- Title
- Approaches to the assessment of severe asthma: barriers and strategies
- Creator
- Majellano, Eleanor C.; Clark, Vanessa L.; Winter, Natasha A.; Gibson, Peter G.; McDonald, Vanessa M.
- Relation
- Journal of Asthma and Allergy Vol. 12, p. 235-251
- Publisher Link
- http://dx.doi.org/10.2147/JAA.S178927
- Publisher
- Dove Medical Press
- Resource Type
- journal article
- Date
- 2019
- Description
- Asthma is a chronic condition with great variability. It is characterized by intermittent episodes of wheeze, cough, chest tightness, dyspnea and backed by variable airflow limitation, airway inflammation and airway hyper-responsiveness. Asthma severity varies uniquely between individuals and may change over time. Stratification of asthma severity is an integral part of asthma management linking appropriate treatment to establish asthma control. Precision assessment of severe asthma is crucial for monitoring the health of people with this disease. The literature suggests multiple factors that impede the assessment of severe asthma, these can be grouped into health care professional, patient and organizational related barriers. These barriers do not exist in isolation but interact and influence one another. Recognition of these barriers is necessary to promote precision in the assessment and management of severe asthma in the era of targeted therapy. In this review, we discuss the current knowledge of the barriers that impede assessment in severe asthma and recommend potential strategies for overcoming these barriers. We highlight the relevance of multidimensional assessment as an ideal approach to the assessment and management of severe asthma.
- Subject
- asthma; severe asthma; severity; assessment; barriers; strategies
- Identifier
- http://hdl.handle.net/1959.13/1412211
- Identifier
- uon:36441
- Identifier
- ISSN:1178-6965
- Rights
- © 2019 Majellano et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
- Language
- eng
- Full Text
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