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Editorials |

Diagnosis and Management of Work-Related Asthma: American College of Chest Physicians Consensus Statement—A Timely Update

Moira Chan-Yeung, MB
Author and Funding Information

Correspondence to: Moira Chan-Yeung, MB, The Lung Centre, Seventh Floor, 2775 Laurel St, Vancouver, BC, Canada V5Z1M9; e-mail: myeung@interchange.ubc.ca

Dr. Chan-Yeung is Emeritus Professor, Occupational and Environmental Lung Diseases Unit, Respiratory Division, Department of Medicine, University of British Columbia.


The author has conflict of interest to disclose.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2008;134(3):480-481. doi:10.1378/chest.08-1250
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The prevalence of work-related asthma (WRA), which includes occupational asthma (OA) and work-exacerbated asthma (WEA),1 is much more common than is generally appreciated. It has been estimated that about 10 to 15% of adult asthma is attributable to occupational factors that initiated symptoms,2 while another 10% is the result of workplace exposure exacerbating preexisting asthma.3 The diagnosis and management of work-related asthma can be challenging, even for physicians familiar with asthma care. Yet while the established asthma management guidelines have been updated periodically over the past 2 decades,4,5 there has been no such document for work-related asthma until recently.6 The American College of Chest Physicians (ACCP) consensus statement on “Diagnosis and Management of Work-Related Asthma” a supplement to the current issue of CHEST7 is the most comprehensive such document to date. As an update to the 1995 consensus document “Assessment of Asthma in the Workplace,”8 it is a much-needed document to improve care of patients with WRA, and is considerably expanded to cover issues not only of assessment but of outcome, management, and prevention.

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