Management of comorbidities in difficult and severe asthma.


Journal

Breathe (Sheffield, England)
ISSN: 1810-6838
Titre abrégé: Breathe (Sheff)
Pays: England
ID NLM: 101231007

Informations de publication

Date de publication:
Sep 2023
Historique:
received: 17 07 2023
accepted: 03 10 2023
medline: 29 11 2023
pubmed: 29 11 2023
entrez: 29 11 2023
Statut: ppublish

Résumé

Difficult-to-treat and severe asthma are challenging clinical entities. In the face of suboptimal asthma control, the temptation for clinicians is to reflexively escalate asthma-directed therapy, including increasing exposure to corticosteroids and commencement of costly but potent biologic therapies. However, asthma control is objectively and subjectively assessed based on measurable parameters (such as exacerbations or variability in pulmonary physiology), symptoms and patient histories. Crucially, these features can be confounded by common untreated comorbidities, affecting clinicians' assessment of asthma treatment efficacy.

Identifiants

pubmed: 38020342
doi: 10.1183/20734735.0133-2023
pii: EDU-0133-2023
pmc: PMC10644109
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

230133

Informations de copyright

Copyright ©ERS 2023.

Déclaration de conflit d'intérêts

Conflict of interest: The authors report no conflict of interests.

Références

Cochrane Database Syst Rev. 2021 May 17;5:CD001496
pubmed: 33998673
J Allergy Clin Immunol Pract. 2015 Jul-Aug;3(4):566-75.e1
pubmed: 26004304
Cureus. 2020 Aug 12;12(8):e9684
pubmed: 32923277
Clin Exp Allergy. 2021 Jun;51(6):836-844
pubmed: 33595845
J Allergy Clin Immunol. 2007 Feb;119(2):405-13
pubmed: 17291857
J Allergy Clin Immunol. 2020 Sep;146(3):595-605
pubmed: 32524991
Respirology. 2018 Nov;23(11):1055-1062
pubmed: 29992713
J Asthma. 2021 Sep;58(9):1176-1185
pubmed: 32521180
N Engl J Med. 2022 Aug 11;387(6):533-545
pubmed: 35947710
Allergy. 2016 Sep;71(9):1295-304
pubmed: 26969855
Am J Respir Crit Care Med. 2015 Jul 1;192(1):47-56
pubmed: 25918834
J Allergy Clin Immunol Pract. 2021 Dec;9(12):4450-4458.e6
pubmed: 34464748
J Allergy Clin Immunol Pract. 2020 Mar;8(3):1005-1013.e9
pubmed: 31733335
Sci Rep. 2021 Nov 24;11(1):22820
pubmed: 34819607
Lancet Respir Med. 2020 Jun;8(6):585-596
pubmed: 32526187
J Asthma. 2014 Oct;51(8):839-46
pubmed: 24823322
Lancet Respir Med. 2018 Jan;6(1):19-28
pubmed: 29248433
Laryngoscope. 2006 Sep;116(9):1558-61
pubmed: 16954978
Int Forum Allergy Rhinol. 2021 Mar;11(3):213-739
pubmed: 33236525
Am J Respir Crit Care Med. 2008 Sep 1;178(5):469-75
pubmed: 18565954
Chest. 1994 Apr;105(4):1042-5
pubmed: 8162722
Eur Arch Otorhinolaryngol. 2011 Oct;268(10):1485-92
pubmed: 21643933
J Allergy Clin Immunol Pract. 2021 Nov;9(11):3877-3884
pubmed: 34506967
Ann Allergy Asthma Immunol. 2006 Jun;96(6):794-9
pubmed: 16802766
Vestn Otorinolaringol. 2021;86(2):43-48
pubmed: 33929151
Eur Respir J. 2016 Feb;47(2):490-8
pubmed: 26585431
Clin Exp Allergy. 2022 Mar;52(3):387-404
