Featured Research

from universities, journals, and other organizations

Be A Control Freak: Allergists Outline New Focus For Asthmatics

Date:
October 25, 2005
Source:
Mayo Clinic
Summary:
A Mayo Clinic allergist and colleagues representing the American Academy of Allergy, Asthma & Immunology and the American College of Allergy, Asthma and Immunology announce they are revising the old classification of asthma patients by disease severity to determine treatment and moving to a new expectation for all asthma patients: excellent symptom control.

A Mayo Clinic allergist and colleagues representing the American Academy of Allergy, Asthma & Immunology and the American College of Allergy, Asthma and Immunology announce they are revising the old classification of asthma patients by disease severity to determine treatment and moving to a new expectation for all asthma patients: excellent symptom control. Complete or total control is also a realistic goal for a subset of patients, according to new guidelines for treating asthma published in the November issue of Journal of Allergy and Clinical Immunology.

"People with asthma can expect to control the asthma: not to have the asthma control them," says James Li, M.D., Ph.D., Mayo Clinic allergist and lead author of the paper. "It's all about asthmatics' quality of life: waking up in the middle of the night wheezing, constantly using rescue medications, having to excuse themselves from sports teams or needing to leave work due to an attack -- that's no life."

Dr. Li contends this is not just pie-in-the-sky thinking, but that these new goals can align with patients' disease reality. "It's definitely not only a goal and an ideal, but most people with asthma can have well or completely controlled asthma," he says. "People with asthma should not be satisfied with less than well or completely controlled asthma. We want to empower patients by letting them know this is the goal. We want them to know if they are not reaching this goal, they should see their doctors."

With the heretofore national practice guidelines for physicians treating asthmatics -- in use for about 15 years -- patients have been classified as having mild, moderate or severe asthma; treatment was based on disease severity.

"It's become clear, however, that there are limitations to this approach as asthma changes over time and individuals require different treatment," says Dr. Li. "The present classification of asthma severity tends to promote the erroneous idea that asthma 'class' is static. In fact, asthma symptoms, sleep disturbance, rescue medication use and pulmonary function may change significantly over time, which highlights the need for continual reassessment of a patient's asthma and the need for possible medication adjustment."

Asthma treatment should be individualized to achieve the target symptom control, according to Dr. Li, because not all patients respond similarly to medication. This customized approach requires regular visits to the doctor. Asthmatics who have not attained well or completely controlled asthma should see their doctors for a detailed assessment of asthma control (including lung function tests), confirmation of the diagnosis of asthma, assessment of asthma triggers (including allergy) and individualized treatment.

Well-controlled or excellent control of asthma is defined by the paper's authors as follows: Asthma symptoms twice a week or less Rescue bronchodilator used twice a week or less No night or early morning awakening due to asthma symptoms No limitations on exercise, work or school due to asthma Well-controlled asthma by patient and physician assessment Normal or personal-best pulmonary function tests

The authors also assert that with proper symptom assessment and treatment, complete or total control is possible for a significant group of asthmatics.

"While well-controlled asthma is the recommended target for all patients with asthma, complete control may be attainable and appropriate for many patients," says Dr. Li.

Complete or total control of asthma is defined by Dr. Li and colleagues as follows: Full activity and exercise No asthma symptoms during the day or at night No need for 'as needed' Albuterol No missed work or school due to asthma Normal lung function

Asthma is a chronic condition that occurs when the main air passages of the lungs, the bronchial tubes, become inflamed. The muscles of the bronchial walls tighten and extra mucus is produced, causing the airways to narrow. This can lead to everything from minor wheezing to severe difficulty in breathing. Each year, nearly 500,000 Americans with asthma are hospitalized, and more than 4,000 die from disease-related causes.


Story Source:

The above story is based on materials provided by Mayo Clinic. Note: Materials may be edited for content and length.


Cite This Page:

Mayo Clinic. "Be A Control Freak: Allergists Outline New Focus For Asthmatics." ScienceDaily. ScienceDaily, 25 October 2005. <www.sciencedaily.com/releases/2005/10/051024081528.htm>.
Mayo Clinic. (2005, October 25). Be A Control Freak: Allergists Outline New Focus For Asthmatics. ScienceDaily. Retrieved September 30, 2014 from www.sciencedaily.com/releases/2005/10/051024081528.htm
Mayo Clinic. "Be A Control Freak: Allergists Outline New Focus For Asthmatics." ScienceDaily. www.sciencedaily.com/releases/2005/10/051024081528.htm (accessed September 30, 2014).

Share This



More Health & Medicine News

Tuesday, September 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How 'Yes Means Yes' Defines Sexual Assault

How 'Yes Means Yes' Defines Sexual Assault

Newsy (Sep. 29, 2014) Aimed at reducing sexual assaults on college campuses, California has adopted a new law changing the standard of consent for sexual activity. Video provided by Newsy
Powered by NewsLook.com
Scientists May Have Found An Early Sign Of Pancreatic Cancer

Scientists May Have Found An Early Sign Of Pancreatic Cancer

Newsy (Sep. 29, 2014) Researchers looked at 1,500 blood samples and determined people who developed pancreatic cancer had more branched chain amino acids. Video provided by Newsy
Powered by NewsLook.com
Colo. Doctors See Cluster of Enterovirus Cases

Colo. Doctors See Cluster of Enterovirus Cases

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com
Dr.'s Unsure of Cause of Fast-Spreading Virus

Dr.'s Unsure of Cause of Fast-Spreading Virus

AP (Sep. 29, 2014) Doctors at the Children's Hospital of Colorado say they have treated over 4,000 children with serious respiratory illnesses since August. Nine of the patients have shown distinct neurological symptoms, including limb weakness. (Sept. 29) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins