Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus
Abstract Primary care clinicians play a key role in asthma and asthma exacerbation management worldwide because most patients with asthma are treated in primary care settings. The high burden of asthma exacerbations persists and important practice gaps remain, despite continual advances in asthma ca...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-11-01
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| Series: | npj Primary Care Respiratory Medicine |
| Online Access: | https://doi.org/10.1038/s41533-024-00399-2 |
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| author | Neil Skolnik Barbara P. Yawn Jaime Correia de Sousa María Mar Martínez Vázquez Amanda Barnard Wendy L. Wright Austin Ulrich Tonya Winders Stephen Brunton |
| author_facet | Neil Skolnik Barbara P. Yawn Jaime Correia de Sousa María Mar Martínez Vázquez Amanda Barnard Wendy L. Wright Austin Ulrich Tonya Winders Stephen Brunton |
| author_sort | Neil Skolnik |
| collection | DOAJ |
| description | Abstract Primary care clinicians play a key role in asthma and asthma exacerbation management worldwide because most patients with asthma are treated in primary care settings. The high burden of asthma exacerbations persists and important practice gaps remain, despite continual advances in asthma care. Lack of primary care-specific guidance, uncontrolled asthma, incomplete assessment of exacerbation and asthma control history, and reliance on systemic corticosteroids or short-acting beta2-agonist-only therapy are challenges clinicians face today with asthma care. Evidence supports the use of inhaled corticosteroids (ICS) + fast-acting bronchodilator treatments when used as needed in response to symptoms to improve asthma control and reduce rates of exacerbations, and the symptoms that occur leading up to an asthma exacerbation provide a window of opportunity to intervene with ICS. Incorporating patient perspectives and preferences when designing asthma regimens will help patients be more engaged in their therapy and may contribute to improved adherence and outcomes. This expert consensus contains 10 Best Practice Advice Points from a panel of primary care clinicians and a patient representative, formed in collaboration with the International Primary Care Respiratory Group (IPCRG), a clinically led charitable organization that works locally and globally in primary care to improve respiratory health. The panel met virtually and developed a series of best practice statements, which were drafted and subsequently voted on to obtain consensus. Primary care clinicians globally are encouraged to review and adapt these best practice advice points on preventing and managing asthma exacerbations to their local practice patterns to enhance asthma care within their practice. |
| format | Article |
| id | doaj-art-afd62045b64f48c9be206bbc568a7070 |
| institution | Kabale University |
| issn | 2055-1010 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Primary Care Respiratory Medicine |
| spelling | doaj-art-afd62045b64f48c9be206bbc568a70702025-01-12T12:08:29ZengNature Portfolionpj Primary Care Respiratory Medicine2055-10102024-11-013411910.1038/s41533-024-00399-2Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensusNeil Skolnik0Barbara P. Yawn1Jaime Correia de Sousa2María Mar Martínez Vázquez3Amanda Barnard4Wendy L. Wright5Austin Ulrich6Tonya Winders7Stephen Brunton8Thomas Jefferson UniversityUniversity of MinnesotaUniversity of MinhoUniversity of the Basque CountryInternational Primary Care Respiratory Group (IPCRG)Wright & Associates Family HealthcarePrimary Care Education ConsortiumGlobal Allergy & Airways Patient PlatformUS Primary Care Respiratory GroupAbstract Primary care clinicians play a key role in asthma and asthma exacerbation management worldwide because most patients with asthma are treated in primary care settings. The high burden of asthma exacerbations persists and important practice gaps remain, despite continual advances in asthma care. Lack of primary care-specific guidance, uncontrolled asthma, incomplete assessment of exacerbation and asthma control history, and reliance on systemic corticosteroids or short-acting beta2-agonist-only therapy are challenges clinicians face today with asthma care. Evidence supports the use of inhaled corticosteroids (ICS) + fast-acting bronchodilator treatments when used as needed in response to symptoms to improve asthma control and reduce rates of exacerbations, and the symptoms that occur leading up to an asthma exacerbation provide a window of opportunity to intervene with ICS. Incorporating patient perspectives and preferences when designing asthma regimens will help patients be more engaged in their therapy and may contribute to improved adherence and outcomes. This expert consensus contains 10 Best Practice Advice Points from a panel of primary care clinicians and a patient representative, formed in collaboration with the International Primary Care Respiratory Group (IPCRG), a clinically led charitable organization that works locally and globally in primary care to improve respiratory health. The panel met virtually and developed a series of best practice statements, which were drafted and subsequently voted on to obtain consensus. Primary care clinicians globally are encouraged to review and adapt these best practice advice points on preventing and managing asthma exacerbations to their local practice patterns to enhance asthma care within their practice.https://doi.org/10.1038/s41533-024-00399-2 |
| spellingShingle | Neil Skolnik Barbara P. Yawn Jaime Correia de Sousa María Mar Martínez Vázquez Amanda Barnard Wendy L. Wright Austin Ulrich Tonya Winders Stephen Brunton Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus npj Primary Care Respiratory Medicine |
| title | Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus |
| title_full | Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus |
| title_fullStr | Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus |
| title_full_unstemmed | Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus |
| title_short | Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus |
| title_sort | best practice advice for asthma exacerbation prevention and management in primary care an international expert consensus |
| url | https://doi.org/10.1038/s41533-024-00399-2 |
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