Skip to main content
SpringerLink
Log in

Guidelines for Asthma

Relating Local Needs to Global Initiatives

  • Review Article
  • Guidelines
  • Published:
Disease Management & Health Outcomes

Summary

International guidelines for the management of asthma are now available. These include the US National Heart, Lung, and Blood Institute (NHLBI) International Consensus for the Diagnosis and Treatment of Asthma and the NHLBI/World Health Organization Global Initiative for Asthma (GINA).

The main purpose of such guidelines is to improve the quality of care for patients with asthma. This can only be accomplished, however, if these documents are effectively utilised. Effective utilisation will require the preparation of guidelines that can be readily adapted to requirements of local healthcare providers. To do this, consideration must be given to socioeconomic and practice differences within and between countries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Field MJ, Lohr KN, editors. Institute of Medicine. Clinical practice guidelines: directions for a new program. Washington, DC: National Academy Press, 1990

    Google Scholar 

  2. Bernstein IL, Storms WW, editors. Practice parameters for allergy diagnostic testing. Ann Allergy 1995; 75(6): 553–4

    Google Scholar 

  3. Nicklas RA, Spector SL, Bernstein IL, et al. Practice parameters [editorial]. J Allergy Clin Immunol 1995; 96: 1–4

    Article  PubMed  Google Scholar 

  4. National Institutes of Health, National Heart, Lung and Blood Institute. NIH/NHLBI Global Strategy for Asthma Management and Prevention NHLBI/WHO workshop report. Global initiative for asthma. Bethesda (MD): National Institutes of Health, National Heart, Lung and Blood Institute; 1995 Jan. Report no. 95-3659

    Google Scholar 

  5. Spector SL, Nicklas RA, editors. Practice parameters for the diagnosis and treatment of asthma. J Allergy Clin Immunol 1995; 96 (5 Pt 2): 707–9

    Google Scholar 

  6. Kostreski F. Agency goes commercial: AHCPR will no longer develop guidelines. Intern Med News 1996 Jun 15: 5

    Google Scholar 

  7. American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease (COPD) and asthma. Am Rev Respir Dis 1987; 136: 225–44

    Article  Google Scholar 

  8. Woolcock A, Rubinfield AR, Seale JP, et al. Asthma management plan 1989. Med J Aust 1989; 151: 650–3

    PubMed  CAS  Google Scholar 

  9. Hargreave FE, Dolovich J, Newhouse JT. The assessment and treatment of asthma: a conference report. J Allergy Clin Immunol 1990; 85: 1098–111

    Article  PubMed  CAS  Google Scholar 

  10. The British Thoracic Society, National Asthma Campaign, Royal College of Physicians of London, et al. The British guidelines on asthma management: 1995 review and position statement. Thorax 1997; 52 Suppl. 1: S1–S21

    Google Scholar 

  11. Eccles M, Clapp Z, Grimshaw J, et al. North of England evidence based guidelines development project: summary version of evidence based guideline for the primary care management of asthma in adults. BMJ 1996; 312: 762–6

    Article  Google Scholar 

  12. Warner JO, Gotz M, Landau LI, et al. Management of asthma: a consensus statement. Arch Dis Child 1989; 64: 1065–79

    Article  PubMed  CAS  Google Scholar 

  13. NAEP Working Group on Asthma and Pregnancy. Management of asthma during pregnancy. Bethesda (MD): National Institutes of Health, 1993 Sep. Report no. 93-3279

    Google Scholar 

  14. NAEP report of the NAEPP Working Group. Considerations for diagnosing and managing asthma in the elderly. Bethesda (MD): National Institutes of Health, 1996 Feb. Report no. 96-3662

    Google Scholar 

  15. Sheffer AL, Buist AS, editors. Proceedings of the Asthma Mortality Task Force. J Allergy Clin Immunol 1987; 80 (3 Pt 2): 361–3

    Google Scholar 

  16. Haines A, Feder G. Guidance on guidelines. BMJ 1992; 305: 785–6

    Article  PubMed  CAS  Google Scholar 

  17. Hayward RSA, Wilson MC, Tunis SR, et al. More information abstracts of articles describing clinical practice guidelines. Ann Intern Med 1993; 118: 731–7

    PubMed  CAS  Google Scholar 

  18. Gibson P. Asthma guidelines and evidence-based medicine. Lancet 1993; 342: 1305

    Article  PubMed  CAS  Google Scholar 

  19. Kohler CL, Davies SL, Bailey WC. How to implement an asthma education program. Clin Chest Med 1995; 16: 557–65

    PubMed  CAS  Google Scholar 

  20. Zeiger RS, Heller S, Mellon MH. Facilitated referral to asthma specialist reduces relapses in asthma emergency room visits. J Allergy Clin Immunol 1991; 87: 1160–8

    Article  PubMed  CAS  Google Scholar 

  21. Hirschfield EB. Practice parameters and the malpractice liability of physicians. JAMA 1990; 263: 1556–62

    Article  Google Scholar 

  22. Smith GH. Maine’s Liability Demonstration Project: relating liability to practice parameters. In: American Medical Association State Health Legislation Report. Chicago (IL): American Medical Association, 1990: 1–5

    Google Scholar 

  23. Lee TL. Beyond guidelines: can general internists show the (critical) paths? J Gen Intern Med 1996; 11: 174–5

    Article  PubMed  CAS  Google Scholar 

  24. Hayward SAR, Wilson MC, Tunis SR, et al. Practice guidelines: what are internists looking for? J Gen Intern Med 1996; 11: 176–8

    Article  PubMed  CAS  Google Scholar 

  25. Dales RE, Schweitzer I, Kerr P, et al. Risk factors for recurrent emergency department visits for asthma. Thorax 1995; 50: 520–4

    Article  PubMed  CAS  Google Scholar 

  26. Feder G, Griffiths C, Highton C, et al. Do clinical guidelines introduced with practice based education improve care of asthmatic and diabetic patients? A randomized controlled trial in general practices in east London. BMJ 1995; 311: 1473–8

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. George Washington Medical Center, Washington D.C., USA

    Richard A. Nicklas

  2. Uniformed Services University of Health Sciences, Bethesda, Maryland, USA

    Richard A. Nicklas

  3. Center for Drug Evaluation and Research, Food and Drug Administration, Rockville, Maryland, USA

    Richard A. Nicklas

  4. Harvard Medical School, Boston, Massachusetts, USA

    Albert L. Sheffer

  5. Allergy Section, Brigham and Women’s Hospital, 850 Boylston Street, Suite 540, Chestnut Hill, Boston, Massachusetts, 02167, USA

    Albert L. Sheffer

Authors
  1. Richard A. Nicklas
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Albert L. Sheffer
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nicklas, R.A., Sheffer, A.L. Guidelines for Asthma. Dis Manage Health Outcomes 1, 296–303 (1997). https://doi.org/10.2165/00115677-199701060-00003

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2165/00115677-199701060-00003

Search

Navigation