of the total number of correct numeracy responses. Numeracy is a unique and important component of health literacy...
  13. pmc Advances in adult asthma diagnosis and treatment and health outcomes, education, delivery, and quality in 2008
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 123:35-40. 2009
    ..In contrast with these advances, however, disparity in asthma morbidity persists: black persons compared with white persons have a 4-fold greater risk of an asthma-related emergency department visit...
  14. pmc Numeracy and communication with patients: they are counting on us
    Andrea J Apter
    Department of Medicine, Division of Pulmonary, University of Pennsylvania, Philadelphia, PA, USA
    J Gen Intern Med 23:2117-24. 2008
    ..This information is integrated into a hierarchical model of mathematical concepts and skills, which can guide clinicians toward numerical communication that is easier to use with patients...
  15. doi request reprint Advances in adult asthma diagnosis and treatment and HEDQ in 2010
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 127:116-22. 2011
    ....
  16. doi request reprint Clinical and genetic risk factors of self-reported penicillin allergy
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, USA
    J Allergy Clin Immunol 122:152-8. 2008
    ..Patients with self-reported penicillin allergy are frequently denied beta-lactam antibiotics...
  17. ncbi request reprint Testing the reliability of old and new features of a new electronic monitor for metered dose inhalers
    A J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania School of Medicine, Philadelphia 19104, USA
    Ann Allergy Asthma Immunol 86:421-4. 2001
    ..Electronic monitors are the most accurate means available for measuring adherence, but their use has been limited by reports questioning the reliability and validity of their data...
  18. ncbi request reprint Assessing the quality of asthma care provided to Medicaid patients enrolled in managed care organizations in Connecticut
    A J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania School of Medicine, Philadelphia 19104, USA
    Ann Allergy Asthma Immunol 86:211-8. 2001
    ..Many states have enrolled Medicaid beneficiaries in managed care organizations (MCOs). Few assessments of the quality of asthma care provided by these new programs are available...
  19. ncbi request reprint Advances in adult asthma 2006: its risk factors, course, and management
    Andrea J Apter
    Department of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA, USA
    J Allergy Clin Immunol 119:563-6. 2007
    ..This Advances article updates our understanding of risk factors for asthma and its course and management. Studies relevant to clinical practice are discussed, with special attention to their clinical research methods...
  20. ncbi request reprint Adherence with twice-daily dosing of inhaled steroids. Socioeconomic and health-belief differences
    A J Apter
    Department of Medicine, University of Connecticut Health Center, Farmington, CT 06030 3945, USA
    Am J Respir Crit Care Med 157:1810-7. 1998
    ..2; CI: 1.01 to 1.55) were independently associated with poor adherence. These results emphasize the importance of socioeconomic status and adequate patient-clinician communication for adherence to inhaled-steroid schedules...
  21. pmc Adolescents and asthma: why bother with our meds?
    David R Naimi
    Division of Allergy and Immunology, The Children s Hospital of Philadelphia, Philadelphia, PA, USA
    J Allergy Clin Immunol 123:1335-41. 2009
    ..Adherence to inhaled steroid regimens for asthma is poor in adults and children. Although it is assumed that nonadherence contributes to morbidity in older adolescents, investigation is limited...
  22. ncbi request reprint Communities and health: the case of inner-city violence and asthma
    Andrea J Apter
    Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104, USA
    LDI Issue Brief 16:1-4. 2010
    ....
  23. ncbi request reprint Qualitative research-enhanced understanding of patients' beliefs: results of focus groups with low-income, urban, African American adults with asthma
    Maureen George
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, PA 19104, USA
    J Allergy Clin Immunol 111:967-73. 2003
    ..These beliefs and attitudes have been proposed as partial explanations for low adherence to medical therapy and the consequent high burden of morbidity from asthma among low-income urban minorities...
  24. ncbi request reprint Modifiable barriers to adherence to inhaled steroids among adults with asthma: it's not just black and white
    Andrea J Apter
    Division of Pulmonary, Allergy Critical Care Medicine, Department of Medicine, University of Pennsylvania, 3600 Spruce Street, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 111:1219-26. 2003
    ..Sociobehavioral factors influence adherence to inhaled corticosteroid (ICS) in adults with asthma and warrant exploration as explanations of apparent racial disparities in adherence...
  25. ncbi request reprint Absence of cross-reactivity between sulfonamide antibiotics and sulfonamide nonantibiotics
    Brian L Strom
    Department of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    N Engl J Med 349:1628-35. 2003
    ..The safety of sulfonamide nonantibiotics is unclear in patients with prior allergic reactions to sulfonamide antibiotics...
