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020 _a9783030208127
024 7 _a10.1007/978-3-030-20812-7
_2doi
040 _aES-MaUEC
_bspa
_cES-MaUEC
_dES-MaUEC
050 4 _aRC591
_b.D54 2020 EB
245 0 0 _aDifficult To Treat Asthma
_bClinical Essentials
_cedited by Sandhya Khurana, Fernando Holguin.
250 _a1st ed. 2020.
264 1 _aCham
_bSpringer International Publishing :
_bImprint: Humana
_c2020.
300 _a1 recurso en línea (XV, 334 páginas)
_b30 ilustraciones, 27 ilustraciones a color
336 _2rdacontent
_aTexto
_btxt
337 _2rdamedia
_aelectrónico
_bc
338 _2rdacarrier
_arecurso electrónico
_bcr
347 _atext file
_bPDF
490 0 _aRespiratory Medicine
_x2197-7372
490 0 _aMedicine (Springer-11650)
505 0 _aScope of the problem, definition and pathophysiology -- Is it Asthma? Recognizing asthma mimics -- Beyond Refills: Promoting Adherence to Optimize Outcomes -- Addressing Comorbidities in Difficult Asthma -- Evaluation and Management of Work-Related Asthma -- Advances in Inhaled Medications -- Heterogeneity in Severe asthma -- Biomarkers, Targeted Therapies, Biologics and Bronchial Thermoplasty -- Practical Considerations in Management of Allergic Asthma -- Practical considerations in the management of eosinophilic asthma -- Practical considerations in management of non-eosinophilic asthma -- Practical considerations in management of obesity associated asthma -- Severe asthma in pregnancy: Special considerations -- Severe asthma in childhood: Special considerations -- High-risk asthma clinic: Putting it all together -- Difficult Asthma: Unmet Needs and Future Directions. .
520 _aThis book provides a practical, stepwise, evidence-based approach to effective management of patients with difficult to treat asthma. The impact of asthma on morbidity and healthcare utilization increases exponentially with severity. Severe refractory asthma accounts for less than 5% of all asthma. Its prevalence, however, is often overestimated as there are several other confounding factors that make asthma 'difficult to treat'. Many novel (albeit expensive) therapies are now available and providers caring for patients with severe asthma are charged with selecting the best evidence treatment. This calls for complex and nuanced decision-making. Whether people with asthma gain and maintain control over their condition depends not only on the availability of effective drugs, but also multiple patient and healthcare provider behaviors. Therefore, now more than ever, it has become increasingly important to differentiate "difficult" from "severe refractory" asthma to allow identification of patients most likely to benefit from these therapies. This volume delves into the current understanding of mechanisms and increasingly recognized heterogeneity of this complex disease. It discusses a structured approach to identification and optimization of factors contributing to poor asthma control, including nonadherence, comorbidities and occupational/environmental triggers. The book includes 'state of the art' reviews on recent advances in traditional and targeted asthma therapies, as well as a glimpse into what the future may hold. Highlights include a comprehensive guide to management of severe asthma in children and pregnancy, as well as practical considerations to management of asthma based on different clinical phenotypes. Each chapter is authored by leading experts in the field who share their own clinical approach. This is an ideal guide for clinical pulmonologists and allergist/immunologists, as well as primary care providers, physician extenders in specialty practice, physicians in pulmonary/allergy training, and even industry partners. .
988 _aSegundosemestre_2019_Medicine
650 7 _2embne
_9140908
_aAsma
700 1 _aKhurana, Sandhya
_eeditor
_4edt
_4http://id.loc.gov/vocabulary/relators/edt
700 1 _aHolguin, Fernando
_eeditor
_4edt
_4http://id.loc.gov/vocabulary/relators/edt
710 2 _aSpringerLink (Online service)
_9106937
773 0 _tSpringer eBooks
776 0 8 _iPrinted edition:
_z9783030208110
776 0 8 _iPrinted edition:
_z9783030208134
776 0 8 _iPrinted edition:
_z9783030208141
856 4 0 _uhttps://go.openathens.net/redirector/universidadeuropea.es?url=https://doi.org/10.1007/978-3-030-20812-7
_zAcceso a este recurso digital (usuarios Universidad Europea de Valencia)
942 _2lcc
_cLE
998 _db
_feng
_ggw
_h0
_zSI