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Guia espanola para el manejo del asma (GEMA) version 5 1 Aspectos destacados y controversias #MMPMID34167859
Plaza V; Alobid I; Alvarez C; Blanco M; Ferreira J; Garcia G; Gomez-Outes A; Gomez F; Hidalgo A; Korta J; Molina J; Pellegrini FJ; Perez M; Plaza J; Praena M; Quirce S; Sanz J
Arch Bronconeumol 2022[Feb]; 58 (2): 150-158 PMID34167859show ga
In this fifth phase of development, the contents of the Spanish Asthma Management Guidelines (GEMA), which include versions 5.0 and 5.1, have undergone a thorough review. The aim here is to set the main changes in context. These could be summarized as follows: DIAGNOSIS: new FE(NO) cut-off and severity classification based on treatment needed to maintain control; INTERMITTENT ASTHMA: a more restrictive concept and treatment extended to include a glucocorticoid/adrenergic combination as needed; MILD ASTHMA: glucocorticoid/adrenergic therapy as needed as an alternative in case of low therapeutic adherence to conventional fixed-dose steroids; SEVERE ASTHMA: readjustment of phenotypes, incorporation of triple therapy in a single inhaler, and criteria for selection of a biologic in severe uncontrolled asthma; OTHERS: specific scoring in childhood asthma, incorporation of certain organizational aspects (care circuits, asthma units, telemedicine), new sections on COVID-19 and nasal polyposis.