Intended for healthcare professionals


“Conflicting” UK asthma guidelines should be streamlined, experts say

BMJ 2018; 360 doi: (Published 09 January 2018) Cite this as: BMJ 2018;360:k99
  1. Gareth Iacobucci
  1. The BMJ

“Conflicting” UK guidelines for diagnosing and managing asthma are confusing for doctors and should be combined to provide greater consistency, two leading respiratory experts have argued.

In an editorial for The BMJ (doi:10.1136/bmj.k29), Duncan Keeley and Noel Baxter of the Primary Care Respiratory Society (PCRS) say that recently published asthma guidelines from the National Institute for Health and Care Excellence (NICE)1 have led to “substantially conflicting advice on key issues” when compared with existing guidelines from the British Thoracic Society (BTS) and the Scottish Intercollegiate Guidelines Network (SIGN).2

NICE’s guidelines, published in November 2017, recommended using both spirometry and fractional exhaled nitric oxide (FeNO) testing for diagnosing and monitoring asthma, and advise …

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