Challenging the paradigm

I read with interest the review by Bush and Pavord [1] regarding the suggestion that we should abandon “umbrella” diagnoses and rather we should address “treatable traits” when looking after patients with airways disease. Unfortunately, aspects of their proposal are only likely to add to, rather than reduce, the current confusion regarding management of these conditions. More importantly, it seems to include some potentially very dangerous recommendations. While advocating for addressing “treatable traits” is admirable in that it reminds clinicians to consider the patient and not the disease, the use of this idea to promote dangerous changes in practice should be challenged. https://bit.ly/30VkP8Q