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The Brussels Declaration: the need for change in asthma management
S Holgate1, H Bisgaard, L Bjermer
1Infection, Inflammation and Repair AIR Division, Level F, South Block, MP810, University of Southampton, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK. s.holgate@soton.ac.uk
The European Respiratory Journal
|December 2, 2008
Summary
Asthma management in Europe requires urgent attention due to limited treatments and poor patient outcomes. The Brussels Declaration highlights critical areas for improvement, advocating for policy changes and better research integration.
Area of Science:
- Pulmonology
- Public Health
- Health Policy
Background:
- Asthma is a widespread respiratory condition in Europe with significant management challenges.
- Current treatments are limited, leading to poorly controlled asthma in many patients.
- Existing guidelines have not fully optimized asthma care outcomes.
Purpose of the Study:
- To highlight the shortfalls in current asthma management strategies across Europe.
- To advocate for asthma to be recognized as a public health priority by European policymakers.
- To summarize the key points of the Brussels Declaration on Asthma.
Main Methods:
- Review of evidence supporting the need for changes in asthma management.
- Analysis of the ten key points outlined in the Brussels Declaration.
- Synthesis of arguments for policy-maker action and research prioritization.
Main Results:
- Identified systemic inflammation as a critical, under-addressed component in asthma treatment efficacy.
- Emphasized the need for rapid communication and response to current asthma research.
- Highlighted the necessity for updated European Medicines Agency guidance and funding for 'real world' studies.
Conclusions:
- Asthma management requires a multi-faceted approach addressing systemic inflammation, research, policy, and patient involvement.
- Urgent policy changes are needed to prioritize asthma as a public health issue.
- Improved understanding of environmental factors and setting improvement targets are crucial for better asthma control.
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