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Title: Severe Asthma Assessment, Management and the Organisation of Care in Australia and New Zealand: Expert Forum Roundtable Meetings.
Austin Authors: Maltby, Steven;McDonald, Vanessa M;Upham, John W;Bowler, Simon D;Chung, Li Ping;Denton, Eve J;Fingleton, James;Garrett, Jeffrey;Grainge, Christopher L;Hew, Mark;James, Alan L;Jenkins, Christine;Katsoulotos, Gregory;King, Gregory G;Langton, David;Marks, Guy B;Menzies-Gow, Andrew;Niven, Robert M;Peters, Matthew;Reddel, Helen K;Thien, Francis;Thomas, Paul S;Wark, Peter A B;Yap, Elaine;Gibson, Peter G
Affiliation: Capital and Coast District Health Board and Medical Research Institute of New Zealand, Wellington, New Zealand
School of Medicine and Pharmacology, University of Western Australia, WA, Australia
Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
Department of Pulmonary Physiology and Sleep Medicine, Sir Charles Gairdner Hospital, Nedlands, Australia
UNSW Sydney, Liverpool, New South Wales, Australia
The George Institute for Global Health, Newtown, NSW, Australia
Department of Thoracic Medicine, Concord Hospital, Concord Clinical School and Respiratory Discipline, University of Sydney Concord, NSW, Australia
Division of Infection, Immunity & Respratory Medicine, Manchester Academic Health Science Centre and North West Lung Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK
Respiratory Medicine, Royal Brompton Hospital, London, UK
Department of Thoracic Medicine, Concord Hospital, Concord, New South Wales, Australia
Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton and Department of Thoracic Medicine, Frankston Hospital, Frankston, Victoria, Australia
St George Specialist Centre, Kogarah, New South Wales, Australia
Immunity, Infection, and Inflammation Program, Mater Medical Research Institute, South Brisbane, QLD, Australia
Department of Respiratory Medicine, The Alfred Hospital, Victoria, Australia
Middlemore Hospital, Auckland, New Zealand
Department of Respiratory Medicine, Fiona Stanley Hospital, Murdoch, WA, Australia
National Health and Medical Research Council Centre of Excellence in Severe Asthma
Priority Research Centre for Healthy Lungs, the University of Newcastle
Hunter Medical Research Institute..
Hunter Medical Research Institute
Department of Respiratory and Sleep Medicine, John Hunter Hospital, Newcastle, Australia
Dept of Respiratory Medicine, Princess Alexandra Hospital, Woolloongabba, QLD, Australia
Woolcock Institute of Medical Research, University of Sydney, Sydney, New South Wales, Australia
South Western Sydney Clinical School, UNSW, Australia
Department of Respiratory Medicine, Eastern Health and Monash University, Box Hill, Victoria, Australia
Issue Date: 27-Feb-2020 2020-02-27
Publication information: Internal Medicine Journal 2020; online first: 27 February
Abstract: Severe asthma imposes a significant burden on individuals, families and the healthcare system. Treatment is complex, due to disease heterogeneity, comorbidities and complexity in care pathways. New approaches and treatments improve health outcomes for people with severe asthma. However, emerging multidimensional and targeted treatment strategies require a reorganisation of asthma care. Consensus is required on how reorganisation should occur and what areas require further research. The Centre of Excellence in Severe Asthma convened 3 forums between 2015 and 2018, hosting experts from Australia, New Zealand and the UK. The forums were complemented by a survey of clinicians involved in the management of people with severe asthma. We sought to 1) identify areas of consensus among experts, 2) define activities and resources required for the implementation of findings into practice and 3) identify specific priority areas for future research. Discussions identified areas of unmet need including assessment and diagnosis of severe asthma, models of care and treatment pathways, add-on treatment approaches and patient perspectives. We recommend development of education and training activities, clinical resources and standards of care documents, increased stakeholder engagement and public awareness campaigns and improved access to infrastructure and funding. Further, we propose specific future research to inform clinical decision-making and develop novel therapies. A concerted effort is required from all stakeholders (including patients, healthcare professionals and organisations and government) to integrate new evidence-based practices into clinical care and to advance research to resolve questions relevant to improving outcomes for people with severe asthma. This article is protected by copyright. All rights reserved.
DOI: 10.1111/imj.14806
ORCID: 0000-0003-1240-5964
Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia
PubMed URL: 32104958
Type: Journal Article
Subjects: asthma
multidimensional assessment
quality of life
targeted therapy
Appears in Collections:Journal articles

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