Center of Excellence in Lung Care, Fortis Hospital, Kolkata, India.
Respiratory and Critical Care Medicine, The University of Hong Kong, Hong Kong SAR, China.
Respirology. 2020 Dec;25(12):1235-1242. doi: 10.1111/resp.13935. Epub 2020 Sep 4.
Asthma imposes a significant burden on the health system and patients' quality of life. Within Asia, there is large variability in several cultural, social and economic factors ultimately influencing the management of asthma. Differences in risk factors and asthma management practices across Asia make asthma a truly 'mixed-bag' phenomenon. With the advent of biological agents and the consequent emphasis on asthma phenotyping and endotyping, it is more important than ever to understand the diverse nature of asthma as a disease. This is a collaborative review within Asia to highlight the differences in management of adult asthma, and the local modifications that are made to international guidelines. This review paves the way for a future Asian collaborative network in asthma epidemiological research.
哮喘给医疗体系和患者生活质量带来了巨大负担。在亚洲,多种文化、社会和经济因素存在很大差异,最终影响哮喘的管理。亚洲各地的哮喘危险因素和管理实践存在差异,使得哮喘成为一种真正的“混合现象”。随着生物制剂的出现,以及对哮喘表型和内型的重视,了解哮喘作为一种疾病的多样性变得比以往任何时候都更为重要。这是亚洲内部的一项合作研究,旨在强调成人哮喘管理的差异,以及对国际指南的本土化修改。该研究为未来亚洲哮喘流行病学研究合作网络铺平了道路。