| From asthma severity to control: a shift in clinical practice. | |
| | |
MedLine Citation:
|
PMID: 19834632 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Variability is a characteristic feature of asthma, and the aim of asthma management is to eliminate or minimise disease variability. Controlled asthma shows little or no variability, and is achievable and sustainable in the majority of patients. New international guidelines recommend control-driven management rather than management based on disease severity. Good asthma control is associated with reductions in patients' perception of the asthma burden, reduced healthcare resource utilisation, lower levels of impairment/restriction, normal quality of life, and low risk of exacerbations. Asthma control involves the control of several outcomes. Its assessment should include components relevant to achievement of best possible clinical control and reduction of future risk of adverse outcomes. Focusing on a single or a few outcomes can lead to incorrect control assessment and increased risk of under-treatment. Several validated asthma control assessment tools have been developed to facilitate correct assessment of the level of control in clinical practice. It is hoped that focusing on control will reduce the frequency of sub-optimal treatment in the primary care setting. Further validation of the best way to assess control easily and accurately, and the implementation of control-driven management, are the two most important challenges for the future of asthma management. |
| | |
Authors:
|
Søren Pedersen |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Primary care respiratory journal : journal of the General Practice Airways Group Volume: 19 ISSN: 1475-1534 ISO Abbreviation: Prim Care Respir J Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2010-03-05 Completed Date: 2010-08-30 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101121543 Medline TA: Prim Care Respir J Country: England |
Other Details:
|
Languages: eng Pagination: 3-9 Citation Subset: IM |
Affiliation:
|
Pediatric Research Unit, Kolding Hospital, Kolding, Denmark. spconsult@post1.tele.dk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Asthma
/
diagnosis,
psychology,
therapy* Clinical Trials as Topic Humans Practice Guidelines as Topic Quality of Life* Self Concept Severity of Illness Index Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A review of current literature on second-generation, sucrose-formulated, full-length recombinant fac...
Next Document: Postoperative transvaginal tape mobilization in preventing voiding difficulty after tension-free vag...