A Synopsis of the 2025 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline for the Primary Care Management of Asthma - PubMed
4 days ago
- #VA/DOD
- #clinical guidelines
- #asthma
- The 2025 VA/DOD Clinical Practice Guideline for asthma management updates the 2019 version.
- A guideline work group (WG) was convened in 2024, reviewing literature from 2018 to 2024.
- 21 evidence-based recommendations were developed using the GRADE system.
- Strong recommendation for inhaled corticosteroids (ICS) and combination therapy with rapid-onset long-acting β-agonists.
- Step-up therapy includes increasing ICS or adding long-acting anticholinergic agents.
- Management of gastroesophageal reflux disease and obesity is supported for better asthma control.
- Indoor air filtration devices are not recommended.
- Decision points for referral to a subspecialist are outlined.