The Asthma Controller Step-down Yardstick.
Journal
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
ISSN: 1534-4436
Titre abrégé: Ann Allergy Asthma Immunol
Pays: United States
ID NLM: 9503580
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
25
10
2018
revised:
02
12
2018
accepted:
03
12
2018
pubmed:
15
12
2018
medline:
25
12
2019
entrez:
15
12
2018
Statut:
ppublish
Résumé
Asthma guidelines recommend a control-based approach to disease management in which the assessment of impairment and risk is linked to step-based therapy. Using this model, controller treatment is adjusted-upward or downward-according to a patient's level of asthma control over time. Strategies for stepping up controller therapy are well described, and the adult and pediatric Asthma Yardsticks provide operational recommendations based on patient profiles. Strategies for stepping down controller treatment are less clear, although stepping down to the minimum effective therapy is important and should be considered when a patient's asthma has been well controlled for an adequate period as defined by risk and impairment. This Yardstick presents recommendations for when and how to step down asthma controller therapy according to guideline-defined control levels. The objective is to provide clinicians who treat patients with asthma with a practical and clinically relevant framework for implementing a step-down in controller therapy.
Identifiants
pubmed: 30550809
pii: S1081-1206(18)31504-7
doi: 10.1016/j.anai.2018.12.004
pii:
doi:
Substances chimiques
Adrenal Cortex Hormones
0
Adrenergic beta-Agonists
0
Anti-Asthmatic Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
241-262.e4Informations de copyright
Copyright © 2018. Published by Elsevier Inc.