  26. ncbi request reprint Reacting to antibiotic allergies
    Andrea J Apter
    Center for Clinical Epidemiology and Biostatistics, Center for Education and Research on Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    LDI Issue Brief 11:1-4. 2006
    ....
  27. ncbi request reprint Gaining insight into patients' beliefs using qualitative research methodologies
    Maureen George
    Division of Pulmonary, Allergy Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Curr Opin Allergy Clin Immunol 4:185-9. 2004
    ..This review serves as a primer for those health care professionals who are unfamiliar with this alternative research paradigm...
  28. ncbi request reprint Adherence logger for a dry powder inhaler: a new device for medical adherence research
    Daniel Bogen
    Department of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 114:863-8. 2004
    ..Finding ways to improve adherence depends on the ability to measure time and date of inhaler use reliably and to detect deliberate dose dumping. There is no such monitor for the popular new dry powder inhalers...
  29. ncbi request reprint A 65-year-old woman with intractable nasal congestion
    Shilpi Narula
    Division of Pulmonary, Allergy, and Critical Care Medicine, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Ann Allergy Asthma Immunol 96:281-5. 2006
  30. ncbi request reprint Advances in adult and pediatric asthma
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, USA
    J Allergy Clin Immunol 113:407-14. 2004
    ..Our community has a strong commitment to health care quality, education, and delivery. The Journal will reflect this commitment with a new section devoted to these issues...
  31. pmc Clearing clinical barriers: enhancing social support using a patient navigator for asthma care
    Heather L Black
    Section of Allergy and Immunology, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    J Asthma 47:913-9. 2010
    ..Patients with moderate or severe asthma, particularly those who are minority or poor, often encounter significant personal, clinical practice, and health system barriers to accessing care...
  32. ncbi request reprint Clinical advances in adult asthma
    Andrea J Apter
    Division of Pulmonary, Allergy, Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 111:S780-4. 2003
    ..The use of chlorofluorocarbon-free medications for asthma is increasing. Medications comprise the largest cost category for asthma...
  33. ncbi request reprint Represcription of penicillin after allergic-like events
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, 3600 Spruce Street, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 113:764-70. 2004
    ..We sought to determine the frequency of represcription of penicillin to individuals with penicillin allergy and the risk of a second reaction in those who had a previous reaction...
  34. ncbi request reprint Influences of earlier adherence and symptoms on current symptoms: a marginal structural models analysis
    Clara Kim
    Center for Clinical Epidemiology and Biostatistics, Department of Medicine, University of Pennsylvania, 3600 Spruce Street, Philadelphia, PA 19104, USA
    J Allergy Clin Immunol 115:810-4. 2005
    ..One influence on adherence may be the perception of symptoms. Because symptoms and adherence affect each other over time, a conventional statistical approach for studying these relationships may provide biased results...
  35. ncbi request reprint Early exposure to allergen: is this the cat's meow, or are we barking up the wrong tree?
    Andrea J Apter
    Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia 19104, USA
    J Allergy Clin Immunol 111:938-46. 2003
    ..This article discusses some of the epidemiologic issues in interpreting these studies. Review of relevant epidemiology demonstrates that much research remains to be performed before these interesting hypotheses are proved or disproved...
  36. ncbi request reprint Steroid phobia and adherence--problems, solutions, impact on benefit/risk profile
    Vivek U Rao
    Division of Pulmonary, Allergy, Critical Care, Department of Medicine, 829 Gates Building, Hospital of the University of Pennsylvania, 3600 Spruce Street, Philadelphia, PA 19104, USA
    Immunol Allergy Clin North Am 25:581-95. 2005
    ..If the provider is able to effectively communicate and convince the patient of the benefit/risk ratio of steroids, improved patient outcomes can be achieved...
  37. ncbi request reprint Patients with asthma who do not fill their inhaled corticosteroids: a study of primary nonadherence
    L Keoki Williams
    Department of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA
    J Allergy Clin Immunol 120:1153-9. 2007
    ..Adherence to inhaled corticosteroids (ICSs) is known to be poor among patients with asthma; however, little is known about patients who do not fill their ICS prescriptions (ie, primary nonadherence)...
  38. ncbi request reprint Validation of a beta-agonist long-term asthma control scale derived from computerized pharmacy data
    Michael Schatz
    Department of Allergy San Diego, Kaiser Permanente Medical Care Program, Kaiser Permanente Medical Center, CA 92111, USA
    J Allergy Clin Immunol 117:995-1000. 2006
    ..Asthma control has been defined clinically by using validated tools, but an asthma control scale using administrative data has not been reported...