pubmed: 34699093
Cough. 2014 Feb 19;10(1):1
pubmed: 24552215
N Engl J Med. 2019 Sep 12;381(11):1023-1034
pubmed: 31112385
Am J Respir Crit Care Med. 2011 Jul 1;184(1):50-6
pubmed: 21471099
Allergy Proc. 1994 Jan-Feb;15(1):21-5
pubmed: 8005452
J Allergy Clin Immunol Pract. 2023 Nov;11(11):3417-3424.e3
pubmed: 37406803
Ann Am Thorac Soc. 2014 Nov;11(9):1439-44
pubmed: 25314160
J Asthma. 2005 Feb;42(1):1-7
pubmed: 15801321
J Allergy Clin Immunol. 2014 Jun;133(6):1549-56
pubmed: 24315502
Clin Exp Allergy. 2019 Jun;49(6):770-780
pubmed: 30675924
Mycoses. 2010 Mar 1;53(2):138-43
pubmed: 19207831
Cochrane Database Syst Rev. 2007 Jan 24;(1):CD001936
pubmed: 17253469
J Allergy Clin Immunol Pract. 2023 Sep;11(9):2724-2731.e2
pubmed: 37295671
N Engl J Med. 2009 Apr 9;360(15):1487-99
pubmed: 19357404
Pharmacoeconomics. 2007;25(8):665-76
pubmed: 17640108
Am J Respir Crit Care Med. 2017 Feb 1;195(3):302-313
pubmed: 27556234
Am J Gastroenterol. 2000 Aug;95(8 Suppl):S23-32
pubmed: 10950102
Eur Respir J. 2023 Aug 3;62(2):
pubmed: 37474156
Respirology. 2016 Oct;21(7):1210-8
pubmed: 27245632
Eur Respir J. 2022 Feb 15;:
pubmed: 35169025
J Clin Med. 2023 Jun 09;12(12):
pubmed: 37373648
Eur Respir J. 2005 Nov;26(5):812-8
pubmed: 16264041
Pediatr Allergy Immunol. 2015 Feb;26(1):62-72
pubmed: 25474092
J Asthma. 2020 May;57(5):505-509
pubmed: 30784336
Clin Exp Allergy. 2023 Jul;53(7):777-780
pubmed: 36808646
Breathe (Sheff). 2023 Sep;19(3):230088
pubmed: 37830100
Laryngoscope. 2019 Apr;129(4):808-811
pubmed: 30548857
Respirology. 2013 Apr;18(3):553-4
pubmed: 23347153
Pediatrics. 2014 Aug;134(2):e535-46
pubmed: 25049351
Scand J Work Environ Health. 2005 Jun;31(3):224-6
pubmed: 15999575
Front Allergy. 2021 Sep 22;2:735030
pubmed: 35387051
Laryngoscope. 2009 Sep;119(9):1776-80
pubmed: 19572398
Gut. 2007 Dec;56(12):1654-64
pubmed: 17682001
J Allergy Clin Immunol Glob. 2022 Nov 21;2(1):36-42
pubmed: 37780108
J Allergy Clin Immunol Pract. 2021 Sep;9(9):3407-3421.e8
pubmed: 33964510
Obes Rev. 2023 Feb;24(2):e13527
pubmed: 36345564
Allergy. 2008 Apr;63 Suppl 86:8-160
pubmed: 18331513
J Allergy Clin Immunol. 2008 May;121(5):1087-93; quiz 1094-5
pubmed: 18405959
J Allergy Clin Immunol. 2009 Aug;124(2):371-6
pubmed: 19560194
Eur Respir J. 2017 Sep 9;50(3):
pubmed: 28889110
Eur Respir J. 2018 Sep 18;52(3):
pubmed: 30049743
Curr Allergy Asthma Rep. 2019 Sep 10;19(10):49
pubmed: 31506820
Int Arch Allergy Immunol. 2020;181(7):499-506
pubmed: 32388510
Curr Opin Allergy Clin Immunol. 2019 Feb;19(1):46-52
pubmed: 30516546
Lancet. 1995 Sep 23;346(8978):791-5
pubmed: 7674743
JAMA. 2012 Jan 25;307(4):373-81
pubmed: 22274684
Cochrane Database Syst Rev. 2004;(3):CD001108
pubmed: 15266440
Rhinology. 2016 Mar;54(1):75-9
pubmed: 26702456
Intern Med. 2021 Sep 1;60(17):2839-2842
pubmed: 33642487
Eur Respir J. 2000 Mar;15(3):617-8
pubmed: 10759461
J Allergy Clin Immunol. 2015 Aug;136(2):288-94.e8
pubmed: 25670012
Clin Exp Allergy. 2005 Jun;35(6):723-7
pubmed: 15969661
