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What are the determinates of asthma control?
Bradley E Chipps1, Joseph D Spahn
1Capital Allergy and Respiratory Disease Center, Sacramento, California 95819, USA. bchipps@capitalallergy.com
Summary
Effective asthma treatment requires assessing severity and control. A multidimensional approach, including lung function, daily symptoms, and adherence, is crucial for optimal asthma management.
Area of Science:
- Pulmonology
- Allergy and Immunology
- Respiratory Medicine
Background:
- Asthma treatment has evolved from severity assessment to a focus on disease control.
- Controlling asthma involves normalizing physiological abnormalities and reducing its socioeconomic impact.
Purpose of the Study:
- To review factors influencing variability in asthma control.
- To emphasize the importance of multidimensional assessment for determining asthma control.
Main Methods:
- Review of literature on asthma severity, natural history, and control.
- Discussion of tools for validating and assessing asthma control.
- Emphasis on a multidimensional approach to asthma control assessment.
Main Results:
- Asthma control is influenced by numerous factors, leading to variability.
- Current tools for asthma control assessment need wider clinical adoption.
- A comprehensive assessment is necessary for effective asthma management.
Conclusions:
- Asthma control determination requires a multidimensional strategy.
- Key components include physiological assessment, functional status, symptom burden, healthcare use, and treatment adherence.
- Implementing these assessments aids in optimizing patient outcomes and managing asthma effectively.
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