Practical Guidelines for Asthma Management (PGAM): Digest edition.
Jun Tamaoki, Hiroyuki Nagase, Hiroyuki Sano, Takeshi Kaneko, Yasuhiro Gon, Nobuaki Miyahara, Hironori Sagara, Akihiko Tanaka, Takahiko Horiguchi, Etsuko Tagaya, Tomohiro Akaba, Yuji Tohda, PGAM committee in the Japan Asthma Society
Author Information
Jun Tamaoki: Department of Respiratory Medicine, Tokyo Women's Medical University, 8-1, Kawadacho, Shinjuku, Tokyo, 162-8666, Japan. Electronic address: ribbonsu@gmail.com.
Hiroyuki Nagase: Division of Respiratory Medicine and Allergology, Department of Medicine, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi, Tokyo, 173-8605, Japan.
Hiroyuki Sano: Department of Respiratory Medicine and Allergology, Kindai University Faculty of Medicine, Osakasayama, Osaka, 589-8511, Japan.
Takeshi Kaneko: Department of Pulmonology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Yasuhiro Gon: Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Oyaguchikamicho, Itabashi, Tokyo, 173-8610, Japan.
Nobuaki Miyahara: Department of Allergy and Respiratory Medicine, Okayama University Hospital, 2-5-1 Shikatacho, Kita, Okayama, 700-8558, Japan; Department of Medical Technology, Okayama University Graduate School of Health Sciences, 2-5-1 Shikatacho, Kita, Okayama, 700-8558, Japan.
Hironori Sagara: Department of Medicine, Division of Allergology and Respiratory Medicine, School of Medicine, Showa University, 1-5-8 Hatanodai, Shinagawa, Tokyo, 142-8666, Japan.
Akihiko Tanaka: Department of Medicine, Division of Allergology and Respiratory Medicine, School of Medicine, Showa University, 1-5-8 Hatanodai, Shinagawa, Tokyo, 142-8666, Japan.
Takahiko Horiguchi: Department of Respiratory Medicine, Toyota Regional Medical Center, 3-30-1 Nishiyamacho, Toyota, Aichi, 471-0062, Japan; General Allergy Center, Fujita Health University, 1-98 Kutsukakechodengakugakubo, Toyoake, Aichi, 470-1192, Japan.
Etsuko Tagaya: Department of Respiratory Medicine, Tokyo Women's Medical University, 8-1, Kawadacho, Shinjuku, Tokyo, 162-8666, Japan.
Tomohiro Akaba: Department of Respiratory Medicine, Tokyo Women's Medical University, 8-1, Kawadacho, Shinjuku, Tokyo, 162-8666, Japan.
Yuji Tohda: Kindai University Hospital, Osakasayama, Osaka, 589-8511, Japan.
The international and national guidelines for asthma management are typically comprehensive and designed for respiratory specialists, making them less practical for primary care physicians who handle most asthma cases. Recognizing the need for more accessible guidelines, the Japan asthma Society developed the Practical Guidelines for asthma Management (PGAM). PGAM aims to provide a concise summary of key asthma management principles, increasing awareness, education, and support among nonspecialists and patients alike. It includes user-friendly tables and lists outlining common symptoms, triggers, diagnostic criteria, and basic management strategies, along with frequently encountered treatable traits and comorbidities. These elements are presented through simple, clinically relevant algorithms. A notable feature of PGAM is the "Basic Roadmap for asthma Management," which outlines a clear sequence for patient assessment, diagnosis, and treatment from initial consultation onward, offering an easy-to-follow visual guide. Additionally, the guidelines include methods for assessing airway inflammation, enabling patient phenotyping and endotyping. This supports a personalized treatment approach, particularly with biologics, aimed at achieving clinical remission.
