Pediatric asthma – moving ahead faster than ever
In the past 35 years, emphasis has been placed on consolidating information around asthma in the form of guidelines. These initially developed as country-specific guidelines but over time emerged into global strategies, specifically the Global Initiative for Asthma (GINA) , with periodic updates to national guidelines. Gaps in information identified by guidelines committees have prompted research to fill those gaps. Fortunately, children have benefitted from this set of events as prior to the year 2000, there was very little evidence obtained in children to guide the management of childhood asthma. Looking at the past 50 years in the evolution of current asthma management, one can see a paradigm shift about every 10 years (Table 1).