Update of asthma management guideline: GINA 2006 / 대한내과학회지

ABSTRACT

Asthma is a serious global health problem. People of all ages in countries throughout the world are affected by this chronic airway disorder that, when uncontrolled, can place severe limits on daily life and is sometimes fatal. The prevalence of asthma is increasing in most countries, especially among children. Asthma is a significant burden, not only in terms of health care costs but also of lost productivity and reduced participation in family life. In 2002, the GINA Report stated that "it is reasonable to expect that in most patients with asthma, control of the disease can, and should be achieved and maintained". To meet this challenge, in 2005, Executive Committee recommended preparation of a new report not only to incorporate updated scientific information but to implement an approach to asthma management based on asthma control, rather than asthma severity. Recommendations to assess, treat and maintain asthma control are provided in the new GINA Report revised in 2006. Here, we summarize the main concepts and major changes of the new GINA guideline.