Toward the Optimal Control of Asthma

Critique of GINA global strategy

“…In addition, Brand et al is all but ignored, as mentioned before. But what is totally ignored is arguably the most authoritative statement we have on the management of asthma, including children under 5‐year of age: The NHLBI:NAEP Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma 9, 10. These omissions lead to a serious distortion of the currently available data.…”

The GINA Asthma Challenge: reducing asthma hospitalisations

“…Moreover, they are also highly responsive to interventions and decrease as access to care and controller treatment is improved. It is now widely accepted that the best way to achieve asthma control is through inhaled antiinflammatory therapy and asthma education [9,10]. The GINA Asthma Challenge goal of a 50% reduction in asthma hospitalisations for each country or region might be perceived as ambitious, but it must be noted that it is based upon experience in a range of national settings.…”