Seventeen years of asthma guidelines: why hasn't the outcome improved for children?

摘要

Practice guidelines for asthma by the National Asthma Education and Prevention Program (NAEPP) administered and coordinated by the National Heart Lung and Blood Institute of the National Institutes of Health have been published in Expert Panel Reports (EPR) beginning in 1991, with updates in 1997 and 2002. Despite the considerable efforts and ambitious goal of the Expert Panel to improve asthma outcome, a report in 2006 from the National Center for Health Statistics concluded, "The most current data show that the challenges of childhood asthma remain and that asthma persists as a significant public health problem." A 415-page EPR3 with a 60-page summary was released in 2007.