TY - JOUR
T1 - [Translated article] Spanish Asthma Management Guidelines (GEMA) v.5.1. Highlights and Controversies
AU - Plaza, Vicente
AU - Alobid, Isam
AU - Alvarez, Cesáreo
AU - Blanco, Marina
AU - Ferreira, Jorge
AU - García, Gabriel
AU - Gómez-Outes, Antonio
AU - Gómez, Fernando
AU - Hidalgo, Antonio
AU - Korta, Javier
AU - Molina, Jesús
AU - Pellegrini, Francisco Javier
AU - Pérez, Montserrat
AU - Plaza, Javier
AU - Praena, Manuel
AU - Quirce, Santiago
AU - Sanz, José
N1 - Copyright © 2021 SEPAR. Published by Elsevier España, S.L.U. All rights reserved.
PY - 2022/2
Y1 - 2022/2
N2 - In this fifth phase of development, the contents of the Spanish Asthma Management Guidelines (GEMA), which include versions 5.0 and 5.1, have undergone a thorough review. The aim here is to set the main changes in context. These could be summarized as follows: DIAGNOSIS: new FE
NO cut-off and severity classification based on treatment needed to maintain control; INTERMITTENT ASTHMA: a more restrictive concept and treatment extended to include a glucocorticoid/adrenergic combination as needed; MILD ASTHMA: glucocorticoid/adrenergic therapy as needed as an alternative in case of low therapeutic adherence to conventional fixed-dose steroids; SEVERE ASTHMA: readjustment of phenotypes, incorporation of triple therapy in a single inhaler, and criteria for selection of a biologic in severe uncontrolled asthma; OTHERS: specific scoring in childhood asthma, incorporation of certain organizational aspects (care circuits, asthma units, telemedicine), new sections on COVID-19 and nasal polyposis.
AB - In this fifth phase of development, the contents of the Spanish Asthma Management Guidelines (GEMA), which include versions 5.0 and 5.1, have undergone a thorough review. The aim here is to set the main changes in context. These could be summarized as follows: DIAGNOSIS: new FE
NO cut-off and severity classification based on treatment needed to maintain control; INTERMITTENT ASTHMA: a more restrictive concept and treatment extended to include a glucocorticoid/adrenergic combination as needed; MILD ASTHMA: glucocorticoid/adrenergic therapy as needed as an alternative in case of low therapeutic adherence to conventional fixed-dose steroids; SEVERE ASTHMA: readjustment of phenotypes, incorporation of triple therapy in a single inhaler, and criteria for selection of a biologic in severe uncontrolled asthma; OTHERS: specific scoring in childhood asthma, incorporation of certain organizational aspects (care circuits, asthma units, telemedicine), new sections on COVID-19 and nasal polyposis.
KW - Adrenergic Agents/therapeutic use
KW - Asthma/drug therapy
KW - COVID-19
KW - Glucocorticoids/therapeutic use
KW - Humans
U2 - 10.1016/j.arbres.2021.05.032
DO - 10.1016/j.arbres.2021.05.032
M3 - Article
C2 - 35971814
VL - 58
SP - T150-T158
IS - 2
ER -