Clin Infect Dis. 2016 Aug 15;63(4):e1-e60
pubmed: 27365388
Thorax. 2019 Jan;74(Suppl 1):1-69
pubmed: 30545985
Allergy. 2012 Jan;67(1):91-8
pubmed: 22050239
Lancet Respir Med. 2023 Jan;11(1):18
pubmed: 36462509
Curr Probl Diagn Radiol. 2016 May-Jun;45(3):168-73
pubmed: 26323654
Eur Respir J. 1997 Oct;10(10):2255-9
pubmed: 9387949
Am J Respir Crit Care Med. 2021 Apr 1;203(7):788-789
pubmed: 33211980
NCHS Data Brief. 2016 Mar;(239):1-8
pubmed: 27019018
Clin Respir J. 2018 Aug;12(8):2369-2377
pubmed: 29873189
Eur Respir J. 2006 Jul;28(1):68-74
pubmed: 16510462
Ther Adv Respir Dis. 2020 Jan-Dec;14:1753466620963030
pubmed: 33059535
Allergy. 1999;54 Suppl 57:7-13
pubmed: 10565475
Am J Gastroenterol. 2022 Jan 1;117(1):27-56
pubmed: 34807007
Br J Sports Med. 2022 Jun;56(11):622-629
pubmed: 35193856
Curr Allergy Asthma Rep. 2015 Mar;15(3):509
pubmed: 25712010
J Anxiety Disord. 2008 May;22(4):671-83
pubmed: 17693054
Clin Exp Otorhinolaryngol. 2018 Jun;11(2):71-80
pubmed: 29642688
Drugs. 2022 Sep;82(14):1453-1468
pubmed: 36264441
Allergy. 2018 Jul;73(7):1369-1382
pubmed: 29178130
Am J Respir Med. 2003;2(1):1-10
pubmed: 14720017
N Engl J Med. 2000 Mar 16;342(11):756-62
pubmed: 10717010
Lancet. 2019 Nov 2;394(10209):1638-1650
pubmed: 31543428
Eur Respir J. 2011 Jan;37(1):194-200
pubmed: 21205712
Ann Allergy Asthma Immunol. 2008 May;100(5):420-5
pubmed: 18517072
Lancet Respir Med. 2021 Oct;9(10):1141-1153
pubmed: 33872587
Pediatr Pulmonol. 2014 May;49(5):503-7
pubmed: 24167019
Nutrients. 2021 Oct 28;13(11):
pubmed: 34836093
Respirology. 2009 Nov;14(8):1106-13
pubmed: 19708903
Am J Respir Crit Care Med. 2021 Apr 1;203(7):831-840
pubmed: 33052715
Pediatrics. 2011 Dec;128(6):e1443-9
pubmed: 22123871
J Asthma. 2012 May;49(4):423-33
pubmed: 22380765
Cochrane Database Syst Rev. 2018 Mar 15;3:CD012406
pubmed: 29543980
Pediatr Allergy Immunol. 2016 Dec;27(8):854-860
pubmed: 27591561
Postepy Dermatol Alergol. 2018 Dec;35(6):563-571
pubmed: 30618522
Eur Respir J. 2022 Aug 4;60(2):
pubmed: 34996831
Am J Respir Crit Care Med. 2007 Apr 1;175(7):661-6
pubmed: 17234901
Eur Respir J. 2020 Jan 2;55(1):
pubmed: 31558662
Allergy. 2017 May;72(5):802-812
pubmed: 27732758
Respir Med. 2018 Oct;143:18-30
pubmed: 30261988
Ther Adv Respir Dis. 2009 Oct;3(5):227-33
pubmed: 19736295
Lancet. 2017 Aug 12;390(10095):659-668
pubmed: 28687413
Lung. 2023 Feb;201(1):17-23
pubmed: 36746812
Explore (NY). 2007 Jan-Feb;3(1):28-36
pubmed: 17234566
Am J Respir Crit Care Med. 1995 Oct;152(4 Pt 1):1382-6
pubmed: 7551399
ORL J Otorhinolaryngol Relat Spec. 2021;83(5):327-334
pubmed: 33951673
J Allergy Clin Immunol. 2015 Apr;135(4):896-902
pubmed: 25441637
Respirology. 2017 May;22(4):651-661
pubmed: 28328160
Korean J Intern Med. 2018 Nov;33(6):1210-1223
pubmed: 29665658
BMJ Open Sport Exerc Med. 2015 Dec 23;1(1):e000065
pubmed: 27900141
Respir Med. 2016 Mar;112:31-8
pubmed: 26852088
J Allergy Clin Immunol Pract. 2013 Jul-Aug;1(4):387-93
pubmed: 24565544
BMJ Open Respir Res. 2022 Jun;9(1):
