International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | CHUNG, Kian Fan | |
dc.contributor.author | WENZEL, Sally E. | |
dc.contributor.author | BROZEK, Jan L. | |
dc.contributor.author | BUSH, Andrew | |
dc.contributor.author | CASTRO, Mario | |
dc.contributor.author | STERK, Peter J. | |
dc.contributor.author | ADCOCK, Ian M. | |
dc.contributor.author | BATEMAN, Eric D. | |
dc.contributor.author | BEL, Elisabeth H. | |
dc.contributor.author | BLEECKER, Eugene R. | |
dc.contributor.author | BOULET, Louis-Philippe | |
dc.contributor.author | BRIGHTLING, Christopher | |
dc.contributor.author | CHANEZ, Pascal | |
dc.contributor.author | DAHLEN, Sven-Erik | |
dc.contributor.author | DJUKANOVIC, Ratko | |
dc.contributor.author | FREY, Urs | |
dc.contributor.author | GAGA, Mina | |
dc.contributor.author | GIBSON, Peter | |
dc.contributor.author | HAMID, Qutayba | |
dc.contributor.author | JAJOUR, Nizar N. | |
dc.contributor.author | MAUAD, Thais | |
dc.contributor.author | SORKNESS, Ronald L. | |
dc.contributor.author | TEAGUE, W. Gerald | |
dc.date.accessioned | 2015-07-01T20:34:05Z | |
dc.date.available | 2015-07-01T20:34:05Z | |
dc.date.issued | 2014 | |
dc.description.abstract | Severe or therapy-resistant asthma is increasingly recognised as a major unmet need. A Task Force, supported by the European Respiratory Society and American Thoracic Society, reviewed the definition and provided recommendations and guidelines on the evaluation and treatment of severe asthma in children and adults. A literature review was performed, followed by discussion by an expert committee according to the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach for development of specific clinical recommendations. When the diagnosis of asthma is confirmed and comorbidities addressed, severe asthma is defined as asthma that requires treatment with high dose inhaled corticosteroids plus a second controller and/or systemic corticosteroids to prevent it from becoming ""uncontrolled"" or that remains ""uncontrolled"" despite this therapy. Severe asthma is a heterogeneous condition consisting of phenotypes such as eosinophilic asthma. Specific recommendations on the use of sputum eosinophil count and exhaled nitric oxide to guide therapy, as well as treatment with anti-IgE antibody, methotrexate, macrolide antibiotics, antifungal agents and bronchial thermoplasty are provided. Coordinated research efforts for improved phenotyping will provide safe and effective biomarker-driven approaches to severe asthma therapy. | |
dc.description.index | MEDLINE | |
dc.description.sponsorship | Medical Research Council | |
dc.identifier.citation | EUROPEAN RESPIRATORY JOURNAL, v.43, n.2, p.343-373, 2014 | |
dc.identifier.doi | 10.1183/09031936.00202013 | |
dc.identifier.eissn | 1399-3003 | |
dc.identifier.issn | 0903-1936 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/9490 | |
dc.language.iso | eng | |
dc.publisher | EUROPEAN RESPIRATORY SOC JOURNALS LTD | |
dc.relation.ispartof | European Respiratory Journal | |
dc.rights | restrictedAccess | |
dc.rights.holder | Copyright EUROPEAN RESPIRATORY SOC JOURNALS LTD | |
dc.subject.other | exhaled nitric-oxide | |
dc.subject.other | air-flow obstruction | |
dc.subject.other | randomized controlled-trial | |
dc.subject.other | placebo-controlled trial | |
dc.subject.other | severe persistent asthma | |
dc.subject.other | poorly controlled asthma | |
dc.subject.other | genome-wide association | |
dc.subject.other | relative corticosteroid insensitivity | |
dc.subject.other | sputum eosinophil counts | |
dc.subject.other | allergic airways disease | |
dc.subject.wos | Respiratory System | |
dc.title | International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma | |
dc.type | article | |
dc.type.category | original article | |
dc.type.version | publishedVersion | |
dspace.entity.type | Publication | |
hcfmusp.affiliation.country | Austrália | |
