Achieving asthma control in practice: Understanding the reasons for poor control
(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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- author
- organization
- publishing date
- 2008
- type
- 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
- pmid:18815019
- ISSN
- 1532-3064
- DOI
- 10.1016/j.rmed.2008.08.003
- language
- English
- LU publication?
- yes
- id
- 8a6620db-5af4-4944-a9e1-7b8a0c6b9d98 (old id 1377532)
- date added to LUP
- 2016-04-01 14:25:53
- date last changed
- 2022-03-22 00:01:48
@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}},
keywords = {{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}},
doi = {{10.1016/j.rmed.2008.08.003}},
volume = {{102}},
year = {{2008}},
}