Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2003-11-17
pubmed:abstractText
Beyond the mild intermittent asthma the present German Asthma Guideline, published in 1998 supports the use of ICS for all steps of asthma severity. However, LABA's have only been recommended as an add on treatment for step 3 (moderate persistent) and 4 (severe asthma). At that time, fixed combinations containing LABA and ICS were not on the market yet. The development of sales of the combination product in industrialized countries including Germany shows that they are probably prescribed for first line treatment and for all steps of asthma severity. The role of these recently developed excellent drugs could not yet be defined by principles of evidence based medicine, i. e. by randomized, double-blind controlled trials. A vignette case should demonstrate that in the daily care even grading severity of asthma regarding the prescription of the appropriate treatment can be difficult. Since the costs of the combination treatment are high, nowadays financial considerations increasingly determine medical decisions in the German Health Care System. The consequent debate of an expert protagonist and an expert opponent should take all these aspects into consideration and help primary care and specialist care physicians to prescribe this type of drugs for the "right" patient.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0934-8387
pubmed:author
pubmed:issnType
Print
pubmed:volume
57
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
671-3
pubmed:dateRevised
2009-4-7
pubmed:meshHeading
pubmed:year
2003
pubmed:articleTitle
[Fixed combinations as a first line treatment for all degrees of severity in asthma?].
pubmed:affiliation
Gemeinschaftspraxis and Pneumologisch-Allergologisches Zentrum, Maingau Krankenhaus, Frankfurt am Main. peter.kardos@netsurf.de
pubmed:publicationType
Journal Article, English Abstract