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International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma

Kian Fan Chung, Sally E. Wenzel, Jan L. Brozek, Andrew Bush, Mario Castro, Peter J. Sterk, Ian M. Adcock, Eric D. Bateman, Elisabeth H. Bel, Eugene R. Bleecker, Louis-Philippe Boulet, Christopher Brightling, Pascal Chanez, Sven-Erik Dahlen, Ratko Djukanovic, Urs Frey, Mina Gaga, Peter Gibson, Qutayba Hamid, Nizar N. Jarjour, Thais Mauad, Ronald L. Sorkness, W. Gerald Teague
European Respiratory Journal 2014 43: 343-373; DOI: 10.1183/09031936.00202013
Kian Fan Chung
1National Heart and Lung Institute, Imperial College, London
2Biomedical Research Unit, Royal Brompton Hospital, London
21Both authors contributed equally
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  • For correspondence: f.chung@imperial.ac.uk
Sally E. Wenzel
3Dept of Medicine, University of Pittsburgh, Pittsburgh, PA
21Both authors contributed equally
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Jan L. Brozek
4Dept of Clinical Epidemiology and Biostatistics and Medicine, McMaster University, Hamilton, Ontario
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Andrew Bush
1National Heart and Lung Institute, Imperial College, London
2Biomedical Research Unit, Royal Brompton Hospital, London
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Mario Castro
5Dept of Medicine, Washington University, St Louis, MO
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Peter J. Sterk
6Dept of Respiratory Medicine, Academic Medical Centre, Amsterdam, The Netherlands
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Ian M. Adcock
1National Heart and Lung Institute, Imperial College, London
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Eric D. Bateman
7Lung Institute, University of Cape Town, Cape Town, South Africa
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Elisabeth H. Bel
6Dept of Respiratory Medicine, Academic Medical Centre, Amsterdam, The Netherlands
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Eugene R. Bleecker
8Dept of Medicine, Wake Forest University, Winston Salem, NC
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Louis-Philippe Boulet
9Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Quebec, Quebec
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Christopher Brightling
10Institute for Lung Health, Leicester University, Leicester
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Pascal Chanez
11Departement des Maladies Respiratoires, Marseille Universite, Marseille, France
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Sven-Erik Dahlen
12Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
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Ratko Djukanovic
13Southampton NIHR Respiratory Biomedical Research Unit, University of Southampton School of Medicine and Southampton General Hospital, Southampton UK
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Urs Frey
14University Children’s Hospital (UKBB), University of Basel, Basel, Switzerland
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Mina Gaga
15th, Athens, Greece
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Peter Gibson
16Hunter Medical Research Institute, John Hunter Hospital, Newcastle, Australia
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Qutayba Hamid
17Meakins-Christie Laboratories, McGill University, Montreal, Quebec, Canada
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Nizar N. Jarjour
18Dept of Medicine, University of Wisconsin, Madison, WI
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Thais Mauad
19Dept of Pathology, University Medical School, Sao Paulo, Brazil
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Ronald L. Sorkness
18Dept of Medicine, University of Wisconsin, Madison, WI
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W. Gerald Teague
20Division of Respiratory Medicine, Allergy, and Immunology, Dept of Paediatrics, University of Virginia School of Medicine, VA, USA
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Article Information

vol. 43 no. 2 343-373
DOI 
https://doi.org/10.1183/09031936.00202013
PubMed 
24337046

Published By 
European Respiratory Society
Print ISSN 
0903-1936
Online ISSN 
1399-3003
History 
  • Received November 19, 2013
  • Accepted November 26, 2013
  • Published online January 31, 2014.

Article Versions

  • previous version (December 12, 2013 - 01:02).
  • You are viewing the most recent version of this article.
Copyright & Usage 
©ERS 2014

