Contemporary Concise Review 2023: Asthma

Respirology. 2024 Aug;29(8):674-684. doi: 10.1111/resp.14782. Epub 2024 Jun 28.

Abstract

Asthma research and management needs to meet the priorities of the end user-patients, carers and clinicians. A better understanding of the natural history of asthma and the progression of disease has highlighted the importance of early identification of patients with asthma and the potential role of early intervention. Management of mild asthma requires a consistent approach with the same detail and consideration used when managing severe disease. Evidence around treatable traits approaches continues to evolve, supporting the role of a personalized medicine in asthma. Oral corticosteroid (OCS) stewardship continues to be an urgent issue in asthma management. Strategies to taper OCS doses and the implementation of biologic therapies for their steroid sparing benefits will be important steps to address this problem. The concept of remission in asthma provides an ambitious target and treatment outcome.

Keywords: asthma; asthma control; oral corticosteroid stewardship; remission; treatable traits.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones* / administration & dosage
  • Adrenal Cortex Hormones* / therapeutic use
  • Anti-Asthmatic Agents / therapeutic use
  • Asthma* / drug therapy
  • Disease Progression
  • Humans
  • Precision Medicine / methods

Substances

  • Adrenal Cortex Hormones
  • Anti-Asthmatic Agents