hcfmusp.affiliation.country | Inglaterra | |
hcfmusp.affiliation.country | Estados Unidos | |
hcfmusp.affiliation.country | Canadá | |
hcfmusp.affiliation.country | Holanda | |
hcfmusp.affiliation.country | África do Sul | |
hcfmusp.affiliation.country | França | |
hcfmusp.affiliation.country | Suécia | |
hcfmusp.affiliation.country | Suíça | |
hcfmusp.affiliation.country | Grécia | |
hcfmusp.affiliation.countryiso | gb | |
hcfmusp.affiliation.countryiso | us | |
hcfmusp.affiliation.countryiso | ca | |
hcfmusp.affiliation.countryiso | nl | |
hcfmusp.affiliation.countryiso | za | |
hcfmusp.affiliation.countryiso | fr | |
hcfmusp.affiliation.countryiso | se | |
hcfmusp.affiliation.countryiso | ch | |
hcfmusp.affiliation.countryiso | gr | |
hcfmusp.affiliation.countryiso | au | |
hcfmusp.author.external | CHUNG, Kian Fan:Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London SW3 6LY, England; Royal Brompton Hosp, Biomed Res Unit, London SW3 6LY, England | |
hcfmusp.author.external | WENZEL, Sally E.:Univ Pittsburgh, Dept Med, Pittsburgh, PA USA | |
hcfmusp.author.external | BROZEK, Jan L.:McMaster Univ, Dept Clin Epidemiol & Biostat & Med, Hamilton, ON, Canada | |
hcfmusp.author.external | BUSH, Andrew:Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London SW3 6LY, England; Royal Brompton Hosp, Biomed Res Unit, London SW3 6LY, England | |
hcfmusp.author.external | CASTRO, Mario:Washington Univ, Dept Med, St Louis, MO USA | |
hcfmusp.author.external | STERK, Peter J.:Univ Amsterdam, Acad Med Ctr, Dept Resp Med, NL-1105 AZ Amsterdam, Netherlands | |
hcfmusp.author.external | ADCOCK, Ian M.:Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London SW3 6LY, England | |
hcfmusp.author.external | BATEMAN, Eric D.:Univ Cape Town, Lung Inst, ZA-7925 Cape Town, South Africa | |
hcfmusp.author.external | BEL, Elisabeth H.:Univ Amsterdam, Acad Med Ctr, Dept Resp Med, NL-1105 AZ Amsterdam, Netherlands | |
hcfmusp.author.external | BLEECKER, Eugene R.:Wake Forest Univ, Dept Med, Winston Salem, NC 27109 USA | |
hcfmusp.author.external | BOULET, Louis-Philippe:Inst Univ Cardiol & Pneumol Quebec, Ctr Rech, Quebec City, PQ, Canada | |
hcfmusp.author.external | BRIGHTLING, Christopher:Univ Leicester, Inst Lung Hlth, Leicester, Leics, England | |
hcfmusp.author.external | CHANEZ, Pascal:Marseille Univ, Dept Malad Resp, Marseille, France | |
hcfmusp.author.external | DAHLEN, Sven-Erik:Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden | |
hcfmusp.author.external | DJUKANOVIC, Ratko:Univ Southampton, Sch Med, Southampton NIHR Resp Biomed Res Unit, Southampton, Hants, England; Southampton Gen Hosp, Southampton SO9 4XY, Hants, England | |
hcfmusp.author.external | FREY, Urs:Univ Basel, Univ Childrens Hosp UKBB, Basel, Switzerland | |
hcfmusp.author.external | GAGA, Mina:Athens Chest Hosp, Resp Dept 7, Athens, Greece; Athens Chest Hosp, Asthma Ctr, Athens, Greece | |
hcfmusp.author.external | GIBSON, Peter:John Hunter Hosp, Hunter Med Res Inst, Newcastle, NSW, Australia | |
hcfmusp.author.external | HAMID, Qutayba:McGill Univ, Meakins Christie Labs, Montreal, PQ, Canada | |
hcfmusp.author.external | JAJOUR, Nizar N.:Univ Wisconsin, Dept Med, Madison, WI USA | |
hcfmusp.author.external | SORKNESS, Ronald L.:Univ Wisconsin, Dept Med, Madison, WI USA | |
hcfmusp.author.external | TEAGUE, W. Gerald:Univ Virginia, Sch Med, Dept Paediat, Div Resp Med Allergy & Immunol, Charlottesville, VA 22903 USA | |
hcfmusp.citation.scopus | 2849 | |
hcfmusp.contributor.author-fmusphc | THAIS MAUAD | |
hcfmusp.description.beginpage | 343 | |
hcfmusp.description.endpage | 373 | |
hcfmusp.description.issue | 2 | |
hcfmusp.description.volume | 43 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 24337046 | |
hcfmusp.origem.scopus | 2-s2.0-84893513577 | |
hcfmusp.origem.wos | WOS:000330824500010 | |
hcfmusp.publisher.city | SHEFFIELD | |
hcfmusp.publisher.country | ENGLAND | |
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