Severe Asthma ToolkitSevere Asthma Toolkit
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  • What is Severe Asthma?
    • Overview
    • Definition
    • Prevalence & Burden
    • Pathophysiology
    • Symptoms
    • Severe Asthma Attacks
    • Asthma Phenotypes
    • Asthma Remission
  • Diagnosis & Assessment
    • Overview
    • Diagnosis Overview
    • Assessment Overview
    • Lung Function Assessments
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    • Allergy Assessments
    • Phenotyping
    • Bronchoscopy
    • Imaging
    • Occupational Asthma
  • Management
    • Overview
    • Asthma Education
      • About Severe Asthma
      • Asthma Pathophysiology
      • Medications Education
      • Self-Monitoring
      • Triggers
      • Review
    • Written Action Plans
    • Adherence
    • Inhaler Technique
    • Physical Activity & Exercise
    • Interdisciplinary Approach & Multidimensional Assessment
    • Treatable Traits Approach
    • Referral
  • Medications
    • Overview
    • Relievers
    • Maintenance Inhaler Therapy
    • Add-on Therapies
    • Monoclonal Antibodies
      • Travelling with Monoclonal Antibodies
    • Bronchial Thermoplasty
    • Oral Corticosteroid Stewardship
  • Co-Morbidities
    • Overview
    • Pulmonary & Upper Airways
      • Allergic & Non-Allergic Rhinitis
      • Chronic Rhinosinusitis
      • Dysfunctional Breathing/Breathing Pattern Disorder
      • Inducible Laryngeal Obstruction/Vocal Cord Dysfunction
      • Chronic Obstructive Pulmonary Disease
      • Bronchiectasis
      • Obstructive Sleep Apnoea
    • Extra-Pulmonary
      • Obesity
      • Anxiety & Depression
      • Gastro-Oesophageal Reflux Disease (GORD)
      • Osteoporosis
      • Cardiovascular Disease & Metabolic Disease
  • Living with Severe Asthma
    • Overview
    • Daily Symptom Burden
    • Mental & Emotional Health
    • Intimacy & Relationships
    • Self-Management Support
    • Medication Use & Financial Impact
    • Experience of Care
    • Experience of Asthma Attacks
    • Prognosis
  • Establishing a Clinic
    • Overview
    • Set-up
    • Staffing & Multidisciplinary Team Approach
    • Facilities
    • Delivery Approach
    • Tailored Referrals
    • Evaluation
    • Opportunities for Training & Research
    • Barriers & Hurdles
  • Paediatrics
    • Overview
    • Management in Paediatrics
    • Assessment in Paediatrics
    • Alternative Diagnosis & Comorbidities in Paediatrics
    • Psychosocial Issues in Paediatrics
    • Medications in Paediatrics
    • Asthma in the Adolescent Population
  • Resources
    • Overview
    • Clinic Recommendations
    • Infographics
    • Asthma Assessment Resources
    • Systematic & Multidimensional Assessment Resources
      • Airway Components
      • Comorbidity Components
      • Risk Factor Components
    • Translation & Implementation
    • Case Studies
    • Presentations
    • Videos
    • Relevant Links
    • Key References

Treatable Traits Approach

Home Management Treatable Traits Approach

Treatable Traits is a personalised medicine strategy for the management of chronic airway diseases. At the core of the Treatable Traits concept is the recognition that not all people with airway diseases are the same, and recognising the complex nature that any one person can have multiple traits, but not all traits are present in each person with severe asthma. Within individuals clinical, biological and functional presentation of diseases vary. This is often referred to as heterogeneity.

Treatable traits are phenotypic or endotypic characteristics which can include comorbidities (such as anxiety, vocal cord dysfunction and reflux), risk factors (such as smoking and bone density) and self-management skills (such as adherence and inhaler technique). To be considered a trait each characteristic must be clinically relevant, identifiable and measurable using validated trait identification markers, and treatable. Treatable Traits are recognised within three domains: pulmonary traits, extrapulmonary traits and behavioural/risk (McDonald et al. 2019).

A study conducted by McDonald et al, found that participants with severe asthma had on average 10.4 traits, highlighting the heterogeneity of severe asthma and the need for multidimensional assessment (McDonald et al. 2020). Using a treatable traits approach supports the clinician to provide targeted therapy for symptom improvement (McDonald et al. 2019). Treatable traits approach can significantly improve quality of life and asthma control compared to standard care (McDonald et al. 2020).

Previous
Medications
  • Overview
  • Asthma Education
    • About Severe Asthma
    • Asthma Pathophysiology
    • Medications Education
    • Self-Monitoring
    • Triggers
    • Review
  • Written Action Plans
  • Adherence
  • Inhaler Technique
  • Physical Activity & Exercise
  • Interdisciplinary Approach & Multidimensional Assessment
  • Treatable Traits Approach
  • Referral
For considerations relevant to the paediatric and adolescent population, please see Management in Paediatrics or Asthma in the Adolescent Population

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