Achieving asthma control in practice: Understanding the reasons for poor control

Forskningsoutput: TidskriftsbidragÖversiktsartikel


Achieving asthma control remains an elusive goat for the majority of patients worldwide. Ensuring a correct diagnosis of asthma is the first step in assessing poor symptom control; this requires returning to the basics of history taking and physical examination, in conjunction with lung function measurement when appropriate. A number of factors may contribute to suboptimal asthma control. Concomitant rhinitis, a common co-pathology and contributor to poor control, can often be identified by asking a simple question. Smoking too has been identified as a cause of poor asthma control. Practical barriers such as poor inhaler technique must be addressed. An appreciation of patients' views and concerns about maintenance asthma therapy can help guide discussion to address perceptual barriers to taking maintenance therapy (doubts about personal necessity and concerns about potential adverse effects). Further study into, and a greater consideration of, factors and patient characteristics that could predict individual responses to asthma therapies are needed. Finally, more clinical trials that enrol patient populations reflecting the real world diversity of patients seen in clinical. practice, including wide age ranges, presence of comorbidities, current smoking, and differing ethnic origins, will contribute to better individual patient management. (C) 2008 Elsevier Ltd. All rights reserved.


  • John Haughney
  • David Price
  • Alan Kaplan
  • Henry Chstyn
  • Rob Horne
  • Nick May
  • Mandy Moffat
  • Jennifer Versnel
  • Eamonn R. Shanahan
  • Elizabeth V. Hillyer
  • Alf Tunsater
  • Leif Bjermer
Enheter & grupper

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Lungmedicin och allergi


Sidor (från-till)1681-1693
TidskriftRespiratory Medicine
Utgåva nummer12
StatusPublished - 2008
Peer review utfördJa