Bringing asthma care into the twenty-first century

Despite access to diagnostic tests and effective therapies, asthma often remains misdiagnosed and/or poorly controlled or uncontrolled. In this review, we address the key issues of asthma diagnosis and management, recent evidence for levels of asthma control, the consequences of poor control and, in...

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Bibliographic Details
Published in:NPJ primary care respiratory medicine 2020-06, Vol.30 (1), p.25, Article 25
Main Authors: Larsson, Kjell, Kankaanranta, Hannu, Janson, Christer, Lehtimäki, Lauri, Ställberg, Björn, Løkke, Anders, Høines, Kristian, Roslind, Klaus, Ulrik, Charlotte Suppli
Format: Article
Language:English
Subjects:
21st century
692/700/1719
692/700/459
Anti-Asthmatic Agents - therapeutic use
Asthma
Asthma - diagnosis
Asthma - prevention & control
Asthma - therapy
Chronic obstructive pulmonary disease
Delivery of Health Care - trends
Disease prevention
Drug dosages
Forecasting
Health care
Hospitals
Humans
Inflammation
Inhalers
Internal Medicine
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Patient Care Planning - trends
Patient Compliance
Patients
Pneumology/Respiratory System
Preventive medicine
Primary care
Primary Care Medicine
Review
Review Article
Spirometry
Thoracic Surgery
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Summary:Despite access to diagnostic tests and effective therapies, asthma often remains misdiagnosed and/or poorly controlled or uncontrolled. In this review, we address the key issues of asthma diagnosis and management, recent evidence for levels of asthma control, the consequences of poor control and, in line with that, explore the potential reasons for poor asthma control and acute exacerbations. Based on recent evidence and current guidelines, we also aim to provide practical answers to the key questions of how to improve asthma management, with the best possible prevention of exacerbations, addressing the basics—adherence, inhaler misuse, obesity and smoking—and how to facilitate a new era of asthma care in the twenty-first century. We hope this review will be useful to busy primary care clinicians in their future interactions with their patients with both suspected and proven asthma.
ISSN:2055-1010
2055-1010
DOI:10.1038/s41533-020-0182-2