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Control of asthma in real life: still a valuable goal?

Andriana I. Papaioannou, Konstantinos Kostikas, Eleftherios Zervas, Lykourgos Kolilekas, Spiridon Papiris, Mina Gaga
European Respiratory Review 2015 24: 361-369; DOI: 10.1183/16000617.00001615
Andriana I. Papaioannou
12nd Respiratory Medicine Dept, University of Athens Medical School, Attikon Hospital, Athens, Greece
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Konstantinos Kostikas
12nd Respiratory Medicine Dept, University of Athens Medical School, Attikon Hospital, Athens, Greece
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Eleftherios Zervas
27th Respiratory Medicine Dept and Asthma Center, Athens Chest Hospital “Sotiria”, Athens, Greece
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Lykourgos Kolilekas
27th Respiratory Medicine Dept and Asthma Center, Athens Chest Hospital “Sotiria”, Athens, Greece
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Spiridon Papiris
12nd Respiratory Medicine Dept, University of Athens Medical School, Attikon Hospital, Athens, Greece
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Mina Gaga
27th Respiratory Medicine Dept and Asthma Center, Athens Chest Hospital “Sotiria”, Athens, Greece
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  • For correspondence: minagaga@yahoo.com
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Abstract

Although studies show that control of asthma can be achieved in the majority of patients, surveys repeatedly show that this is not the case in real life. Important measures to implement in order to achieve asthma control are trained healthcare professionals, a good patient–doctor relationship, patient education, avoidance of exposure to triggers, personalised management and adherence to treatment. These measures help the majority of asthma patients but have not yet been widely implemented and there should be a concerted action for their implementation. Moreover, further and focused research is needed in severe/refractory asthma.

Abstract

Achieving asthma control requires implementation of evidence-based guidelines and further research into severe asthma http://ow.ly/KzrOp

Footnotes

  • Previous articles in this series: No. 1: Dombret M-C, Alagha K, Boulet LP, et al. Bronchial thermoplasty: a new therapeutic option for the treatment of severe, uncontrolled asthma in adults. Eur Respir Rev 2014; 23: 510–518. No. 2: Barnig C, Levy BD. Innate immunity is a key factor for the resolution of inflammation in asthma. Eur Respir Rev 2015; 24: 141–153.

  • Conflict of interest: Disclosures can be found alongside the online version of this article at err.ersjournals.com

  • Provenance: Submitted article, peer reviewed.

  • Received February 16, 2015.
  • Accepted March 5, 2015.
  • Copyright ©ERS 2015.

ERR articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

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Control of asthma in real life: still a valuable goal?
Andriana I. Papaioannou, Konstantinos Kostikas, Eleftherios Zervas, Lykourgos Kolilekas, Spiridon Papiris, Mina Gaga
European Respiratory Review Jun 2015, 24 (136) 361-369; DOI: 10.1183/16000617.00001615

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Control of asthma in real life: still a valuable goal?
Andriana I. Papaioannou, Konstantinos Kostikas, Eleftherios Zervas, Lykourgos Kolilekas, Spiridon Papiris, Mina Gaga
European Respiratory Review Jun 2015, 24 (136) 361-369; DOI: 10.1183/16000617.00001615
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  • Article
    • Abstract
    • Abstract
    • Introduction
    • Moving from asthma severity to control
    • Defining asthma control
    • Defining asthma exacerbations
    • Association of control with clinically important parameters
    • Risk factors for poor asthma control
    • Assessment of asthma control
    • Effects of treatment on asthma control
    • Effects of asthma control on economic burden and healthcare cost
    • Conclusion
    • Footnotes
    • References
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