ArticlePrimary care respiratory journal : journal of the General Practice Airways Group2013
'SIMPLES': a structured primary care approach to adults with difficult asthma.
Article in Primary care respiratory journal : journal of the General Practice Airways Group, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Health system characteristics and evidence-based asthma care.Frontiers in allergy · 2025Article
- The Path to Diagnosis of Severe Asthma-A Qualitative Exploration.International journal of general medicine · 2024Article
- Asthma medication adherence and exacerbations and lung function in children managed in Leicester primary care.NPJ primary care respiratory medicine · 2023Review
- A Renewed Charter: Key Principles to Improve Patient Care in Severe Asthma.Advances in therapy · 2022Article
- Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children?International journal of environmental research and public health · 2022Article
- Article
- Multimorbidity in Difficult Asthma: The Need for Personalised and Non-Pharmacological Approaches to Address a Difficult Breathing Syndrome.Journal of personalized medicine · 2022Review
- Prevalence and Characterisation of Patients with Asthma According to Disease Severity in Portugal: Findings from the EPI-ASTHMA Pilot Study.Journal of asthma and allergy · 2022Article
- Article
- Improving primary care management of asthma: do we know what really works?NPJ primary care respiratory medicine · 2020Review
- Bringing asthma care into the twenty-first century.NPJ primary care respiratory medicine · 2020Review
- A worldwide charter for all children with asthma.Pediatric pulmonology · 2020Article
- Observational
- Approaches to the assessment of severe asthma: barriers and strategies.Journal of asthma and allergy · 2019Article
- A Charter to Improve Patient Care in Severe Asthma.Advances in therapy · 2018Article
- Insights into frequent asthma exacerbations from a primary care perspective and the implications of UK National Review of Asthma Deaths recommendations.NPJ primary care respiratory medicine · 2018Article
- Adaptation of a difficult-to-manage asthma programme for implementation in the Dutch context: a modified e-Delphi.NPJ primary care respiratory medicine · 2017Article
- Personalising care of adults with asthma from Asia: a modified e-Dephi consensus study to inform management tailored to attitude and control profiles.NPJ primary care respiratory medicine · 2017Article
- Inappropriate asthma therapy-a tale of two countries: a parallel population-based cohort study.NPJ primary care respiratory medicine · 2016Article
- A multidisciplinary team case management approach reduces the burden of frequent asthma admissions.ERJ open research · 2016Article
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5 authors.
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Abstract
The substantial majority of patients with asthma can expect minimal breakthrough symptoms on standard doses of inhaled corticosteroids with or without additional add-on therapies. SIMPLES is a structured primary care approach to the review of a person with uncontrolled asthma which encompasses patient education monitoring, lifestyle and pharmacological management and addressing support needs which will achieve control in most patients. The small group of patients presenting with persistent asthma symptoms despite being prescribed high levels of treatment are often referred to as having 'difficult asthma'. Some will have difficult, 'therapy resistant' asthma, some will have psychosocial problems which make it difficult for them to achieve asthma control and some may prove to have an alternative diagnosis driving their symptoms. A few patients will benefit from referral to a 'difficult asthma' clinic. The SIMPLES approach, aligned with close co-operation between primary and specialist care, can identify this patient group, avoid inappropriate escalation of treatment, and streamline clinical assessment and management.
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