Cargando…
Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults
Although a minority of asthma patients suffer from severe asthma, they represent a major clinical challenge in terms of poor symptom control despite high-dose treatment, risk of exacerbations, and side effects. Novel biological treatments may benefit patients with severe asthma, but are expensive, a...
Autores principales: | , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844041/ https://www.ncbi.nlm.nih.gov/pubmed/29535852 http://dx.doi.org/10.1080/20018525.2018.1440868 |
_version_ | 1783305186182168576 |
---|---|
author | Porsbjerg, Celeste Ulrik, Charlotte Skjold, Tina Backer, Vibeke Laerum, Birger Lehman, Sverre Janson, Crister Sandstrøm, Thomas Bjermer, Leif Dahlen, Barbro Lundbäck, Bo Ludviksdottir, Dora Björnsdóttir, Unnur Altraja, Alan Lehtimäki, Lauri Kauppi, Paula Karjalainen, Jussi Kankaanranta, Hannu |
author_facet | Porsbjerg, Celeste Ulrik, Charlotte Skjold, Tina Backer, Vibeke Laerum, Birger Lehman, Sverre Janson, Crister Sandstrøm, Thomas Bjermer, Leif Dahlen, Barbro Lundbäck, Bo Ludviksdottir, Dora Björnsdóttir, Unnur Altraja, Alan Lehtimäki, Lauri Kauppi, Paula Karjalainen, Jussi Kankaanranta, Hannu |
author_sort | Porsbjerg, Celeste |
collection | PubMed |
description | Although a minority of asthma patients suffer from severe asthma, they represent a major clinical challenge in terms of poor symptom control despite high-dose treatment, risk of exacerbations, and side effects. Novel biological treatments may benefit patients with severe asthma, but are expensive, and are only effective in appropriately targeted patients. In some patients, symptoms are driven by other factors than asthma, and all patients with suspected severe asthma (‘difficult asthma’) should undergo systematic assessment, in order to differentiate between true severe asthma, and ‘difficult-to-treat’ patients, in whom poor control is related to factors such as poor adherence or co-morbidities. The Nordic Consensus Statement on severe asthma was developed by the Nordic Severe Asthma Network, consisting of members from Norway, Sweden, Finland, Denmark, Iceland and Estonia, including representatives from the respective national respiratory scientific societies with the aim to provide an overview and recommendations regarding the diagnosis, systematic assessment and management of severe asthma. Furthermore, the Consensus Statement proposes recommendations for the organization of severe asthma management in primary, secondary, and tertiary care. |
format | Online Article Text |
id | pubmed-5844041 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-58440412018-03-13 Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults Porsbjerg, Celeste Ulrik, Charlotte Skjold, Tina Backer, Vibeke Laerum, Birger Lehman, Sverre Janson, Crister Sandstrøm, Thomas Bjermer, Leif Dahlen, Barbro Lundbäck, Bo Ludviksdottir, Dora Björnsdóttir, Unnur Altraja, Alan Lehtimäki, Lauri Kauppi, Paula Karjalainen, Jussi Kankaanranta, Hannu Eur Clin Respir J Review Article Although a minority of asthma patients suffer from severe asthma, they represent a major clinical challenge in terms of poor symptom control despite high-dose treatment, risk of exacerbations, and side effects. Novel biological treatments may benefit patients with severe asthma, but are expensive, and are only effective in appropriately targeted patients. In some patients, symptoms are driven by other factors than asthma, and all patients with suspected severe asthma (‘difficult asthma’) should undergo systematic assessment, in order to differentiate between true severe asthma, and ‘difficult-to-treat’ patients, in whom poor control is related to factors such as poor adherence or co-morbidities. The Nordic Consensus Statement on severe asthma was developed by the Nordic Severe Asthma Network, consisting of members from Norway, Sweden, Finland, Denmark, Iceland and Estonia, including representatives from the respective national respiratory scientific societies with the aim to provide an overview and recommendations regarding the diagnosis, systematic assessment and management of severe asthma. Furthermore, the Consensus Statement proposes recommendations for the organization of severe asthma management in primary, secondary, and tertiary care. Taylor & Francis 2018-03-06 /pmc/articles/PMC5844041/ /pubmed/29535852 http://dx.doi.org/10.1080/20018525.2018.1440868 Text en © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Porsbjerg, Celeste Ulrik, Charlotte Skjold, Tina Backer, Vibeke Laerum, Birger Lehman, Sverre Janson, Crister Sandstrøm, Thomas Bjermer, Leif Dahlen, Barbro Lundbäck, Bo Ludviksdottir, Dora Björnsdóttir, Unnur Altraja, Alan Lehtimäki, Lauri Kauppi, Paula Karjalainen, Jussi Kankaanranta, Hannu Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults |
title | Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults |
title_full | Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults |
title_fullStr | Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults |
title_full_unstemmed | Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults |
title_short | Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults |
title_sort | nordic consensus statement on the systematic assessment and management of possible severe asthma in adults |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844041/ https://www.ncbi.nlm.nih.gov/pubmed/29535852 http://dx.doi.org/10.1080/20018525.2018.1440868 |
work_keys_str_mv | AT porsbjergceleste nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT ulrikcharlotte nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT skjoldtina nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT backervibeke nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT laerumbirger nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT lehmansverre nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT jansoncrister nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT sandstrømthomas nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT bjermerleif nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT dahlenbarbro nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT lundbackbo nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT ludviksdottirdora nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT bjornsdottirunnur nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT altrajaalan nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT lehtimakilauri nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT kauppipaula nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT karjalainenjussi nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults AT kankaanrantahannu nordicconsensusstatementonthesystematicassessmentandmanagementofpossiblesevereasthmainadults |