2020 Brazilian Thoracic Association recommendations for the management of asthma

Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Marcia Margaret Menezes PizzichiniAlberto Cukier

Abstract

The pharmacological management of asthma has changed considerably in recent decades, as it has come to be understood that it is a complex, heterogeneous disease with different phenotypes and endotypes. It is now clear that the goal of asthma treatment should be to achieve and maintain control of the disease, as well as to minimize the risks (of exacerbations, disease instability, accelerated loss of lung function, and adverse treatment effects). That requires an approach that is personalized in terms of the pharmacological treatment, patient education, written action plan, training in correct inhaler use, and review of the inhaler technique at each office visit. A panel of 22 pulmonologists was invited to perform a critical review of recent evidence of pharmacological treatment of asthma and to prepare this set of recommendations, a treatment guide tailored to use in Brazil. The topics or questions related to the most significant changes in concepts, and consequently in the management of asthma in clinical practice, were chosen by a panel of experts. To formulate these recommendations, we asked each expert to perform a critical review of a topic or to respond to a question, on the basis of evidence in the literature. In a secon...Continue Reading

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Citations

Jun 11, 2020·Jornal de pediatria·Lívea GianfrancescoAdyléia Aparecida Dalbo Contrera Toro
Jun 26, 2021·Chronic Respiratory Disease·Paulo Márcio PitrezMarcia Margaret Menezes Pizzichini

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