A Renewed Charter: Key Principles to Improve Patient Care in Severe Asthma

Andrew Menzies-Gow, David J. Jackson, Mona Al-Ahmad, Eugene R. Bleecker, Francisco de Borja G. Cosio Piqueras, Stephen Brunton, Giorgio Walter Canonica, Charles K.N. Chan, John Haughney, Steve Holmes, Janwillem Kocks, Tonya Winders

Research output: Contribution to journalComment/debatepeer-review

5 Scopus citations


Asthma is a heterogenous respiratory disease, usually associated with chronic airway inflammation and hyper-responsiveness, which affects an estimated 339 million people worldwide. Severe asthma affects approximately 5–10% of patients with asthma, approximately 17–34 million people globally, more than half of whom have uncontrolled disease. Severe asthma carries a substantial burden of disease, including unpredictable symptoms and potentially life-threatening flare-ups. Furthermore, severe asthma has a substantial burden on health care systems and economies worldwide. In 2018, a group of experts from the clinical community, patient support groups, and professional organisations joined together to develop the Severe Asthma Patient Charter, which set out six principles to define what patients should expect for the management of their severe asthma and what should constitute a basic standard of care. Since the publication of that original Charter in 2018, several important changes have occurred, including an improved understanding of asthma and effective asthma management; several new therapies have become available; and finally, the COVID-19 pandemic has placed a spotlight on respiratory conditions, the workforces that treat them, and the fundamental importance of health care system resilience. With those developments in mind, we, representatives of the academic, clinical, and patient advocacy group communities, have updated the Charter to Improve Patient Care in Severe Asthma with a focus on six principles: (1) I deserve a timely, comprehensive assessment of my asthma and its severity; (2) I deserve a timely, straightforward referral to an appropriate specialist for my asthma when it is not well controlled; (3) I deserve to understand what makes my asthma worse; (4) I deserve access to treatment and care that reduces the impact of asthma on my daily life; (5) I deserve not to be reliant on systemic corticosteroids; (6) I deserve to be involved in decisions about my treatment and care.

Original languageEnglish (US)
Pages (from-to)5307-5326
Number of pages20
JournalAdvances in Therapy
Issue number12
StatePublished - Dec 2022


  • Health care
  • Patient advocacy
  • Severe asthma

ASJC Scopus subject areas

  • Pharmacology (medical)


Dive into the research topics of 'A Renewed Charter: Key Principles to Improve Patient Care in Severe Asthma'. Together they form a unique fingerprint.

Cite this