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Research Needs: Asthma References Introduction Severe and difficult asthma Symptom based tools Severity change rate Intermittent asthma Control score assessment Control score management Inhaled steroids Controller therapies Impact of co-morbidities Summary Summary of Research Needs for Asthma: Management What elements should be included in a control score – quality of life, symptoms frequency, activity impairment, exacerbations, ED visits, current medications? Can use of an individual patient's control score improve patient asthma outcomes? What are the side-effects of ICS as identified by the patient? What are the long-term impacts of ICS in patients? (Can include failure to take medications, etc) What is the best "controller" therapy for mild asthma? Fixed ICS versus ICS as needed or variable What is adherence and how can it be best assessed in clinical practice? What are the impacts of co-morbid conditions on the control and management of asthma? When should therapy be stopped? Summary: diagnosis Summary: follow up