What are the determinates of asthma control?
The evolution of our understanding of treatment of asthma begins with assessment of severity which is primarily related to the natural history of the disease. Control is defined as normalizing of the physiologic abnormalities and lessening economic and social burden of the disease. This paper reviews the factors that influence the variability and determinants of asthma control. The tools to validate and access asthma control should be employed in daily clinical practice. Therefore, it is important to determine asthma control based on a multidimensional approach including physiologic assessment, global assessment of functionality, daytime symptoms, nighttime symptoms, healthcare utilization, and adherence to therapy.
Chipps
Bradley E
BE
Capital Allergy and Respiratory Disease Center, Sacramento, California 95819, USA. bchipps@capitalallergy.com
Spahn
Joseph D
JD
D000041:Absenteeism; D000203:Activities of Daily Living / Q000145:classification; D000280:Administration, Inhalation; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use*; D001249:Asthma / Q000175:diagnosis / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D004636:Emergency Service, Hospital / Q000191:economics / Q000706:statistics & numerical data; D005541:Forced Expiratory Volume / Q000187:drug effects; D005938:Glucocorticoids / Q000008:administration & dosage; D017048:Health Care Costs / Q000706:statistics & numerical data; D006300:Health Services Misuse / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D013147:Spirometry
D018927:Anti-Asthmatic Agents; D005938:Glucocorticoids