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Review
. 2020 Dec;146(6):1217-1270.
doi: 10.1016/j.jaci.2020.10.003.

2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group

Expert Panel Working Group of the National Heart, Lung, and Blood Institute (NHLBI) administered and coordinated National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC)  1 ; Michelle M Cloutier  1 , Alan P Baptist  1 , Kathryn V Blake  1 , Edward G Brooks  1 , Tyra Bryant-Stephens  1 , Emily DiMango  1 , Anne E Dixon  1 , Kurtis S Elward  1 , Tina Hartert  1 , Jerry A Krishnan  1 , Robert F Lemanske Jr  1 , Daniel R Ouellette  1 , Wilson D Pace  1 , Michael Schatz  1 , Neil S Skolnik  1 , James W Stout  1 , Stephen J Teach  1 , Craig A Umscheid  1 , Colin G Walsh  1
Affiliations
Review

2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group

Expert Panel Working Group of the National Heart, Lung, and Blood Institute (NHLBI) administered and coordinated National Asthma Education and Prevention Program Coordinating Committee (NAEPPCC) et al. J Allergy Clin Immunol. 2020 Dec.

Erratum in

  • Corrigenda.
    [No authors listed] [No authors listed] J Allergy Clin Immunol. 2021 Apr;147(4):1528-1530. doi: 10.1016/j.jaci.2021.02.010. J Allergy Clin Immunol. 2021. PMID: 33832700 No abstract available.

Abstract

The 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group was coordinated and supported by the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health. It is designed to improve patient care and support informed decision making about asthma management in the clinical setting. This update addresses six priority topic areas as determined by the state of the science at the time of a needs assessment, and input from multiple stakeholders:A rigorous process was undertaken to develop these evidence-based guidelines. The Agency for Healthcare Research and Quality's (AHRQ) Evidence-Based Practice Centers conducted systematic reviews on these topics, which were used by the Expert Panel Working Group as a basis for developing recommendations and guidance. The Expert Panel used GRADE (Grading of Recommendations, Assessment, Development and Evaluation), an internationally accepted framework, in consultation with an experienced methodology team for determining the certainty of evidence and the direction and strength of recommendations based on the evidence. Practical implementation guidance for each recommendation incorporates findings from NHLBI-led patient, caregiver, and clinician focus groups. To assist clincians in implementing these recommendations into patient care, the new recommendations have been integrated into the existing Expert Panel Report-3 (EPR-3) asthma management step diagram format.

Keywords: Asthma Guideline; NHLBI; allergen mitigation; asthma; bronchial thermoplasty; fractional exhaled nitric oxide; immunotherapy; inhaled corticosteroids; long-acting muscarinic antagonist.

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Figures

FIG 1.
FIG 1.
Timeline for 2020 Asthma Guideline Update.
FIG 2.
FIG 2.
Stepwise approach for management of asthma in individuals aged 0 to 4 years.
FIG 2.
FIG 2.
Stepwise approach for management of asthma in individuals aged 0 to 4 years.
FIG 3.
FIG 3.
Stepwise approach for management of asthma in individuals aged 5 to 11 years.
FIG 3.
FIG 3.
Stepwise approach for management of asthma in individuals aged 5 to 11 years.
FIG 4.
FIG 4.
Stepwise approach for management of asthma in individuals aged 12 years and older.
FIG 4.
FIG 4.
Stepwise approach for management of asthma in individuals aged 12 years and older.
See this image and copyright information in PMC

Comment in

References

    1. National Asthma Education and Prevention Program. Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma. Bethesda, Md: National Heart, Lung, and Blood Institute, National Institutes of Health; 1991.
    1. Heart National, Lung, and Blood Advisory Council Asthma Expert Working Group. Needs Assessment Report for Potential Update of the Expert Panel Report-3 (2007): Guidelines for the Diagnosis and Management of Asthma. Bethesda, Md: National Institutes of Health, National Heart, Lung, and Blood Institute; February 2015. Available at: https://www.nhlbi.nih.gov/sites/default/files/media/docs/NHLBAC-Asthma-W....
    1. D’Anci KE, Lynch MP, Leas BF, Apter AJ, Bryant-Stephens T, Kaczmarek JL, et al. Effectiveness and safety of bronchial thermoplasty in management of asthma. Comparative Effective Review No. 202. (Prepared by the ECRI Institute–Penn Medicine Evidence-based Practice Center under Contract No. 290–2015-00005-I). AHRQ Publication No. 18-EHC0003-EF. Rockville, Md: Agency for Healthcare Research and Quality; December 2017. Available at: 10.23970/AHRQEPCCER202. - DOI - PubMed
    1. Leas BF, D’Anci KE, Apter AJ, Bryant-Stephens T, Schoelles K, Umscheid C. Effectiveness of indoor allergen reduction in management of asthma. Comparative Effectiveness Review No. 201. (Prepared by the ECRI Institute–Penn Medicine Evidence-based Practice Center under Contract No. 290-2015-0005-I). AHRQ Publication No. 18-EHC002-EF. Rockville, Md: Agency for Healthcare Research and Quality; February 2018. Posted final reports are located on the Effective Health Care Program search page. - PubMed
    1. Lin SY, Azar A, Suarez-Cuervo C, Diette GB, Brigham E, Rice J, et al. The role of immunotherapy in the treatment of asthma. Comparative Effectiveness Review No. 196. (Prepared by the Johns Hopkins University Evidence-based Practice Center under Contract No.290–2015-00006-I). AHRQ Publication No. 17(18) EHC029-EF. Rockville, Md: Agency for Healthcare Research and Quality; March 2018. Posted final reports are located on the Effective Health Care Program search page.

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