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Difficult To Treat Asthma - Clinical Essentials (Hardcover, 1st ed. 2020)
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Difficult To Treat Asthma - Clinical Essentials (Hardcover, 1st ed. 2020)
Series: Respiratory Medicine
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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.
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