AI Article Synopsis

  • The latest SEPAR Guidelines on Difficult-to-Control Asthma (DCA) are being updated to reflect new research and consensus findings from the past nine years.
  • The guidelines will clarify the concept of "true difficult-to-control asthma," distinguishing it from "false difficult-to-control asthma," which is often due to non-asthma related factors.
  • New recommendations will include revised definitions, classification of asthma types, diagnostic procedures, and tailored treatments, with a special section focused on managing DCA in children.

Article Abstract

Since the publication, 9 years ago, of the latest SEPAR (Spanish Society of Pulmonology and Thoracic Surgery) Guidelines on Difficult-to-Control Asthma (DCA), much progress has been made in the understanding of asthmatic disease. These new data need to be reviewed, analyzed and incorporated into the guidelines according to their level of evidence and recommendation. Recently, consensus documents and clinical practice guidelines (CPG) addressing this issue have been published. In these guidelines, specific mention will be made of what the previous DCA guidelines defined as "true difficult-to-control asthma". This is asthma that remains uncontrolled after diagnosis and a systematic evaluation to rule out factors unrelated to the disease itself that lead to poor control ("false difficult-to-control asthma"), and despite an appropriate treatment strategy (Spanish Guidelines for the Management of Asthma [GEMA] steps 5 and 6): severe uncontrolled asthma. In this respect, the guidelines propose a revised definition, an attempt to classify the various manifestations of this type of asthma, a proposal for a stepwise diagnostic procedure, and phenotype-targeted treatment. A specific section has also been included on DCA in childhood, aimed at assisting healthcare professionals to improve the care of these patients.

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Source
http://dx.doi.org/10.1016/j.arbres.2014.12.007DOI Listing

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