BTS/NICE/SIGN guideline for asthma 2024: Diagnosis, monitoring and chronic asthma management. How does this compare to GINA 2024?

The British BTS/NICE/SIGN Asthma Guideline was launched in November 2024 and represents a major shift in asthma diagnosis and management in the United Kingdom. The British Guideline places emphasis on markers of eosinophilic inflammation as initial key diagnostic tests whereas GINA places emphasis o...

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Main Author: Kevin Gruffydd-Jones
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:npj Primary Care Respiratory Medicine
Online Access:https://doi.org/10.1038/s41533-025-00425-x
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author Kevin Gruffydd-Jones
author_facet Kevin Gruffydd-Jones
author_sort Kevin Gruffydd-Jones
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description The British BTS/NICE/SIGN Asthma Guideline was launched in November 2024 and represents a major shift in asthma diagnosis and management in the United Kingdom. The British Guideline places emphasis on markers of eosinophilic inflammation as initial key diagnostic tests whereas GINA places emphasis on test of reversible airflow limitation. Both documents acknowledge that there is no one “gold-standard” test and, especially in areas of the world where the is limited or delayed access to tests, the IPCRG “jigsaw puzzle” approach to asthma diagnosis may he particularly useful. The BTS/NICE/SIGN guideline provides strong economic evidence to support the GINA strategy approach of single anti-inflammatory-reliever (AIR) and Maintenance and Reliever (MART) therapies as the cornerstone of asthma management in people age 12 and over.
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spelling doaj-art-38367dd7621e49f5869e34ca465ff64d2025-08-20T02:06:19ZengNature Portfolionpj Primary Care Respiratory Medicine2055-10102025-04-013511510.1038/s41533-025-00425-xBTS/NICE/SIGN guideline for asthma 2024: Diagnosis, monitoring and chronic asthma management. How does this compare to GINA 2024?Kevin Gruffydd-Jones0Warminster Primary Health Care CentreThe British BTS/NICE/SIGN Asthma Guideline was launched in November 2024 and represents a major shift in asthma diagnosis and management in the United Kingdom. The British Guideline places emphasis on markers of eosinophilic inflammation as initial key diagnostic tests whereas GINA places emphasis on test of reversible airflow limitation. Both documents acknowledge that there is no one “gold-standard” test and, especially in areas of the world where the is limited or delayed access to tests, the IPCRG “jigsaw puzzle” approach to asthma diagnosis may he particularly useful. The BTS/NICE/SIGN guideline provides strong economic evidence to support the GINA strategy approach of single anti-inflammatory-reliever (AIR) and Maintenance and Reliever (MART) therapies as the cornerstone of asthma management in people age 12 and over.https://doi.org/10.1038/s41533-025-00425-x
spellingShingle Kevin Gruffydd-Jones
BTS/NICE/SIGN guideline for asthma 2024: Diagnosis, monitoring and chronic asthma management. How does this compare to GINA 2024?
npj Primary Care Respiratory Medicine
title BTS/NICE/SIGN guideline for asthma 2024: Diagnosis, monitoring and chronic asthma management. How does this compare to GINA 2024?
title_full BTS/NICE/SIGN guideline for asthma 2024: Diagnosis, monitoring and chronic asthma management. How does this compare to GINA 2024?
title_fullStr BTS/NICE/SIGN guideline for asthma 2024: Diagnosis, monitoring and chronic asthma management. How does this compare to GINA 2024?
title_full_unstemmed BTS/NICE/SIGN guideline for asthma 2024: Diagnosis, monitoring and chronic asthma management. How does this compare to GINA 2024?
title_short BTS/NICE/SIGN guideline for asthma 2024: Diagnosis, monitoring and chronic asthma management. How does this compare to GINA 2024?
title_sort bts nice sign guideline for asthma 2024 diagnosis monitoring and chronic asthma management how does this compare to gina 2024
url https://doi.org/10.1038/s41533-025-00425-x
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