{"doi":"10.5152/thoracrespract.2023.23035","title":"Stepwise Approach in Asthma Revisited 2023: Expert Panel Opinion of Turkish Guideline of Asthma Diagnosis and Management Group","abstract":null,"journal":"Thoracic Research and Practice","year":2023,"id":643051,"datarank":0.3453877639491069,"base_score":2.302585092994046,"endowment":2.302585092994046,"self_citation_contribution":0.3453877639491069,"citation_network_contribution":0.0,"self_endowment_contribution":0.3453877639491069,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1672938,"name":"Gulfem Elif Celik","orcid":null,"position":1,"is_corresponding":false},{"id":1672939,"name":"Omur Aydin","orcid":null,"position":2,"is_corresponding":false},{"id":1672940,"name":"Ebru Damadoglu","orcid":null,"position":4,"is_corresponding":false},{"id":1672941,"name":"Ayse Baccioglu","orcid":null,"position":6,"is_corresponding":false},{"id":1672942,"name":"Secil Kepil Ozdemir","orcid":null,"position":8,"is_corresponding":false},{"id":950479,"name":"Sevim Bavbek","orcid":"0000-0002-7884-0830","position":10,"is_corresponding":false},{"id":1672943,"name":"Dane Ediger","orcid":null,"position":12,"is_corresponding":false},{"id":1672944,"name":"Ferda Oner Erkekol","orcid":null,"position":14,"is_corresponding":false},{"id":1672945,"name":"Bilun Gemicioglu","orcid":null,"position":16,"is_corresponding":false},{"id":1672946,"name":"Sacide Rana Isik","orcid":null,"position":18,"is_corresponding":false},{"id":1672947,"name":"Ayse Fusun Kalpaklioglu","orcid":null,"position":20,"is_corresponding":false},{"id":1672949,"name":"Ali Fuat Kalyoncu","orcid":null,"position":22,"is_corresponding":false},{"id":1672950,"name":"Gul Karakaya","orcid":null,"position":24,"is_corresponding":false},{"id":1672951,"name":"Metin Keren","orcid":null,"position":26,"is_corresponding":false},{"id":1672952,"name":"Dilsad Mungan","orcid":null,"position":28,"is_corresponding":false},{"id":1672953,"name":"Ipek Kivilcim Oguzulgen","orcid":null,"position":30,"is_corresponding":false},{"id":1672954,"name":"Fusun Yildiz","orcid":null,"position":32,"is_corresponding":false},{"id":1672955,"name":"Insu Yilmaz","orcid":null,"position":34,"is_corresponding":false},{"id":1210660,"name":"Arzu Yorgancioglu","orcid":null,"position":36,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Stepwise Approach in Asthma Revisited 2023: Expert Panel Opinion of Turkish Guideline of Asthma Diagnosis and Management Group","abstract":"Introduction of inhaled corticosteroids (ICS) has been the cornerstone of the long-term management of asthma. ICSs either alone or in combination with long-acting beta-2 agonists have been shown to be associated with favorable asthma outcomes. However, asthma control is still reported to be below expectations all around the world. Research in the last decades focusing on the use of ICS/formoterol both as maintenance and as needed (maintenance and reliever therapy approach) showed improved asthma outcomes. As a result of recent developments, Turkish Asthma Guidelines group aimed to revise asthma treatment recommendations. In general, we recommend physicians to consider the risk factors for poor asthma outcomes, patients' compliance and expectations and then to determine \"a personalized treatment plan.\" Importantly, the use of short-acting beta-2 agonists alone as a symptom reliever in asthma patients not using regular ICS is no longer recommended. In stepwise treatment approach, we primarily recommend to use ICS-based controllers and initiate ICS as soon as possible. We define 2 different treatment tracks in stepwise approaches as maintenance and reliever therapy or fixed-dose therapy and equally recommend each track depending on the patient's risks as well as decision of physicians in a personalized manner. For both tracks, a strong recommendation was made in favor of using add-on treatments before initiating phenotype-specific treatment in step 5. A strong recommendation was also made in favor of using biologic agents and/or aspirin treatment after desensitization in severe asthma when indicated.","is_dataset_classified":null,"base_score":2.302585092994046,"endowment":2.302585092994046,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"37909830","pmcid":"PMC10724792","openalex_id":"https://openalex.org/W4388047356","authors":[],"funders":[],"total_grants":0,"fwci":1.2726,"citation_percentile":0.80004558,"influential_citations":0,"citation_trend":[{"year":2024,"count":3},{"year":2025,"count":4},{"year":2026,"count":2}],"oa_status":"gold","license":"cc-by-nc","oa_locations":[{"url":"https://doi.org/10.5152/thoracrespract.2023.23035","host_type":"journal"},{"url":"https://doi.org/10.5152/thoracrespract.2023.23035","host_type":"publisher"},{"url":"https://pubmed.ncbi.nlm.nih.gov/37909830","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10724792","host_type":"repository"},{"url":"https://avesis.uludag.edu.tr/publication/details/b99a2549-8abb-4925-98fb-7f2b882a0f8f/oai","host_type":"repository"},{"url":"https://doaj.org/article/421aab235c94444b9b892a03cf211c60","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10724792/pdf/trp-24-6-309.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC10724792","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC10724792?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Asthma and respiratory diseases","Respiratory and Cough-Related Research","Inhalation and Respiratory Drug Delivery"],"mesh_terms":[],"keywords":["Asthma","Medicine","Formoterol","Guideline","Intensive care medicine","Physical therapy","Internal medicine","Budesonide"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-08T12:08:28.850763Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}