Flu consultations increase 78% in a week

Flu consultations increase 78% in a week

January 15 2018 GPs saw over 21,700 cases of patients with influenza-like illness in the first...

New COPD pathway launched

New COPD pathway launched

January 12 2018 NHS RightCare has set out the core components of an optimal service for people...

MHRA warns of confusion over drug names and potential for errors

MHRA warns of confusion over drug names and potential for errors

January 11 2018 Healthcare professionals are being asked to be extra vigilant when prescribing or...

Co-dydramol strengths and herbal medicines among latest Drug Safety Update advice

Co-dydramol strengths and herbal medicines among latest Drug Safety Update advice

January 10 2018 The medicines regulator has highlighted the different strengths of co-dydramol in...

DVLA guidance on assessing patients with sleep apnoea updated

DVLA guidance on assessing patients with sleep apnoea updated

January 9 2018 The Primary Care Respiratory Society is flagging up changes to the driving...

  • Flu consultations increase 78% in a week

    Flu consultations increase 78% in a week

    Monday, 15 January 2018 10:57
  • New COPD pathway launched

    New COPD pathway launched

    Friday, 12 January 2018 14:53
  • MHRA warns of confusion over drug names and potential for errors

    MHRA warns of confusion over drug names and potential for errors

    Thursday, 11 January 2018 12:40
  • Co-dydramol strengths and herbal medicines among latest Drug Safety Update advice

    Co-dydramol strengths and herbal medicines among latest Drug Safety Update advice

    Wednesday, 10 January 2018 16:08
  • DVLA guidance on assessing patients with sleep apnoea updated

    DVLA guidance on assessing patients with sleep apnoea updated

    Tuesday, 09 January 2018 11:49

a man asthma inhaler imageJanuary 2 2017

The British Thoracic Society has published a detailed comparison of the existing BTS/SIGN asthma guidelines and the new NICE guideline.

Published as a BMJ blog, the article points out that the BTS first produced a guideline on asthma and its management in 1990. In addition, the first collaborative guideline was published with the Scottish Intercollegiate Guideline Network (SIGN) in 2003, with regular updates since then. NICE published its guideline [NG80] ‘Asthma: diagnosis, monitoring and chronic asthma management’ in November

The BTS blog looks at the differences in approach around diagnosis and pharmacological management and considers:

  • the introduction of leukotriene receptor antagonists (LTRA) after low dose inhaled corticosteroids (ICS);
  • maintenance and reliever therapy (MART);
  • treatment beyond combined inhaler therapy;
  • some other issues in managing asthma in children.

“The BTS/SIGN guideline also provides recommendations for important aspects of asthma management that are not addressed within NICE guidelines. These include guidance on inhaler devices, the management of acute asthma attacks in both adults and children, the management of difficult asthma, guidance on asthma in adolescents, in pregnant women and on occupational factors,” say the BTS authors.

The Primary Care Respiratory Society UK has also published a briefing document outlining the similarities and differences between the two sets of guidelines, with a particular reference to primary care.

It notes that the BTS blog authors state that their article “is currently in press and BTS advises that it may be subject to minor content and format changes before publication in the February 2018 issue of Thorax.”

Links:
BMJ blog article                 
PCRS statement                  
PCRS-UK briefing document         
Today’s GP coverage of NICE asthma guideline publication              

Professional News

January 18 2018 A new study has found no statin-related safety issues for statins being used to treat children with familial hypercholesterolaemia. However, the research has highlighted that many...
January 18 2018 A new study has found no statin-related safety issues for statins being used to treat children with familial hypercholesterolaemia. However, the research has highlighted that many...