ATS GUIDELINES Bundle

106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 Order additional copies at GuidelineCentral.com Copyright © 2020 All rights reserved ATSSEV4203 Disclaimer is pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. is pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. Abbreviations ATS, American oracic Society; ERS, European Respiratory Society; IL; interleukin; R, receptor; F ENO , exhaled nitric oxide fraction; GINA, Global Initiative for Asthma; NAEPP, National Asthma Education and Prevention Program; subcut, subcutaneous Source Holguin F, Cardet JC, Chung KF, et al. Management of severe asthma: a European Respiratory Society/American oracic Society guideline. Eur Respir J 2020; 55: 1900588 [https://doi.org/10.1183/13993003.00588-2019]. e guideline was a joint effort between the European Respiratory Society and the American oracic Society. Interpretation of Strong and Conditional (Weak) Recommendations Strong recommendation Conditional (weak) recommendation Patients e overwhelming majority of individuals in this situation would want the recommended course of action and only a small minority would not. e majority individuals in this situation would want the suggested course of action, but a sizeable minority would not. Clinicians e overwhelming majority of individuals should receive the recommended course of action. Adherence to this recommendation according to the guideline could be used as a quality criterion or performance indicator. Formal decision aids are not likely to be needed to help individuals make decisions consistent with their values and preferences. Different choices will be appropriate for different patients and you must help each patient arrive at a management decision consistent with her or his values and preferences. Decision aids may be useful to help individuals make decisions consistent with their values and preferences. Clinicians should expect to spend more time with patients when working towards a decision. Policy Makers e recommendation can be adapted as policy in most situations including for the use as performance indicators. Policy-making will require substantial debates and involvement of many stakeholders. Policies are also more likely to vary between regions. Performance indicators would have to focus on the fact that adequate deliberation about the management options has taken place.

• Cover