0
Editorials |

Refractory AsthmaBronchoscopy for Refractory Asthma: Lessons Learned From the Bronchoscope

Sidney S. Braman, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care and Sleep Medicine, The Mount Sinai School of Medicine.

Correspondence to: Sidney S. Braman, MD, FCCP, The Mount Sinai Medical Center, Box 1232, 1 Gustav L Levy Place, New York, NY 10029-6574; e-mail: sidney.braman@mssm.edu


Financial/nonfinancial disclosures: The author has reported to CHEST the following conflicts of interest: Dr Braman has done unbranded lectures for Genentech and GlaxoSmithKline.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2012 American College of Chest Physicians


Chest. 2012;141(3):575-576. doi:10.1378/chest.11-2263
Text Size: A A A
Published online

Extract

National1 and international2 evidence-based guidelines brought the anticipation of improved outcomes for patients with asthma. Treating asthma as an inflammatory condition became the foundation of therapy. Algorithms for step-up care were offered, and tools to monitor asthma control were promoted. Despite the positive impact on asthma mortality, national surveys have shown that the control of this disease is not meeting expectations.3,4 The reasons for this are complex, but one likely explanation is that asthma is not a single disease but a heterogeneous condition with many phenotypic expressions. Therapy, therefore, may have to be more targeted, especially in patients who do not respond to the conventional step-up guideline-driven approach.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543