Journal article

Systematic Assessment of Difficult-to-Treat Asthma: Principles and Perspectives.

Mark Hew, Andrew Menzies-Gow, James H Hull, Louise Fleming, Celeste Porsbjerg, Anneke Ten Brinke, David Allen, Robin Gore, Tunn Ren Tay

J Allergy Clin Immunol Pract | Published : 2020

Abstract

Difficult-to-treat asthma affects a minority of adults and children with asthma but represents a challenging mix of misdiagnosis, multimorbidity, inadequate self-management, severe airway pathobiology, and treatment complications. Management of these patients extends beyond asthma pharmacotherapy, because multiple other patient-related domains need to be addressed as well. Such complexity can hinder adequate clinical assessment even when performed in specialist practice. Systematic assessment undertaken by specialized multidisciplinary teams brings a broad range of resources to bear on patients with difficult-to-treat asthma. Although the concept of systematic assessment is not new, practice..

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