A Synopsis of the 2025 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline for the Primary Care Management of Asthma
The WG strongly recommended inhaled corticosteroids (ICS) and streamlined management of asthma by suggesting a combination of ICS and rapid-onset long-acting β-agonist as both reliever and controller agents and step-up therapy by increasing ICS and/or adding long-acting anticholinergic agents. The WG also supported the management of symptomatic gastroesophageal reflux disease and obesity for better control of asthma. The WG suggested against the use of indoor air filtration devices. Finally, the WG outlined decision points for referral to a subspecialist.
Authors
- Kimberly D. Fabyan
- Kimberly R. Schnacky
- Daniel A. Steigelman (ORCID: https://orcid.org/0009-0007-8513-7565)
- LaToya Huff
- Amir Sharafkhaneh (ORCID: https://orcid.org/0000-0002-7893-2946)
- Lan-Anh Thi Ngo
- Sarah Davis-Arnold
- Deona Eickhoff
- Elizabeth R. Atayde
- W.Claibe Yarbrough
- Juhyun Cho
- James Sall
Institutions
- Michael E. DeBakey VA Medical Center (US)
- New York City Fire Department (US)
- Wilford Hall Ambulatory Surgical Center (US)
- Defense Health Agency (US)
- Walter Reed National Military Medical Center (US)
- VA Office of Research and Development (US)
- Southern Arizona VA Health Care System (US)
- VA North Texas Health Care System (US)
- Office of Patient Care Services (US)
- Orlando VA Medical Center (US)
- Atlanta VA Health Care System (US)
- Joint Base San Antonio (US)
Publication Details
- Journal
- Annals of Internal Medicine
- Published
- 2026-02-16
- DOI
- https://doi.org/10.7326/annals-25-03080
- Citations
- 1
- Primary Topic
- Asthma and respiratory diseases
- Type
- article
- Field-Weighted Citation Impact
- 32.84