Many patients labelled as having mild asthma do not have well‐controlled asthma

Ko, Fanny W.; Hui, David S.

doi:10.1111/resp.13198

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…Furthermore, patients have low expectations of asthma management and many are not aware that they can be symptom-free with appropriate treatment. These findings suggest that current asthma management is falling short of guideline recommendations and highlight the ongoing need for effective treatment plans and improved education for patients and HCPs [29,30,34].…”

Section: Re Re Re Re---mentioning

confidence: 97%

A review of the burden and management of mild asthma in adults — Implications for clinical practice

Mulgirigama¹,

Barnes²,

Fletcher

et al. 2019

Respiratory Medicine

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A review of the burden and management of mild asthma in adults A review of the burden and management of mild asthma in adults A review of the burden and management of mild asthma in adults A review of the burden and management of mild asthma in adults-implications for clinical practice implications for clinical practice implications for clinical practice implications for clinical practice Running head: Mild asthma in adults-management considerations

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Section: Re Re Re Re---mentioning

confidence: 97%

A review of the burden and management of mild asthma in adults — Implications for clinical practice

Mulgirigama¹,

Barnes²,

Fletcher

et al. 2019

Respiratory Medicine

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“…Although reviews and epidemiologic data suggest that mild asthma can be fatal, 18 in retrospect, the label 'mild' might be inappropriate for such patients, even though it had appeared reasonable up to the point of a fatal event. 19 More importantly, patients with mild asthma have a significant risk of community-based exacerbations and over-exposure to systemic corticosteroids which in a lifetime accumulate to hazardous exposure with serious long-term consequences. 4,20 Several papers have addressed the wide heterogeneity of mild asthma patients, the variable nature of their disease and the challenges in identifying those more at risk of poor outcomes.…”

Section: The Challenges Of a Mild Asthma Definition Clinical Heteroge...mentioning

confidence: 99%

“…Patients will be justifiably suspicious of alarmist comments about a disease which is essentially inconsequential to them in most of their daily activities. Although reviews and epidemiologic data suggest that mild asthma can be fatal, 18 in retrospect, the label ‘mild’ might be inappropriate for such patients, even though it had appeared reasonable up to the point of a fatal event 19 . More importantly, patients with mild asthma have a significant risk of community‐based exacerbations and over‐exposure to systemic corticosteroids which in a lifetime accumulate to hazardous exposure with serious long‐term consequences 4,20 …”

Section: The Challenges Of a Mild Asthma Definition Clinical Heteroge...mentioning

confidence: 99%

Mild asthma: Conundrums, complexities and the need to customize care

Jenkins

2023

Respirology

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Mild and moderate asthma cover a wide range of asthma presentations, phenotypes and symptom burden, and account for the majority of people with asthma worldwide. Mild asthma has been difficult to define because of its heterogeneity and wide spectrum of impact and outcomes, including being associated with severe exacerbations. Assessment of mild–moderate asthma is best made by combining asthma symptom control and exacerbation risk as the principle means by which to determine treatment needs. Incontrovertible evidence and guidelines support treatment initiation with anti‐inflammatory medication, completely avoiding reliever‐only treatment of mild asthma. Shared decision making with patients and a treatable traits approach will ensure that a holistic approach is taken to maximize patient outcomes. Most importantly, mild asthma should be regarded as a reversible, potentially curable condition, remaining in long‐term remission through minimizing triggers and optimizing care.

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“…This adds to the evidence that patients and physicians often overestimate the degree of asthma control in those with apparently mild asthma. An editorial commented on the need to develop educational strategies that encourage ICS prescriptions and optimize adherence.…”

Section: Asthmamentioning

confidence: 99%