Author Information

  1. Kian Fan Chung1,2,21⇑,
  2. Sally E. Wenzel3,21,
  3. Jan L. Brozek4,
  4. Andrew Bush1,2,
  5. Mario Castro5,
  6. Peter J. Sterk6,
  7. Ian M. Adcock1,
  8. Eric D. Bateman7,
  9. Elisabeth H. Bel6,
  10. Eugene R. Bleecker8,
  11. Louis-Philippe Boulet9,
  12. Christopher Brightling10,
  13. Pascal Chanez11,
  14. Sven-Erik Dahlen12,
  15. Ratko Djukanovic13,
  16. Urs Frey14,
  17. Mina Gaga15,
  18. Peter Gibson16,
  19. Qutayba Hamid17,
  20. Nizar N. Jarjour18,
  21. Thais Mauad19,
  22. Ronald L. Sorkness18 and
  23. W. Gerald Teague20
  1. 1National Heart and Lung Institute, Imperial College, London
  2. 2Biomedical Research Unit, Royal Brompton Hospital, London
  3. 10Institute for Lung Health, Leicester University, Leicester
  4. 13Southampton NIHR Respiratory Biomedical Research Unit, University of Southampton School of Medicine and Southampton General Hospital, Southampton UK
  5. 3Dept of Medicine, University of Pittsburgh, Pittsburgh, PA
  6. 5Dept of Medicine, Washington University, St Louis, MO
  7. 8Dept of Medicine, Wake Forest University, Winston Salem, NC
  8. 18Dept of Medicine, University of Wisconsin, Madison, WI
  9. 20Division of Respiratory Medicine, Allergy, and Immunology, Dept of Paediatrics, University of Virginia School of Medicine, VA, USA
  10. 4Dept of Clinical Epidemiology and Biostatistics and Medicine, McMaster University, Hamilton, Ontario
  11. 9Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Quebec, Quebec
  12. 17Meakins-Christie Laboratories, McGill University, Montreal, Quebec, Canada
  13. 6Dept of Respiratory Medicine, Academic Medical Centre, Amsterdam, The Netherlands
  14. 7Lung Institute, University of Cape Town, Cape Town, South Africa
  15. 11Departement des Maladies Respiratoires, Marseille Universite, Marseille, France
  16. 12Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
  17. 14University Children’s Hospital (UKBB), University of Basel, Basel, Switzerland
  18. 157th Respiratory Dept and Asthma Centre, Athens Chest Hospital, Athens, Greece
  19. 16Hunter Medical Research Institute, John Hunter Hospital, Newcastle, Australia
  20. 19Dept of Pathology, University Medical School, Sao Paulo, Brazil
  21. 21Both authors contributed equally
  1. K.F. Chung, National Heart and Lung Institute, Imperial College, Dovehouse St, London, SW3 6LY, UK. E-mail: f.chung{at}imperial.ac.uk
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Vol 43 Issue 2 Table of Contents
European Respiratory Journal: 43 (2)
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International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma
Kian Fan Chung, Sally E. Wenzel, Jan L. Brozek, Andrew Bush, Mario Castro, Peter J. Sterk, Ian M. Adcock, Eric D. Bateman, Elisabeth H. Bel, Eugene R. Bleecker, Louis-Philippe Boulet, Christopher Brightling, Pascal Chanez, Sven-Erik Dahlen, Ratko Djukanovic, Urs Frey, Mina Gaga, Peter Gibson, Qutayba Hamid, Nizar N. Jarjour, Thais Mauad, Ronald L. Sorkness, W. Gerald Teague
European Respiratory Journal Feb 2014, 43 (2) 343-373; DOI: 10.1183/09031936.00202013

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International ERS/ATS guidelines on definition, evaluation and treatment of severe asthma
Kian Fan Chung, Sally E. Wenzel, Jan L. Brozek, Andrew Bush, Mario Castro, Peter J. Sterk, Ian M. Adcock, Eric D. Bateman, Elisabeth H. Bel, Eugene R. Bleecker, Louis-Philippe Boulet, Christopher Brightling, Pascal Chanez, Sven-Erik Dahlen, Ratko Djukanovic, Urs Frey, Mina Gaga, Peter Gibson, Qutayba Hamid, Nizar N. Jarjour, Thais Mauad, Ronald L. Sorkness, W. Gerald Teague
European Respiratory Journal Feb 2014, 43 (2) 343-373; DOI: 10.1183/09031936.00202013
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  • Article
    • Abstract
    • Abstract
    • Executive Summary
    • Recommendations
    • Scope and purpose
    • Introduction
    • Methods
    • How to use these guidelines
    • 1. Task Force definition of severe asthma
    • 2. Phenotyping: epidemiology, pathogenesis, pathobiology, structure and physiology
    • 3. Evaluation
    • 4. Therapy
    • Conclusion
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

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  • Asthma and allergy
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More in this TOC Section

  • Guidelines for the management of severe asthma
  • ERS/ATS guidelines for prevention of COPD exacerbations
  • ERS/ATS guidelines: NIV for acute respiratory failure
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