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Which of the following patient-reported measures is considered by both the Global Initiative for Asthma: Global Strategy for Asthma Management and Prevention 2020 Report (GINA 2020) and the Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (EPR-3) to best assess a patient's overall level of asthma management?

A) Frequency of prescribed oral corticosteroids in the previous 3 months
B) Quality of life
C) Symptom control
D) Laboratory tests, such as absolute eosinophil count or serum immunoglobulin E

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Final answer:

The best measure for assessing overall asthma management according to GINA 2020 and EPR-3 guidelines involves patient-reported tools like the Asthma Control Test or the Asthma Control Questionnaire, not just laboratory tests.

Step-by-step explanation:

The question pertains to the best patient-reported measures to assess overall asthma management, as recommended by the GINA 2020 report and the EPR-3 guidelines. The provided options do not directly mention these patient-reported measures. Both GINA and EPR-3 guidelines emphasize the importance of patient-centered assessments that often include symptom control, frequency of exacerbations, and the impact of asthma on a patient’s quality of life. Laboratory tests such as absolute eosinophil count or serum immunoglobulin E can be part of a broader asthma assessment but are not sole indicators of overall asthma management.

To gauge an individual’s asthma control, tools like the Asthma Control Test (ACT) or the Asthma Control Questionnaire (ACQ) are typically used. These tools are designed to measure the frequency and severity of symptoms, use of rescue medications, and the effect on daily activities. Such measures are preferred because they directly reflect a patient’s experience with their asthma, which is what GINA and EPR-3 reports focus on for management strategies.

In addition, factors identified in the American Lung Association's documentation on asthma and research such as the asthma trigger inventory can provide insight into individual triggers and lifestyle considerations that impact asthma management. It is important to take a holistic approach to patient care, which includes a review of psychosocial factors, patient history, and identification of asthma triggers to aid in effective asthma management.

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