Difficult To Treat Asthma : Clinical Essentials / edited by Sandhya Khurana, Fernando Holguin.

Format:

Book

Contributor:

Khurana, Sandhya, editor.

Holguin, Fernando, editor.

SpringerLink (Online service)

Series:

Medicine (Springer-11650)

Respiratory Medicine,. 2197-7372

Respiratory Medicine, 2197-7372

Language:

English

Subjects (All):

Respiratory organs--Diseases.

Respiratory organs.

Primary care (Medicine).

Pneumology/Respiratory System.

Primary Care Medicine.

Local Subjects:

Pneumology/Respiratory System.

Primary Care Medicine.

Physical Description:

1 online resource (XV, 334 pages) : 30 illustrations, 27 illustrations in color.

Edition:

First edition 2020.

Contained In:

Springer eBooks

Place of Publication:

Cham : Springer International Publishing : Imprint: Humana, 2020.

System Details:

text file PDF

Summary:

This book provides a practical, stepwise, evidence-based approach to effective management of patients with difficult to treat asthma. The impact of asthma on morbidity and healthcare utilization increases exponentially with severity. Severe refractory asthma accounts for less than 5% of all asthma. Its prevalence, however, is often overestimated as there are several other confounding factors that make asthma 'difficult to treat'. Many novel (albeit expensive) therapies are now available and providers caring for patients with severe asthma are charged with selecting the best evidence treatment. This calls for complex and nuanced decision-making. Whether people with asthma gain and maintain control over their condition depends not only on the availability of effective drugs, but also multiple patient and healthcare provider behaviors. Therefore, now more than ever, it has become increasingly important to differentiate "difficult" from "severe refractory" asthma to allow identification of patients most likely to benefit from these therapies. This volume delves into the current understanding of mechanisms and increasingly recognized heterogeneity of this complex disease. It discusses a structured approach to identification and optimization of factors contributing to poor asthma control, including nonadherence, comorbidities and occupational/environmental triggers. The book includes 'state of the art' reviews on recent advances in traditional and targeted asthma therapies, as well as a glimpse into what the future may hold. Highlights include a comprehensive guide to management of severe asthma in children and pregnancy, as well as practical considerations to management of asthma based on different clinical phenotypes. Each chapter is authored by leading experts in the field who share their own clinical approach. This is an ideal guide for clinical pulmonologists and allergist/immunologists, as well as primary care providers, physician extenders in specialty practice, physicians in pulmonary/allergy training, and even industry partners. .

Contents:

Scope of the problem, definition and pathophysiology

Is it Asthma? Recognizing asthma mimics

Beyond Refills: Promoting Adherence to Optimize Outcomes

Addressing Comorbidities in Difficult Asthma

Evaluation and Management of Work-Related Asthma

Advances in Inhaled Medications

Heterogeneity in Severe asthma

Biomarkers, Targeted Therapies, Biologics and Bronchial Thermoplasty

Practical Considerations in Management of Allergic Asthma

Practical considerations in the management of eosinophilic asthma

Practical considerations in management of non-eosinophilic asthma

Practical considerations in management of obesity associated asthma

Severe asthma in pregnancy: Special considerations

Severe asthma in childhood: Special considerations

High-risk asthma clinic: Putting it all together

Difficult Asthma: Unmet Needs and Future Directions. .

Other Format:

Printed edition:

ISBN:

978-3-030-20812-7

9783030208127

Access Restriction:

Restricted for use by site license.