Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults

Celeste Porsbjerg; Charlotte Ulrik; Tina Skjold; Vibeke Backer; Birger Laerum; Sverre Lehman; Crister Janson; Thomas Sandstrøm; Leif Bjermer; Barbro Dahlen; Bo Lundbäck; Dora Ludviksdottir; Unnur Björnsdóttir; Alan Altraja; Lauri Lehtimäki; Paula Kauppi; Jussi Karjalainen; Hannu Kankaanranta

doi:10.1080/20018525.2018.1440868

Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults

Celeste Porsbjerg, Charlotte Ulrik, Tina Skjold, Vibeke Backer, Birger Laerum, Sverre Lehman, Crister Janson, Thomas Sandstrøm, Leif Bjermer, Barbro Dahlen, Bo Lundbäck, Dora Ludviksdottir, Unnur Björnsdóttir, Alan Altraja, Lauri Lehtimäki, Paula Kauppi, Jussi Karjalainen, Hannu Kankaanranta

Department of Clinical Medicine

16 Citations (Scopus)

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Abstract

Although a minority of asthma patients suffer from severe asthma, they represent a major clinical challenge in terms of poor symptom control despite high-dose treatment, risk of exacerbations, and side effects. Novel biological treatments may benefit patients with severe asthma, but are expensive, and are only effective in appropriately targeted patients. In some patients, symptoms are driven by other factors than asthma, and all patients with suspected severe asthma ('difficult asthma') should undergo systematic assessment, in order to differentiate between true severe asthma, and 'difficult-to-treat' patients, in whom poor control is related to factors such as poor adherence or co-morbidities. The Nordic Consensus Statement on severe asthma was developed by the Nordic Severe Asthma Network, consisting of members from Norway, Sweden, Finland, Denmark, Iceland and Estonia, including representatives from the respective national respiratory scientific societies with the aim to provide an overview and recommendations regarding the diagnosis, systematic assessment and management of severe asthma. Furthermore, the Consensus Statement proposes recommendations for the organization of severe asthma management in primary, secondary, and tertiary care.

Original language	English
Article number	1440868
Journal	European Clinical Respiratory Journal
Volume	5
Issue number	1
ISSN	2001-8525
DOIs	https://doi.org/10.1080/20018525.2018.1440868
Publication status	Published - 1 Jan 2018

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Nordic consensus statement on the systematic assessment and management of possible severe asthma in adultsFinal published version, 2.15 MBLicence: CC BY

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Porsbjerg, C., Ulrik, C., Skjold, T., Backer, V., Laerum, B., Lehman, S., Janson, C., Sandstrøm, T., Bjermer, L., Dahlen, B., Lundbäck, B., Ludviksdottir, D., Björnsdóttir, U., Altraja, A., Lehtimäki, L., Kauppi, P., Karjalainen, J., & Kankaanranta, H. (2018). Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults. European Clinical Respiratory Journal, 5(1), [1440868]. https://doi.org/10.1080/20018525.2018.1440868

Porsbjerg, C , Ulrik, C, Skjold, T, Backer, V, Laerum, B, Lehman, S, Janson, C, Sandstrøm, T, Bjermer, L, Dahlen, B, Lundbäck, B, Ludviksdottir, D, Björnsdóttir, U, Altraja, A, Lehtimäki, L, Kauppi, P, Karjalainen, J & Kankaanranta, H 2018, 'Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults', European Clinical Respiratory Journal, vol. 5, no. 1, 1440868. https://doi.org/10.1080/20018525.2018.1440868

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abstract = "Although a minority of asthma patients suffer from severe asthma, they represent a major clinical challenge in terms of poor symptom control despite high-dose treatment, risk of exacerbations, and side effects. Novel biological treatments may benefit patients with severe asthma, but are expensive, and are only effective in appropriately targeted patients. In some patients, symptoms are driven by other factors than asthma, and all patients with suspected severe asthma ('difficult asthma') should undergo systematic assessment, in order to differentiate between true severe asthma, and 'difficult-to-treat' patients, in whom poor control is related to factors such as poor adherence or co-morbidities. The Nordic Consensus Statement on severe asthma was developed by the Nordic Severe Asthma Network, consisting of members from Norway, Sweden, Finland, Denmark, Iceland and Estonia, including representatives from the respective national respiratory scientific societies with the aim to provide an overview and recommendations regarding the diagnosis, systematic assessment and management of severe asthma. Furthermore, the Consensus Statement proposes recommendations for the organization of severe asthma management in primary, secondary, and tertiary care.",

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AU - Lehman, Sverre

AU - Janson, Crister

AU - Sandstrøm, Thomas

AU - Bjermer, Leif

AU - Dahlen, Barbro

AU - Lundbäck, Bo

AU - Ludviksdottir, Dora

AU - Björnsdóttir, Unnur

AU - Altraja, Alan

AU - Lehtimäki, Lauri

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N2 - Although a minority of asthma patients suffer from severe asthma, they represent a major clinical challenge in terms of poor symptom control despite high-dose treatment, risk of exacerbations, and side effects. Novel biological treatments may benefit patients with severe asthma, but are expensive, and are only effective in appropriately targeted patients. In some patients, symptoms are driven by other factors than asthma, and all patients with suspected severe asthma ('difficult asthma') should undergo systematic assessment, in order to differentiate between true severe asthma, and 'difficult-to-treat' patients, in whom poor control is related to factors such as poor adherence or co-morbidities. The Nordic Consensus Statement on severe asthma was developed by the Nordic Severe Asthma Network, consisting of members from Norway, Sweden, Finland, Denmark, Iceland and Estonia, including representatives from the respective national respiratory scientific societies with the aim to provide an overview and recommendations regarding the diagnosis, systematic assessment and management of severe asthma. Furthermore, the Consensus Statement proposes recommendations for the organization of severe asthma management in primary, secondary, and tertiary care.

AB - Although a minority of asthma patients suffer from severe asthma, they represent a major clinical challenge in terms of poor symptom control despite high-dose treatment, risk of exacerbations, and side effects. Novel biological treatments may benefit patients with severe asthma, but are expensive, and are only effective in appropriately targeted patients. In some patients, symptoms are driven by other factors than asthma, and all patients with suspected severe asthma ('difficult asthma') should undergo systematic assessment, in order to differentiate between true severe asthma, and 'difficult-to-treat' patients, in whom poor control is related to factors such as poor adherence or co-morbidities. The Nordic Consensus Statement on severe asthma was developed by the Nordic Severe Asthma Network, consisting of members from Norway, Sweden, Finland, Denmark, Iceland and Estonia, including representatives from the respective national respiratory scientific societies with the aim to provide an overview and recommendations regarding the diagnosis, systematic assessment and management of severe asthma. Furthermore, the Consensus Statement proposes recommendations for the organization of severe asthma management in primary, secondary, and tertiary care.

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Nordic consensus statement on the systematic assessment and management of possible severe asthma in adults

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