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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...

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Autores principales: 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
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
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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.
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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
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