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Review
. 2013 Sep 1;22(129):227-35.
doi: 10.1183/09059180.00001913.

Severe refractory asthma: an update

Affiliations
Review

Severe refractory asthma: an update

Reinier R L Wener et al. Eur Respir Rev. .

Abstract

Asthma is a heterogeneous disease in which adequate asthma control cannot be achieved in a substantial proportion despite currently available treatment possibilities. This subgroup has been defined as "severe refractory" asthma. Over the past years considerable progress has been made regarding a more exact definition of severe refractory asthma. A systematic approach to evaluate the asthma patient has been postulated. Further detailed classification into distinct phenotypes is ongoing to target the right treatment to the right patient. And, new therapeutic targeted treatment options are currently in development to provide possible new targets to improve disease state, symptoms and quality of life. This review will provide an update on the latest advancements with regard to all these domains.

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Conflict of interest statement

Conflict of interest: Disclosures can be found alongside the online version of this article at err.ersjournals.com

References

    1. Proceedings of the ATS workshop on refractory asthma: current understanding, recommendations, and unanswered questions. American Thoracic Society. Am J Respir Crit Care Med 2000; 162: 2341–2351. - PubMed
    1. Chung KF, Godard P, Adelroth E, et al. . Difficult/therapy-resistant asthma: the need for an integrated approach to define clinical phenotypes, evaluate risk factors, understand pathophysiology and find novel therapies. ERS Task Force on Difficult/Therapy-Resistant Asthma. Eur Respir J 1999; 13: 1198–1208. - PubMed
    1. Godard P, Chanez P, Siraudin L, et al. . Costs of asthma are correlated with severity: a 1-year prospective study. Eur Respir J 2002; 19: 61–67. - PubMed
    1. Ivanova JI, Bergman R, Birnbaum HG, et al. . Effect of asthma exacerbations on health care costs among asthmatic patients with moderate and severe persistent asthma. J Allergy Clin Immunol 2012; 129: 1229–1235. - PubMed
    1. Reddel HK, Taylor DR, Bateman ED, et al. . An official American Thoracic Society/European Respiratory Society statement: asthma control and exacerbations: standardizing endpoints for clinical asthma trials and clinical practice. Am J Respir Crit Care Med 2009; 180: 59–99. - PubMed

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