The need for an integrated approach to rhinitis and asthma
Introduction: Several evidences support the concept of united airway and its pathophysiological, clinical, and therapeutic implications. The existence of rhinitis can generate greater difficulty in asthma control and higher direct and indirect health care costs, which is not sufficiently recognized...
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| Autores principales: | , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/40782 |
| Aporte de: |
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I10-R327-article-40782 |
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Universidad Nacional de Córdoba |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
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Artículo revista |
| topic |
asthma allergic rhinitis health care costs quality of life therapeutics asma rinitis alérgica costos de la atención en salud calidad de vida terapéutica asma rinite alérgica custos de saúde qualidade de vida terapêutica |
| spellingShingle |
asthma allergic rhinitis health care costs quality of life therapeutics asma rinitis alérgica costos de la atención en salud calidad de vida terapéutica asma rinite alérgica custos de saúde qualidade de vida terapêutica Saranz, Ricardo José Lozano, Alejandro Lozano, Natalia Andrea Alegre, Graciela Visconti, Pilar Ponzio, Marina Flavia The need for an integrated approach to rhinitis and asthma |
| topic_facet |
asthma allergic rhinitis health care costs quality of life therapeutics asma rinitis alérgica costos de la atención en salud calidad de vida terapéutica asma rinite alérgica custos de saúde qualidade de vida terapêutica |
| author |
Saranz, Ricardo José Lozano, Alejandro Lozano, Natalia Andrea Alegre, Graciela Visconti, Pilar Ponzio, Marina Flavia |
| author_facet |
Saranz, Ricardo José Lozano, Alejandro Lozano, Natalia Andrea Alegre, Graciela Visconti, Pilar Ponzio, Marina Flavia |
| author_sort |
Saranz, Ricardo José |
| title |
The need for an integrated approach to rhinitis and asthma |
| title_short |
The need for an integrated approach to rhinitis and asthma |
| title_full |
The need for an integrated approach to rhinitis and asthma |
| title_fullStr |
The need for an integrated approach to rhinitis and asthma |
| title_full_unstemmed |
The need for an integrated approach to rhinitis and asthma |
| title_sort |
need for an integrated approach to rhinitis and asthma |
| description |
Introduction: Several evidences support the concept of united airway and its pathophysiological, clinical, and therapeutic implications. The existence of rhinitis can generate greater difficulty in asthma control and higher direct and indirect health care costs, which is not sufficiently recognized by the majority of physicians who often treat them as separate entities.
Objective: To examine witness evidence of the relationship between rhinitis and asthma that contributes to the integrated approach to both pathologies.
Methods: A bibliographic search was carried out in the PubMed (Medline), EBSCO, Scielo, and Google Scholar databases using MeSH and DeCS terms related to the clinical and therapeutic relationship between rhinitis and asthma.
Results: Finally, 46 references describing the impact of rhinitis on the quality of life of patients with asthma and its therapeutic correlate were included.
