TY - JOUR
T1 - The pediatric asthma yardstick
T2 - Practical recommendations for a sustained step-up in asthma therapy for children with inadequately controlled asthma
AU - Chipps, Bradley E.
AU - Bacharier, Leonard B.
AU - Farrar, Judith R.
AU - Jackson, Daniel J.
AU - Murphy, Kevin R.
AU - Phipatanakul, Wanda
AU - Szefler, Stanley J.
AU - Teague, W. Gerald
AU - Zeiger, Robert S.
N1 - Funding Information:
Funding Sources: The American College of Allergy, Asthma and Immunology sponsored this article, which included editorial support and an honorarium for each author. Dr Phipatanakul acknowledges funding from National Institutes of Health grant K24 Al 106822.
Publisher Copyright:
© 2018 The Authors
PY - 2018/6
Y1 - 2018/6
N2 - Current asthma guidelines recommend a control-based approach to management involving assessment of impairment and risk followed by implementation of treatment strategies individualized according to the patient's needs and preferences. However, for children with asthma, achieving control can be elusive. Although tools are available to help children (and families) track and manage day-to-day symptoms, when and how to implement a longer-term step-up in care is less clear. Furthermore, treatment is challenged by the 3 age groups of childhood—adolescence (12–18 years old), school age (6–11 years old), and young children (≤5 years old)—and what works for 1 age group might not be the best approach for another. The Pediatric Asthma Yardstick provides an in-depth assessment of when and how to step-up therapy for the child with not well or poorly controlled asthma. Development of this tool follows others in the Yardstick series, presenting patient profiles and step-up strategies based on current guidance documents, but modified according to newer data and the authors' combined clinical experience. The objective is to provide clinicians who treat children with asthma practical and clinically relevant recommendations for each step-up and each intervention, with the intent of helping practitioners better treat their pediatric patients with asthma, particularly those who do not always respond to recommended therapies.
AB - Current asthma guidelines recommend a control-based approach to management involving assessment of impairment and risk followed by implementation of treatment strategies individualized according to the patient's needs and preferences. However, for children with asthma, achieving control can be elusive. Although tools are available to help children (and families) track and manage day-to-day symptoms, when and how to implement a longer-term step-up in care is less clear. Furthermore, treatment is challenged by the 3 age groups of childhood—adolescence (12–18 years old), school age (6–11 years old), and young children (≤5 years old)—and what works for 1 age group might not be the best approach for another. The Pediatric Asthma Yardstick provides an in-depth assessment of when and how to step-up therapy for the child with not well or poorly controlled asthma. Development of this tool follows others in the Yardstick series, presenting patient profiles and step-up strategies based on current guidance documents, but modified according to newer data and the authors' combined clinical experience. The objective is to provide clinicians who treat children with asthma practical and clinically relevant recommendations for each step-up and each intervention, with the intent of helping practitioners better treat their pediatric patients with asthma, particularly those who do not always respond to recommended therapies.
UR - http://www.scopus.com/inward/record.url?scp=85048608839&partnerID=8YFLogxK
U2 - 10.1016/j.anai.2018.04.002
DO - 10.1016/j.anai.2018.04.002
M3 - Article
C2 - 29653238
AN - SCOPUS:85048608839
SN - 1081-1206
VL - 120
SP - 559-579.e11
JO - Annals of Allergy, Asthma and Immunology
JF - Annals of Allergy, Asthma and Immunology
IS - 6
ER -