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Attaining asthma control.

John J Oppenheimer1, James Li

  • 1New Jersey Medical School, Cedar Knolls, New Jersey 07927, and Mayo Clinic, Rochester, Minnesota, USA. nallopp@optonline.net

Current Opinion in Allergy and Clinical Immunology
|March 8, 2006
PubMed
Summary
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Asthma morbidity remains a challenge. Separating asthma control from severity allows clinicians to focus on disease status during each visit, aiming for optimal asthma control regardless of medication needs.

Area of Science:

  • Pulmonology
  • Allergy and Immunology
  • Respiratory Medicine

Background:

  • Asthma morbidity is increasing despite advances in understanding pathophysiology and established guidelines.
  • Current asthma care trends are shifting towards differentiating asthma control from asthma severity.

Purpose of the Study:

  • To review the rationale behind separating asthma control from asthma severity in clinical practice.
  • To address the ongoing challenges in managing asthma morbidity.

Main Methods:

  • This is a review article, synthesizing current research and clinical perspectives.
  • Focuses on analyzing the concept of asthma control and its relationship with asthma severity.

Main Results:

  • Asthma control is variable over time and challenging to achieve completely in some patients.

Related Experiment Videos

  • Discrepancies exist between different asthma control measures, and a standardized tool is lacking.
  • Asthma morbidity persists as a complex issue despite current knowledge.
  • Conclusions:

    • Separating asthma control from severity enables clinicians to assess disease status at each encounter, independent of medication.
    • The ultimate goal in asthma management is achieving and maintaining asthma control, adapting treatment through step-up/step-down approaches.
    • Asthma control reflects the dynamic nature of the illness and guides therapeutic strategies across the spectrum of asthma severity.