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- ISSN
- 1528-4050
- eISSN
- 1473-6322
- DOI
- 10.1097/01.all.0000216854.95323.91
- pmid
- 16520675
- Publisher site
- See Article on Publisher Site
Abstract
Chitra Dinakar Purpose of review Introduction The focus in managing asthma has undergone a paradigm The National Heart, Lung and Blood Institute (NHLBI) shift from the concept of assessing severity to assessing guidelines for the diagnosis and management of asthma control. The recent Practice Parameter on attaining optimal revolve around the central concepts of using the severity asthma control highlights the need to titrate the step-care of asthma as a yardstick to guide asthma therapy [1]. management of asthma to the level of control assessed at However, adherence to these and the Global Initiative for each clinic encounter. Asthma (GINA) guidelines has been far from satisfactory, Recent findings and numerous studies have confirmed the inadequacy of Recent advances in the monitoring of asthma control in asthma control in the USA and other countries [2,3]. A children include the use of questionnaires such as the recent prospective asthma-control survey of the Asthma Childhood Asthma Control Test, use of biomarkers such as Care Network (ACN) involving 4901 primary care physi- fractional concentration of exhaled nitric oxide, cians at 2876 practice sites showed that three-quarters of sophisticated hand-held electronic monitoring of lung the 60 000 patients enrolled reported symptoms consist- function such
Journal
Current Opinion in Allergy and Clinical Immunology – Wolters Kluwer Health
Published: Apr 1, 2006