pubmed: 35705262
Chest. 2005 Sep;128(3):1128-35
pubmed: 16162697
Psychol Med. 2021 Jan;51(1):11-20
pubmed: 33431086
Respirology. 2017 Oct;22(7):1262-1275
pubmed: 28776330
Am J Rhinol Allergy. 2018 May;32(3):139-146
pubmed: 29649887
J Allergy Clin Immunol Pract. 2014 Jan-Feb;2(1):65-9
pubmed: 24565771
Arch Otolaryngol Head Neck Surg. 2000 Jan;126(1):29-34
pubmed: 10628707
Eur Respir J. 2008 Apr;31(4):742-50
pubmed: 18256071
Am J Respir Crit Care Med. 2012 Oct 1;186(7):598-605
pubmed: 22837379
J Asthma. 2016 Nov;53(9):955-63
pubmed: 27115047
Eur Respir Rev. 2015 Sep;24(137):445-50
pubmed: 26324806
J Allergy Clin Immunol. 2022 Apr;149(4):1309-1317.e12
pubmed: 34599979
J Asthma Allergy. 2021 Feb 11;14:127-134
pubmed: 33603409
Eur Respir J. 2017 Aug 3;50(2):
pubmed: 28775052
Clin Exp Allergy. 2013 Aug;43(8):850-73
pubmed: 23889240
Front Immunol. 2022 Aug 02;13:939127
pubmed: 35983066
J Allergy Clin Immunol Pract. 2016 Jan-Feb;4(1):68-73.e1
pubmed: 26563676
J Allergy Clin Immunol. 2018 Apr;141(4):1169-1179
pubmed: 29627041
NPJ Prim Care Respir Med. 2020 Jun 5;30(1):25
pubmed: 32503985
J Clin Sleep Med. 2009 Feb 15;5(1):71-8
pubmed: 19317386
Am J Med Sci. 2020 Aug;360(2):137-145
pubmed: 32423746
J Asthma. 2021 Jun;58(6):759-769
pubmed: 32065543
Allergy. 2011 Sep;66(9):1254-6
pubmed: 21517902
Am J Rhinol Allergy. 2021 Nov;35(6):861-870
pubmed: 33840229
Expert Rev Respir Med. 2016 Dec;10(12):1317-1334
pubmed: 27744712
J Asthma. 2015 May;52(4):327-35
pubmed: 25365113
Respirology. 2017 Apr;22(3):612-613
pubmed: 28211152
Cochrane Database Syst Rev. 2016 Sep 21;9:CD011818
pubmed: 27649894
Pan Afr Med J. 2020 Jun 01;36:49
pubmed: 32774625
J Asthma Allergy. 2016 Jan 07;9:1-12
pubmed: 26793004
Intern Med. 2021 Apr 15;60(8):1251-1255
pubmed: 33162484
Curr Opin Allergy Clin Immunol. 2022 Dec 1;22(6):396-401
pubmed: 36305469
Am J Rhinol Allergy. 2016 Jan-Feb;30(1):44-7
pubmed: 26867529
Ann Thorac Med. 2014 Oct;9(4):216-20
pubmed: 25276240
Eur Arch Otorhinolaryngol. 2013 Nov;270(12):3107-13
pubmed: 23732952
ERJ Open Res. 2023 Jan 23;9(1):
pubmed: 36699648
Int J Environ Res Public Health. 2020 Mar 29;17(7):
pubmed: 32235324
Respir Med. 2021 Aug-Sep;185:106491
pubmed: 34098492
J Asthma. 2005 Jul-Aug;42(6):437-45
pubmed: 16293538
J Occup Environ Med. 1998 Feb;40(2):136-43
pubmed: 9503289
Ann Intern Med. 1977 Apr;86(4):405-14
pubmed: 848802
Thorax. 1995 Feb;50(2):201-4
pubmed: 7701464
Nat Rev Immunol. 2015 Jan;15(1):57-65
pubmed: 25534623
Front Pharmacol. 2020 May 06;11:542
pubmed: 32435190
N Engl J Med. 2023 Jul 20;389(3):205-214
pubmed: 37272521
Sleep. 1991 Dec;14(6):540-5
pubmed: 1798888
Eur Arch Otorhinolaryngol. 2017 Feb;274(2):909-917
pubmed: 27600559
J Affect Disord. 2014 Sep;166:22-9
pubmed: 25012406
Clin Ther. 2000 Mar;22(3):342-50
pubmed: 10963288
Cochrane Database Syst Rev. 2010 Aug 04;(8):CD001186
pubmed: 20687065
Chest. 2016 Mar;149(3):631-8
pubmed: 26378880
Behav Res Ther. 2016 Dec;87:142-154
pubmed: 27668723
