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‚Äč'Clinical uncertainty' has led to asthma meds being overused by GPs


Researchers have tended to produce quite tight definitions of asthma that in IMHO don't reflect what we see in the real world, many studies have wide exclusion criteria. There are a substantial number of patients with chronic respiratory problems that flare up intermittently over the years. When they are well, they might not fit the research definitions of asthma. If you CT/bronchoscopy them all, and do fancy serology etc you would no doubt find some extra underlying respiratory conditions like bronchiectasis, alveolitis, fibrosis and so on. However this is not proportionate use of the resources in the primary care population for whom strict adherence to guidelines is often bad medicine and doesn't get people better.

Posted date

19 Jul 2019

Posted time