Conclusions: The treatment of both diseases based on this integrated model is imperative. Both, the endo-phenotypic recognition and the consequent therapeutic approach allow to the concomitant control of asthma and rhinitis and a decrease in their morbidity. Complementary therapeutic measures based on the concept "one airway, one disease" support the good clinical practices necessary to achieve the best therapeutic result. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/40782 |
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I10-R327-article-407822023-07-10T12:07:38Z The need for an integrated approach to rhinitis and asthma La necesidad de un abordaje integrado de la rinitis y el asma A necessidade de uma abordagem integrada para rinite e asma Saranz, Ricardo José Lozano, Alejandro Lozano, Natalia Andrea Alegre, Graciela Visconti, Pilar Ponzio, Marina Flavia asthma allergic rhinitis health care costs quality of life therapeutics asma rinitis alérgica costos de la atención en salud calidad de vida terapéutica asma rinite alérgica custos de saúde qualidade de vida terapêutica Introduction: Several evidences support the concept of united airway and its pathophysiological, clinical, and therapeutic implications. The existence of rhinitis can generate greater difficulty in asthma control and higher direct and indirect health care costs, which is not sufficiently recognized by the majority of physicians who often treat them as separate entities. Objective: To examine witness evidence of the relationship between rhinitis and asthma that contributes to the integrated approach to both pathologies. Methods: A bibliographic search was carried out in the PubMed (Medline), EBSCO, Scielo, and Google Scholar databases using MeSH and DeCS terms related to the clinical and therapeutic relationship between rhinitis and asthma. Results: Finally, 46 references describing the impact of rhinitis on the quality of life of patients with asthma and its therapeutic correlate were included. Conclusions: The treatment of both diseases based on this integrated model is imperative. Both, the endo-phenotypic recognition and the consequent therapeutic approach allow to the concomitant control of asthma and rhinitis and a decrease in their morbidity. Complementary therapeutic measures based on the concept "one airway, one disease" support the good clinical practices necessary to achieve the best therapeutic result. Introducción: Numerosas evidencias sustentan el concepto de unidad de la vía aérea y sus consiguientes implicancias fisiopatológicas, clínicas y terapéuticas. La existencia de rinitis puede generar una mayor dificultad para el control del asma y mayores costos sanitarios directos e indirectos, lo que no es suficientemente reconocido por la mayoría de los médicos que las tratan, generalmente, como entidades separadas. Objetivo: Examinar evidencias testigos de la relación entre rinitis y asma que favorezcan el abordaje integrado de ambas patologías. Métodos: Se realizó una búsqueda bibliográfica en bases de datos PubMed (Medline), EBSCO, Scielo, Google Scholar utilizando términos MeSH y DeCS vinculados a la relación clínica y terapéutica entre rinitis y asma. Resultados: Finalmente se incluyeron 46 referencias bibliográficas que describen el impacto de la rinitis sobre la calidad de vida de pacientes con asma y su correlato terapéutico. Conclusiones: El tratamiento de ambas enfermedades fundamentado en un modelo integrado es imperativo. El reconocimiento endo-fenotípico conjunto y la decisión terapéutica consecuente permite en control simultáneo del asma y la rinitis y una disminución de su morbilidad. La adopción de medidas terapéuticas complementarias basadas en el concepto “una vía aérea, una única enfermedad” se corresponde con las buenas prácticas clínicas necesarias para lograr el mejor resultado terapéutico. Introdução: Numerosas evidências suportam o conceito de unidade das vias aéreas e suas consequentes implicações fisiopatológicas, clínicas e terapêuticas. A existência de rinite pode gerar maior dificuldade no controle da asma e maiores custos diretos e indiretos com a saúde, o que não é suficientemente reconhecido pela maioria dos médicos que geralmente os tratam como entidades separadas. Objetivo: Examinar evidências testemunhais da relação entre rinite e asma que favoreçam uma abordagem integrada de ambas ases patologias. Métodos: Foi realizada uma busca bibliográfica nas bases de dados PubMed (Medline), EBSCO, Scielo e Google Acadêmico, utilizando termos MeSH e DeCS relacionados à relação clínica e terapêutica entre rinite e asma. Resultados: Finalmente, foram incluídas 46 referências bibliográficas que descrevem o impacto da rinite na qualidade de vida de pacientes com asma e seu correlato terapêutico. Conclusões: O tratamento de ambas ases doenças com base em um modelo integrado é imperativo. O reconhecimento endofenotípico conjunto e a consequente decisão terapêutica permitem o controlo simultâneo da asma e da rinite e a diminuição da sua morbilidade. A adoção de medidas terapêuticas complementares baseadas no conceito “uma via aérea, uma doença” corresponde às boas práticas clínicas necessárias para alcançar o melhor resultado terapêutico. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Medicina, Pediatría, Alergia e Inmunología application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/40782 10.31053/1853.0605.v80.n2.40782 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 No. 2 (2023); 134-140 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 Núm. 2 (2023); 134-140 Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 n. 2 (2023); 134-140 1853-0605 0014-6722 10.31053/1853.0605.v80.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/40782/41730 https://revistas.unc.edu.ar/index.php/med/article/view/40782/41376 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |