Guidelines for severe uncontrolled asthma.
Por:
Cisneros Serrano C, Melero Moreno C, Almonacid Sánchez C, Perpiñá Tordera M, Picado Valles C, Martínez Moragón E, Pérez de Llano L, Soto Campos JG, Urrutia Landa I and García Hernández G
Publicada:
1 may 2015
Categoría:
Pulmonary and respiratory medicine
Resumen:
Since the publication, 9 years ago, of the latest SEPAR (Spanish Society of Pulmonology and Thoracic Surgery) Guidelines on Difficult-to-Control Asthma (DCA), much progress has been made in the understanding of asthmatic disease. These new data need to be reviewed, analyzed and incorporated into the guidelines according to their level of evidence and recommendation. Recently, consensus documents and clinical practice guidelines (CPG) addressing this issue have been published. In these guidelines, specific mention will be made of what the previous DCA guidelines defined as "true difficult-to-control asthma". This is asthma that remains uncontrolled after diagnosis and a systematic evaluation to rule out factors unrelated to the disease itself that lead to poor control ("false difficult-to-control asthma"), and despite an appropriate treatment strategy (Spanish Guidelines for the Management of Asthma [GEMA] steps 5 and 6): severe uncontrolled asthma. In this respect, the guidelines propose a revised definition, an attempt to classify the various manifestations of this type of asthma, a proposal for a stepwise diagnostic procedure, and phenotype-targeted treatment. A specific section has also been included on DCA in childhood, aimed at assisting healthcare professionals to improve the care of these patients.
Filiaciones:
Cisneros Serrano C:
Servicio de Neumología, Hospital Universitario La Princesa, Madrid, España
Melero Moreno C:
Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España
Almonacid Sánchez C:
Servicio de Neumología, Hospital Universitario de Guadalajara, Guadalajara, España
Perpiñá Tordera M:
Servicio de Neumología, Hospital Universitario y Politécnico La Fe, Valencia, España
Picado Valles C:
Servicio de Neumología y Alergia Respiratoria, Hospital Clinic, Universitat de Barcelona, Barcelona, España
:
Servicio de Neumología, Hospital Universitario Dr. Peset, Valencia, España
Pérez de Llano L:
Servicio de Neumología, Hospital Lucus Augusti, Lugo, España
Soto Campos JG:
Servicio de Neumología, Hospital de Galdakao-Usansolo, Galdakao, España
Urrutia Landa I:
UGC Neumología y Alergia, Hospital de Jerez, Cádiz, España
García Hernández G:
Servicio de Pediatría, Hospital Universitario 12 de octubre, Madrid, España
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