The National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group (hereinafter “panel”) of the National Heart, Lung, and Blood Institute recently published its 2020 Focused Updates to the Asthma Management Guidelines (https://www.nhlbi.nih.gov/asthmaguidelines).1 These are the first updates from the panel since 2007, a remarkably long interval given the advances in care of the last decade. Using the Grading Recommendations, Assessment, Development, and Evaluation platform,2 the panel made 19 recommendations across six topic areas: intermittent inhaled corticosteroid (ICS) therapy, long-acting muscarinic antagonist (LAMA) therapy, indoor allergen-mitigation strategies, immunotherapy, fractional exhaled nitric oxide (FeNO) testing, and bronchial thermoplasty.3 Of these, 18 are relevant to children and adolescents (Table 1). The panel made strong recommendations (to be implemented by clinicians for almost all their patients as standard of care) and conditional recommendations (intended for many individuals as part of a shared decision-making process...
The 2020 Focused Updates to the NIH Asthma Management Guidelines: Key Points for Pediatricians
POTENTIAL CONFLICT OF INTEREST: Dr Cloutier reports a family member who is employed by Regeneron. Dr Teach reports research funding from the NIH NHLBI, the NIH National Institute of Allergy and Infectious Diseases, the NIH Eunice Kennedy Shriver National Institute of Child Health and Human Development, and EJF Philanthropies and royalty payments from UpToDate. Dr Lemanske has received personal fees from Siolta Therapeutics for a microbiome intervention and from the Food Allergy Research and Education Network. Dr Blake reports research funding from the NIH NHLBI, the NIH National Human Genome Research Institute, and Propeller Health. All authors were members of the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group.
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
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Michelle M. Cloutier, Stephen J. Teach, Robert F. Lemanske, Kathryn V. Blake; The 2020 Focused Updates to the NIH Asthma Management Guidelines: Key Points for Pediatricians. Pediatrics June 2021; 147 (6): e2021050286. 10.1542/peds.2021-050286
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