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Review
. 2023 Jan 5:16:33-43.
doi: 10.2147/JAA.S293081. eCollection 2023.

Asthma Care in the Elderly: Practical Guidance and Challenges for Clinical Management - A Framework of 5 "Ps"

Jaskiran K Khosa  1 , Samuel Louie  2 , Pamela Lobo Moreno  1 , Dmitry Abramov  1 , Daniel K Rogstad  1 , Abdullah Alismail  3 , Michael J Matus  1 , Laren D Tan  1
Affiliations
Review

Asthma Care in the Elderly: Practical Guidance and Challenges for Clinical Management - A Framework of 5 "Ps"

Jaskiran K Khosa et al. J Asthma Allergy. .

Abstract

Uncontrolled asthma in the elderly is a public health issue recognized in developed countries such as the United States and among the European Union, both from patient safety and economic perspectives. Variations in the cutoff, which defines elderly age, contribute to epidemiological study difficulties. Nonetheless, the relevance of elderly asthma from a socioeconomic perspective is inarguable. The projected growth of the enlarging geriatric population in the United States portends an impending national health burden that may or may not be preventable with pharmacologic and non-pharmacologic treatments. Asthma in the elderly might be a consequence of uncontrolled disease that is carried throughout a lifetime. Or elderly asthmatics could suffer from uncontrolled asthma, which overlaps with other ailments common with advancing ages that merit consideration, eg, COPD, heart disease, OSA, diabetes mellitus, and other comorbidities. Because of the heterogeneity of asthma phenotypes and other conditions that could mimic the symptoms of elderly asthma, further cohort studies are needed to elucidate the elderly asthmatic pathophysiology and management. More studies to characterize elderly asthma can help address these patients' unmet need for evidence-based guidelines. We introduce the 5 "Ps" (phenotypes, partnership, pharmacology, practice in acute exacerbations, and problems or barriers for the elderly asthmatics) that establish a framework approach for clinical practice.

Keywords: asthma; elderly; uncontrolled asthma.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Discussion points in communicating with elderly patients.
Figure 2
Figure 2
Key Principles (“5 Ps”) in Approaching Asthma in the Elderly.
See this image and copyright information in PMC

References

    1. Tan LD, Nguyen N, Alismail A, Castro M. Management of uncontrolled asthma: a framework for novel and legacy biologic treatments. J Asthma Allergy. 2022;29(15):875–883. doi:10.2147/JAA.S369836 - DOI - PMC - PubMed
    1. Skloot GS, Busse PJ, Braman SS, et al.; ATS ad hoc Committee on Asthma in the Elderly. An official American Thoracic Society workshop report: evaluation and management of asthma in the elderly. Ann Am Thorac Soc. 2016;13(11):2064–2077. doi:10.1513/AnnalsATS.201608-658ST - DOI - PMC - PubMed
    1. Ben-Harush A, Shiovitz-Ezra S, Doron I, et al. Ageism among physicians, nurses, and social workers: findings from a qualitative study. Eur J Ageing. 2016;14(1):39–48. doi:10.1007/s10433-016-0389-9 - DOI - PMC - PubMed
    1. Salomon JA. Quality adjusted life years. In: Quah SR, editor. International Encyclopedia of Public Health (Second Edition). Academic Press; 2017:224–228.
    1. Yaghoubi M, Adibi A, Safari A, FitzGerald JM, Sadatsafavi M. The projected economic and health burden of uncontrolled asthma in the United States. Am J Respir Crit Care Med. 2019;200(9):1102–1112. doi:10.1164/rccm.201901-0016OC - DOI - PMC - PubMed