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To the Editor: In a Medical News & Perspectives article, Mr Mitka¹ discussed a recently published consensus report on treatment of asthma in children, referring to the report as evidence-based guidelines.² We believe that the news article contains inaccuracies.

The published report² is a consensus opinion from members of the European Academy of Allergology and Clinical Immunology (EAACI) and the American Academy of Allergy, Asthma, and Immunology (AAAAI). An editorial accompanying the report stated that it is not an evidence-based guideline.³ The PRACTALL initiative addresses areas of interest to allergists and immunologists, particularly areas where there is either a lack of guidance or a divergence of opinion between US and European practice. Representatives from each academy reviewed and tried to reach a consensus on diagnostic or therapeutic issues. The subsequent report was prepared by the cochairs of the meeting and was not specifically endorsed by either the EAACI or the . . . [Full Text of this Article]

Thomas B. Casale, MD
tbcasale@creighton.edu
Department of Medicine
Creighton University
Omaha, Nebraska

Roy Gerth van Wijk, MD, PhD
Department of Internal Medicine
Erasmus MC
Rotterdam, the Netherlands

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New Evidence-Based Guidelines Focus on Treatment of Children With Asthma
Mike Mitka
JAMA. 2008;299(10):1122-1123.
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Guidelines for Treatment of Pediatric Asthma—Reply
Mike Mitka
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