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Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults

机译:北欧共识声明:系统评估和管理成人可能的严重哮喘

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Although a minority of asthma patients suffer from severe asthma, they represent a major clinical challenge in terms of poor symptom control despite high-dose treatment, risk of exacerbations, and side effects. Novel biological treatments may benefit patients with severe asthma, but are expensive, and are only effective in appropriately targeted patients. In some patients, symptoms are driven by other factors than asthma, and all patients with suspected severe asthma (‘difficult asthma’) should undergo systematic assessment, in order to differentiate between true severe asthma, and ‘difficult-to-treat’ patients, in whom poor control is related to factors such as poor adherence or co-morbidities. The Nordic Consensus Statement on severe asthma was developed by the Nordic Severe Asthma Network, consisting of members from Norway, Sweden, Finland, Denmark, Iceland and Estonia, including representatives from the respective national respiratory scientific societies with the aim to provide an overview and recommendations regarding the diagnosis, systematic assessment and management of severe asthma. Furthermore, the Consensus Statement proposes recommendations for the organization of severe asthma management in primary, secondary, and tertiary care.
机译:尽管少数哮喘患者患有严重的哮喘,但尽管进行了高剂量治疗,病情加重和副作用,但在不良的症状控制方面,这仍代表着主要的临床挑战。新型的生物疗法可能会使重度哮喘患者受益,但价格昂贵,并且仅在针对性强的患者中有效。在某些患者中,症状是由哮喘以外的其他因素驱动的,所有疑似重度哮喘(“难治性哮喘”)的患者均应接受系统评估,以区分真正的重度哮喘和“难治性”患者,其中控制不佳与不良依从性或合并症相关。北欧严重哮喘网络由北欧,挪威,瑞典,芬兰,丹麦,冰岛和爱沙尼亚的成员组成,其中包括来自各个国家呼吸科学学会的代表,以制定有关严重哮喘的北欧共识声明,目的是提供概述和建议关于严重哮喘的诊断,系统评估和管理。此外,《共识声明》为在一级,二级和三级护理中重度哮喘管理的组织提出了建议。

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