What Is New Since the Last (1999) Canadian Asthma Consensus Guidelines?

The objective of the present document is to review the impact of new information on the recommendations made in the last (1999) Canadian Asthma Consensus Guidelines. It includes relevant published studies and observations or comments regarding what are considered to be the main issues in asthma mana...

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Main Authors: Louis-Philippe Boulet, Tony R Bai, Allan Becker, Denis Bérubé, Robert Beveridge, Dennis M Bowie, Kenneth R Chapman, Johanne Côté, Donald Cockcroft, Francine M Ducharme, Pierre Ernst, J Mark FitzGerald, Thomas Kovesi, Richard V Hodder, Paul O’Byrne, Brian Rowe, Malcolm R Sears, F Estelle R Simons, Sheldon Spier
Format: Article
Language:English
Published: Wiley 2001-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2001/278435
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author Louis-Philippe Boulet
Tony R Bai
Allan Becker
Denis Bérubé
Robert Beveridge
Dennis M Bowie
Kenneth R Chapman
Johanne Côté
Donald Cockcroft
Francine M Ducharme
Pierre Ernst
J Mark FitzGerald
Thomas Kovesi
Richard V Hodder
Paul O’Byrne
Brian Rowe
Malcolm R Sears
F Estelle R Simons
Sheldon Spier
author_facet Louis-Philippe Boulet
Tony R Bai
Allan Becker
Denis Bérubé
Robert Beveridge
Dennis M Bowie
Kenneth R Chapman
Johanne Côté
Donald Cockcroft
Francine M Ducharme
Pierre Ernst
J Mark FitzGerald
Thomas Kovesi
Richard V Hodder
Paul O’Byrne
Brian Rowe
Malcolm R Sears
F Estelle R Simons
Sheldon Spier
author_sort Louis-Philippe Boulet
collection DOAJ
description The objective of the present document is to review the impact of new information on the recommendations made in the last (1999) Canadian Asthma Consensus Guidelines. It includes relevant published studies and observations or comments regarding what are considered to be the main issues in asthma management in children and adults in office, emergency department, hospital and clinical settings. Asthma is still insufficiently controlled in a large number of patients, and practice guidelines need to be integrated better with current care. This report re-emphasises the need for the following: objective measures of airflow obstruction to confirm the diagnosis of asthma suggested by the clinical evaluation; identification of contributing factors; and the establishment of a treatment plan to rapidly obtain and maintain optimal asthma control according to specific criteria. Recent publications support the essential role of asthma education and environmental control in asthma management. They further support the role of inhaled corticosteroids as the mainstay of anti-inflammatory therapy of asthma, and of both long acting beta2-agonists and leukotriene antagonists as effective means to improve asthma control when inhaled corticosteroids are insufficient. New developments, such as combination therapy, and recent major trials, such as the Children’s Asthma Management Project (CAMP) study, are discussed.
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spelling doaj-art-58e468a4ba634887ac47b7365728fdc92025-02-03T06:43:53ZengWileyCanadian Respiratory Journal1198-22412001-01-018Suppl A5A27A10.1155/2001/278435What Is New Since the Last (1999) Canadian Asthma Consensus Guidelines?Louis-Philippe Boulet0Tony R Bai1Allan Becker2Denis Bérubé3Robert Beveridge4Dennis M Bowie5Kenneth R Chapman6Johanne Côté7Donald Cockcroft8Francine M Ducharme9Pierre Ernst10J Mark FitzGerald11Thomas Kovesi12Richard V Hodder13Paul O’Byrne14Brian Rowe15Malcolm R Sears16F Estelle R Simons17Sheldon Spier18Sainte-Foy, Québec, CanadaVancouver, British Columbia, CanadaWinnipeg, Manitoba, CanadaMontréal, Québec, CanadaSaint-John, New Brunswick, CanadaHalifax, Nova Scotia, CanadaToronto, Ontario, CanadaSainte-Foy, Québec, CanadaSaskatoon, Saskatchewan, CanadaMontréal, Québec, CanadaMontréal, Québec, CanadaVancouver, British Columbia, CanadaOttawa, Ontario, CanadaOttawa, Ontario, CanadaHamilton, Ontario, CanadaWinnipeg, Manitoba, CanadaHamilton, Ontario, CanadaWinnipeg, Manitoba, CanadaCalgary, Alberta, CanadaThe objective of the present document is to review the impact of new information on the recommendations made in the last (1999) Canadian Asthma Consensus Guidelines. It includes relevant published studies and observations or comments regarding what are considered to be the main issues in asthma management in children and adults in office, emergency department, hospital and clinical settings. Asthma is still insufficiently controlled in a large number of patients, and practice guidelines need to be integrated better with current care. This report re-emphasises the need for the following: objective measures of airflow obstruction to confirm the diagnosis of asthma suggested by the clinical evaluation; identification of contributing factors; and the establishment of a treatment plan to rapidly obtain and maintain optimal asthma control according to specific criteria. Recent publications support the essential role of asthma education and environmental control in asthma management. They further support the role of inhaled corticosteroids as the mainstay of anti-inflammatory therapy of asthma, and of both long acting beta2-agonists and leukotriene antagonists as effective means to improve asthma control when inhaled corticosteroids are insufficient. New developments, such as combination therapy, and recent major trials, such as the Children’s Asthma Management Project (CAMP) study, are discussed.http://dx.doi.org/10.1155/2001/278435
spellingShingle Louis-Philippe Boulet
Tony R Bai
Allan Becker
Denis Bérubé
Robert Beveridge
Dennis M Bowie
Kenneth R Chapman
Johanne Côté
Donald Cockcroft
Francine M Ducharme
Pierre Ernst
J Mark FitzGerald
Thomas Kovesi
Richard V Hodder
Paul O’Byrne
Brian Rowe
Malcolm R Sears
F Estelle R Simons
Sheldon Spier
What Is New Since the Last (1999) Canadian Asthma Consensus Guidelines?
Canadian Respiratory Journal
title What Is New Since the Last (1999) Canadian Asthma Consensus Guidelines?
title_full What Is New Since the Last (1999) Canadian Asthma Consensus Guidelines?
title_fullStr What Is New Since the Last (1999) Canadian Asthma Consensus Guidelines?
title_full_unstemmed What Is New Since the Last (1999) Canadian Asthma Consensus Guidelines?
title_short What Is New Since the Last (1999) Canadian Asthma Consensus Guidelines?
title_sort what is new since the last 1999 canadian asthma consensus guidelines
url http://dx.doi.org/10.1155/2001/278435
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