Lung India. 2009 Jan;26(1):5-8
pubmed: 20165587
J Allergy Clin Immunol. 1988 Apr;81(4):646-50
pubmed: 3356845
J Asthma. 2015;52(6):638-45
pubmed: 25539138
J Asthma. 2022 Feb;59(2):273-287
pubmed: 33176512
J Allergy Clin Immunol. 2011 Jun;127(6):1486-93.e2
pubmed: 21624618
Eur Respir J. 2013 Feb;41(2):317-22
pubmed: 22835615
Allergy. 2019 Jan;74(1):201-203
pubmed: 30243028
Int J Chron Obstruct Pulmon Dis. 2016 Nov 08;11:2797-2803
pubmed: 27877033
Ann Am Thorac Soc. 2019 Dec;16(12):1527-1533
pubmed: 31415212
J Allergy Clin Immunol Pract. 2020 Jul - Aug;8(7):2256-2262
pubmed: 32173506
Cleve Clin J Med. 2010 Mar;77(3):155-60
pubmed: 20200165
Pneumologie. 1997 Jan;51(1):14-8
pubmed: 9132741
J Allergy Clin Immunol Pract. 2019 Feb;7(2):589-596.e3
pubmed: 30193936
Respir Med. 2019 Apr;150:66-73
pubmed: 30961953
Am J Respir Crit Care Med. 2006 Jul 15;174(2):112-9
pubmed: 16627866
J Allergy Clin Immunol Pract. 2021 Jun;9(6):2315-2320.e1
pubmed: 33689868
Curr Med Res Opin. 2007 Apr;23(4):721-30
pubmed: 17407628
Allergol Int. 2019 Apr;68(2):135-142
pubmed: 30509734
N Engl J Med. 2017 Oct 26;377(17):1613-1629
pubmed: 28893134
Am J Rhinol. 1999 Jul-Aug;13(4):261-5
pubmed: 10485011
Am J Physiol Lung Cell Mol Physiol. 2022 Oct 01;323(4):L473-L483
pubmed: 35997281
Respir Med. 2006 Nov;100(11):1952-9
pubmed: 16626955
Medicine (Baltimore). 2016 May;95(22):e3459
pubmed: 27258489
Arch Bronconeumol. 2023 Mar;59(3):139-141
pubmed: 36609113
Med Mycol. 2013 May;51(4):361-70
pubmed: 23210682
Thorax. 2020 Sep;75(9):744-753
pubmed: 32532852
Am J Respir Crit Care Med. 2023 Jan 15;207(2):130-137
pubmed: 36214830
J Investig Allergol Clin Immunol. 2019;29(4):262-271
pubmed: 30222113
Chest. 2007 Oct;132(4):1183-90
pubmed: 17646221
Ann Otol Rhinol Laryngol. 2005 Apr;114(4):253-7
pubmed: 15895778
J Asthma. 2003 Dec;40(8):865-71
pubmed: 14736085
J Asthma Allergy. 2009 Nov 19;2:105-10
pubmed: 21437148
J Allergy Clin Immunol Pract. 2015 Mar-Apr;3(2):192-9
pubmed: 25640470
Clin Transl Allergy. 2021 Dec;11(10):e12081
pubmed: 34962725
J Asthma. 2014 Mar;51(2):209-20
pubmed: 24256058
J Asthma Allergy. 2019 Mar 05;12:83-90
pubmed: 30881051
J Voice. 2000 Dec;14(4):607-18
pubmed: 11130117
Clin Epidemiol. 2018 Sep 24;10:1275-1287
pubmed: 30288123
Respirology. 2017 Apr;22(3):612
pubmed: 28211210

Auteurs

Jehangir Khan (J)

University College Dublin, Dublin, Ireland.
St Vincent's University Hospital, Dublin, Ireland.
Shared first authorship.

Barry Moran (B)

St Vincent's University Hospital, Dublin, Ireland.
Shared first authorship.

Cormac McCarthy (C)

University College Dublin, Dublin, Ireland.
St Vincent's University Hospital, Dublin, Ireland.

Marcus W Butler (MW)

University College Dublin, Dublin, Ireland.
St Vincent's University Hospital, Dublin, Ireland.
Shared senior authorship.

Alessandro N Franciosi (AN)

University College Dublin, Dublin, Ireland.
St Vincent's University Hospital, Dublin, Ireland.
Shared senior authorship.

Classifications MeSH