Pediatric Asthma Research Program, Section of Pediatric Pulmonary Medicine, Breathing Institute, Department of Pediatrics, Children's Hospital Colorado, and the Department of Pediatrics, University of Colorado Denver School of Medicine, Aurora, Colo.
J Allergy Clin Immunol. 2015 Mar;135(3):644-52. doi: 10.1016/j.jaci.2014.12.1921. Epub 2015 Jan 30.
Last year's "Advances in pediatric asthma in 2013: Coordinating asthma care" concluded that, "Enhanced communication systems will be necessary among parents, clinicians, health care providers and the pharmaceutical industry so that we continue the pathway of understanding the disease and developing new treatments that address the unmet needs of patients who are at risk for severe consequences of unchecked disease persistence or progression." This year's summary will focus on further advances in pediatric asthma related to prenatal and postnatal factors altering the natural history of asthma, assessment of asthma control, and new insights regarding the management of asthma in children as indicated in Journal of Allergy and Clinical Immunology publications in 2014. A major theme of this review is how new research reports can be integrated into medical communication in a population health perspective to assist clinicians in asthma management. The asthma specialist is in a unique position to convey important messages to the medical community related to factors that influence the course of asthma, methods to assess and communicate levels of control, and new targets for intervention, as well as new immunomodulators. By enhancing communication among patients, parents, primary care physicians, and specialists within provider systems, the asthma specialist can provide timely information that can help to reduce asthma morbidity and mortality.
去年的“2013 年儿科哮喘进展:协调哮喘护理”得出结论,“父母、临床医生、医疗保健提供者和制药行业之间需要加强沟通系统,以便我们继续了解疾病的途径,并开发新的治疗方法,以满足那些有严重后果风险的患者的未满足需求,这些患者的疾病持续或进展不受控制。”今年的总结将重点介绍与产前和产后因素改变哮喘自然史、哮喘控制评估以及 2014 年《过敏与临床免疫学杂志》发表的关于儿童哮喘管理的新见解有关的儿科哮喘的进一步进展。这篇综述的一个主要主题是如何将新的研究报告整合到人群健康视角下的医疗沟通中,以帮助临床医生进行哮喘管理。哮喘专家处于一个独特的位置,可以向医学界传达影响哮喘进程的因素、评估和沟通控制水平的方法以及新的干预靶点以及新的免疫调节剂等重要信息。通过加强患者、家长、初级保健医生和提供者系统内专家之间的沟通,哮喘专家可以提供及时的信息,有助于降低哮喘发病率和死亡率。