  39. ncbi request reprint Development and validation of a medication intensity scale derived from computerized pharmacy data that predicts emergency hospital utilization for persistent asthma
    Michael Schatz
    Kaiser Permanente Medical Center, 7060 Clairemont Mesa Blvd, San Diego, CA 92111, USA
    Am J Manag Care 12:478-84. 2006
    ..To validate a risk stratification scheme using computerized pharmacy data to predict emergency hospital utilization for persistent asthma...
  40. ncbi request reprint Unconventional risk factors: another pathway to understanding health disparities
    Peter J Gergen
    J Allergy Clin Immunol 119:165-7. 2007
  41. ncbi request reprint Improved asthma outcomes from allergy specialist care: a population-based cross-sectional analysis
    Michael Schatz
    Department of Allergy, San Diego, CA 92111, USA
    J Allergy Clin Immunol 116:1307-13. 2005
    ..Prior studies suggest that allergist care improves asthma outcomes, but many of these studies have methodological shortcomings...
  42. ncbi request reprint Relationships among quality of life, severity, and control measures in asthma: an evaluation using factor analysis
    Michael Schatz
    Department of Allergy, Kaiser Permanente Medical Center, San Diego, CA 92111, USA
    J Allergy Clin Immunol 115:1049-55. 2005
    ..Validated psychometric tools measuring quality of life, asthma control, and asthma severity have been developed, but their relationships with each other and with other important patient-centered outcomes have not been rigorously assessed...
  43. ncbi request reprint The controller-to-total asthma medication ratio is associated with patient-centered as well as utilization outcomes
    Michael Schatz
    Department of Allergy, Kaiser Permanente Medical Center Program, 7060 Clairemont Mesa Blvd, San Diego, CA 92111, USA
    Chest 130:43-50. 2006
    ..The ratio of controller medication to total asthma medications has been related to asthma utilization outcomes, but its relationship to patient-centered outcomes has not been explored...
  44. ncbi request reprint Relationship of validated psychometric tools to subsequent medical utilization for asthma
    Michael Schatz
    Department of Allergy, Kaiser Permanente Medical Center, San Diego, Calif 92111, USA
    J Allergy Clin Immunol 115:564-70. 2005
    ..Risk stratification is used to identify patients with asthma at increased risk of experiencing morbidity and resource utilization. Validated psychometric tools are infrequently studied sources of data for this purpose...
  45. ncbi request reprint The influence of health disparities on individual patient outcomes: what is the link between genes and environment?
    Andrea J Apter
    J Allergy Clin Immunol 117:345-50. 2006
  46. ncbi request reprint Mind the widening gap: have improvements in asthma care increased asthma disparities?
    Cynthia S Rand
    J Allergy Clin Immunol 122:319-21. 2008
  47. ncbi request reprint Stratifying medical and pharmaceutical administrative claims as a method to identify pediatric asthma patients in a Medicaid managed care organization
    Joan E Twiggs
    Department of Sociology, Anthropology and Social Work, Kansas State University, 204 Waters Hall, Manhattan, KS 66506, USA
    J Clin Epidemiol 55:938-44. 2002
    ..The Medicaid Managed Care Organization can begin to identify its asthma population using the stratification meth...

Research Grants9

  1. Individualized Interventions to Improve Asthma Adherence
    Andrea Apter; Fiscal Year: 2007
    ..We will estimate the incremental cost-effectiveness of PS. ..
  2. Literacy and improving patient-clinician encounters for Asthma
    Andrea Apter; Fiscal Year: 2007
    ..others, and participating in relevant research working groups, I will create a team of expert collaborators in health and literacy, education, bioenqineerinq (directed at behavior measurement), and behavioral medicine (End of Abstract) ..
  3. INHALED STEROID ADHERENCE IN MODERATE & SEVERE ASTHMA
    Andrea Apter; Fiscal Year: 2004
    ..Upon the foundation of my prior clinical experience and education, this training program is designed to equip me with the additional skills and research experience necessary to become a fully independent investigator. ..
  4. Individualized Interventions to Improve Asthma Adherence
    Andrea Apter; Fiscal Year: 2005
    ..We will estimate the incremental cost-effectiveness of PS. ..
  5. Individualized Interventions to Improve Asthma Adherence
    Andrea Apter; Fiscal Year: 2006
    ..We will estimate the incremental cost-effectiveness of PS. ..
  6. Individualized Interventions to Improve Asthma Adherence
    Andrea Apter; Fiscal Year: 2009
    ..We will estimate the incremental cost-effectiveness of PS. ..
  7. Individualized Interventions to Improve Asthma Adherence
    Andrea Apter; Fiscal Year: 2009
    ..We will estimate the incremental cost-effectiveness of PS. ..