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Asthma Diagnosis: The Changing Face of Guidelines
Sarah M Drake1,2, Angela Simpson3,4, Stephen J Fowler3,4
1Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, University of Manchester, Manchester, UK. Sarah.drake@postgrad.manchester.ac.uk.
Pulmonary Therapy
|February 7, 2020
Summary
Accurate asthma diagnosis is crucial for effective treatment and reducing healthcare costs. This review examines current and future diagnostic guidelines, comparing UK NICE and BTS/SIGN recommendations for adults and children.
Area of Science:
- Respiratory Medicine
- Clinical Guidelines
- Diagnostic Strategies
Background:
- Asthma is a common chronic respiratory disease often misdiagnosed, leading to significant healthcare costs.
- Recent National Institute for Health and Care Excellence (NICE) guidance in the UK presents a contrast to established British Thoracic Society/Scottish Intercollegiate Guideline Network (BTS/SIGN) guidelines.
- Discrepancies in guidelines highlight the need for a comprehensive review of asthma diagnostic approaches.
Purpose of the Study:
- To review the historical development of asthma diagnostic guidelines.
- To compare and critically evaluate the evidence underpinning current adult and pediatric asthma diagnostic strategies.
- To explore future directions in asthma diagnosis, including personalized medicine and novel testing methods.
Main Methods:
- Comparative analysis of historical and current asthma diagnostic guidelines (NICE, BTS/SIGN).
- Evidence-based review of diagnostic criteria and strategies for asthma in adults and children.
- Exploration of emerging diagnostic concepts and technologies.
Main Results:
- The review details the evolution of asthma definitions and their impact on diagnostic approaches.
- A comparison of NICE and BTS/SIGN guidelines reveals key differences in their recommendations.
- Current diagnostic utility of various tests is assessed, with a look towards future innovations.
Conclusions:
- Understanding the nuances of asthma diagnostic guidelines is essential for accurate patient management.
- Future asthma diagnosis will likely incorporate personalized medicine and advanced testing for small airway disease.
- Continued evaluation of diagnostic tools is necessary to improve asthma care and reduce misdiagnosis rates.
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