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Achieving asthma control in practice: Understanding the reasons for poor control

Haughney, John; Price, David; Kaplan, Alan; Chstyn, Henry; Horne, Rob; May, Nick; Moffat, Mandy; Versnel, Jennifer; Shanahan, Eamonn R. and Hillyer, Elizabeth V., et al. (2008) In Respiratory Medicine 102(12). p.1681-1693
Abstract
Achieving asthma control remains an elusive goat for the majority of patients worldwide. Ensuring a correct diagnosis of asthma is the first step in assessing poor symptom control; this requires returning to the basics of history taking and physical examination, in conjunction with lung function measurement when appropriate. A number of factors may contribute to suboptimal asthma control. Concomitant rhinitis, a common co-pathology and contributor to poor control, can often be identified by asking a simple question. Smoking too has been identified as a cause of poor asthma control. Practical barriers such as poor inhaler technique must be addressed. An appreciation of patients' views and concerns about maintenance asthma therapy can help... (More)
Achieving asthma control remains an elusive goat for the majority of patients worldwide. Ensuring a correct diagnosis of asthma is the first step in assessing poor symptom control; this requires returning to the basics of history taking and physical examination, in conjunction with lung function measurement when appropriate. A number of factors may contribute to suboptimal asthma control. Concomitant rhinitis, a common co-pathology and contributor to poor control, can often be identified by asking a simple question. Smoking too has been identified as a cause of poor asthma control. Practical barriers such as poor inhaler technique must be addressed. An appreciation of patients' views and concerns about maintenance asthma therapy can help guide discussion to address perceptual barriers to taking maintenance therapy (doubts about personal necessity and concerns about potential adverse effects). Further study into, and a greater consideration of, factors and patient characteristics that could predict individual responses to asthma therapies are needed. Finally, more clinical trials that enrol patient populations reflecting the real world diversity of patients seen in clinical. practice, including wide age ranges, presence of comorbidities, current smoking, and differing ethnic origins, will contribute to better individual patient management. (C) 2008 Elsevier Ltd. All rights reserved. (Less)
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Contribution to journal
publication status
published
subject
keywords
Tools, Smoking, Primary care, Poor control, Asthma, Nonadherence
in
Respiratory Medicine
volume
102
issue
12
pages
1681 - 1693
publisher
Elsevier
external identifiers
  • wos:000261748700002
  • scopus:55849150176
ISSN
1532-3064
DOI
10.1016/j.rmed.2008.08.003
language
English
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yes
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8a6620db-5af4-4944-a9e1-7b8a0c6b9d98 (old id 1377532)
date added to LUP
2009-04-24 10:00:22
date last changed
2017-11-19 03:56:29
@article{8a6620db-5af4-4944-a9e1-7b8a0c6b9d98,
  abstract     = {Achieving asthma control remains an elusive goat for the majority of patients worldwide. Ensuring a correct diagnosis of asthma is the first step in assessing poor symptom control; this requires returning to the basics of history taking and physical examination, in conjunction with lung function measurement when appropriate. A number of factors may contribute to suboptimal asthma control. Concomitant rhinitis, a common co-pathology and contributor to poor control, can often be identified by asking a simple question. Smoking too has been identified as a cause of poor asthma control. Practical barriers such as poor inhaler technique must be addressed. An appreciation of patients' views and concerns about maintenance asthma therapy can help guide discussion to address perceptual barriers to taking maintenance therapy (doubts about personal necessity and concerns about potential adverse effects). Further study into, and a greater consideration of, factors and patient characteristics that could predict individual responses to asthma therapies are needed. Finally, more clinical trials that enrol patient populations reflecting the real world diversity of patients seen in clinical. practice, including wide age ranges, presence of comorbidities, current smoking, and differing ethnic origins, will contribute to better individual patient management. (C) 2008 Elsevier Ltd. All rights reserved.},
  author       = {Haughney, John and Price, David and Kaplan, Alan and Chstyn, Henry and Horne, Rob and May, Nick and Moffat, Mandy and Versnel, Jennifer and Shanahan, Eamonn R. and Hillyer, Elizabeth V. and Tunsater, Alf and Bjermer, Leif},
  issn         = {1532-3064},
  keyword      = {Tools,Smoking,Primary care,Poor control,Asthma,Nonadherence},
  language     = {eng},
  number       = {12},
  pages        = {1681--1693},
  publisher    = {Elsevier},
  series       = {Respiratory Medicine},
  title        = {Achieving asthma control in practice: Understanding the reasons for poor control},
  url          = {http://dx.doi.org/10.1016/j.rmed.2008.08.003},
  volume       = {102},
  year         = {2008},
}