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Official Journal of the Italian Society of Thoracic Endoscopy
Indexed/Abstracted in: EMBASE, Scopus
Online ISSN 1827-1723
Boulet L. P.
Asthma is a common condition; its treatment has evolved through the years, with a better understanding of its pathophysiology and the availability of better therapies. As in most instances, when asthma develops, it is for a lifetime, more research should be done on how to possibly prevent asthma by identifying subjects at high risk of developing the disease and offering preventative measures. In the meantime, for the majority of asthmatic patients, treatment should aim at controlling symptoms, optimizing airway function, preventing exacerbations and possibly reducing the long-term severity of the disease. This may be achieved through optimal asthma control, obtained by means of efficient monitoring, adequate patient education, environmental measures, and individualized maintenance pharmacological treatment combined with an action plan on exacerbation management and medical/educational follow-up. Improved quality and availability of educational programs, better asthma-control monitoring, possibly including assessment of airway inflammation with non-invasive methods, earlier anti-inflammatory interventions and adequate use of combined therapies should help to further reduce the burden of this disease. Gaps in asthma care have been identified and should be addressed ideally through an integrated multidisciplinary approach.