BookSandhya Khurana, Fernando Holguin, editors.
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. .