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Published on: November 4, 2010
Control of asthma.
Eleftherios Zervas1, Erasmia Oikonomidou, Elias Kainis
17th Respiratory Medicine Dept and Asthma Centre, Athens Chest Hospital "Sotiria", 152 Mesogion Avenue, Athens 11527.
Therapeutic Advances in Respiratory Disease
|January 7, 2009
Summary
Achieving asthma control is possible for most patients, yet poor control remains a significant health burden. Updated guidelines emphasize asthma control as key for classification and management, incorporating new assessment tools.
Area of Science:
- Pulmonology
- Clinical Medicine
- Public Health
Background:
- Asthma management aims for control, achievable in most patients per clinical trials.
- Population surveys reveal a significant burden from poorly controlled asthma.
- This discrepancy prompted re-evaluation of international asthma guidelines.
Purpose of the Study:
- To highlight the importance of asthma control in current management strategies.
- To introduce updated guidelines emphasizing control for asthma classification and treatment.
- To outline comprehensive approaches for achieving optimal asthma control.
Main Methods:
- Review of updated international asthma guidelines (GINA and NAEPP, 2006/2007).
- Analysis of the shift towards control-based asthma classification and management.
- Identification of key components for successful asthma control.
Main Results:
- Updated guidelines (GINA, NAEPP) prioritize asthma control levels for classification and management.
- Clearer definitions and new assessment/monitoring tools for asthma control have been instituted.
- Achieving asthma control requires a multi-faceted approach beyond medication.
Conclusions:
- Asthma control is the primary goal, achievable with updated guideline implementation.
- Comprehensive management includes pharmacological treatment, patient education, trigger avoidance, comorbidity management, and strong patient-doctor relationships.
- Addressing poorly controlled asthma requires a holistic strategy integrating clinical and patient-centered factors.
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