Digital tools in allergy and respiratory care

Verhoeven, E.W.M.; Rouadi, Philip W.; Jaoude, Eliane Abou; Abouzakouk, Mohamed; Ansotegui, Ignacio J.; Al‐Ahmad, Mona; Al‐Nesf, Maryam; Azar, Cecilio; Bahna, Sami L.; Cuervo‐Pardo, Lyda; Diamant, Zuzana; Douagui, H.; Gómez, René Maximiliano; Díaz, Sandra González; Han, Joseph K.; Idriss, Samar; Irani, Carla; Karam, Maroun; Klimek, Ludger; Nsouli, T.; Scadding, Glenis; Senior, Brent A.; Smith, Pete; Yáñez, Anahí; Zaitoun, Fares; Hellings, Peter

doi:10.1016/j.waojou.2022.100661

Cited by 11 publications

(6 citation statements)

References 47 publications

(59 reference statements)

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“…Although the usefulness and reliability of traditional tools for between-visit monitoring, such as diary cards and peak expiratory flow measurements, have been challenged, 47 there is much promise in mHealth and eHealth disease activity tracking, 48 as well as development of smart devices for medication adherence. 49 According to our findings, this innovation scene has only reached a small proportion of patients; nevertheless, there is high expectation toward the inclusion of such tools in an ideal setting. Interestingly, the pattern of use and expectation is almost identical for all the novel approaches, probably because progress (and consequent offer) is faster than validation.…”

Section: Discussionmentioning

confidence: 78%

“…Although telemonitoring has not yet shown conclusive superiority, its potential and use have rapidly increased during the COVID-19 pandemic, whereas numerous approaches are being explored. Although the usefulness and reliability of traditional tools for between-visit monitoring, such as diary cards and peak expiratory flow measurements, have been challenged, there is much promise in mHealth and eHealth disease activity tracking, as well as development of smart devices for medication adherence . According to our findings, this innovation scene has only reached a small proportion of patients; nevertheless, there is high expectation toward the inclusion of such tools in an ideal setting.…”

Section: Discussionmentioning

confidence: 99%

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Current and Optimal Practices in Childhood Asthma Monitoring Among Multiple International Stakeholders

et al. 2023

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ImportanceChildhood asthma control largely depends on rigorous and regular monitoring. Although various clinical parameters, biomarkers, and patient-reported outcomes are helpful for monitoring purposes, there is no consensus on the minimum and/or optimal set of parameters and their relative priority.ObjectiveTo assess actual and perceived optimal childhood asthma monitoring practices used globally.Design, Setting, and ParticipantsThis international, multistakeholder survey study surveyed health care professionals and clinical academics with a professional interest in and exposure to childhood asthma between April 12 and September 3, 2021, to test for differences between the frequency that different techniques are actually used in practice vs optimal practice, between-group differences, and differences across medical settings and country economies.Main Outcomes and MeasuresOutcomes were frequency of duration of asthma monitoring visits as well as actual and perceived optimal use and importance of monitoring tools and domains.ResultsA total of 1319 participants with expertise in childhood asthma from 88 countries completed the survey. Participants included 1228 health care professionals with a balanced distribution across different care settings (305 [22.7%] primary care, 401 [29.9%] secondary, and 522 [38.9%] tertiary care) and 91 researchers. Children with mild to moderate asthma attended regular monitoring visits at a median (IQR) of 5.0 (2.5-8.0) months, with visits lasting a median (IQR) of 25 (15-25) minutes, whereas severe asthma required more frequent visits (median [IQR], 2.5 [1.0-2.5] months; median [IQR] duration, 25 [25-35] minutes). Monitoring of symptoms and control, adherence, comorbidities, lung function, medication adverse effects, and allergy were considered to be very high or high priority by more than 75% of the respondents. Different patterns emerged when assessing differences between actual and perceived optimal use of monitoring tools. For some tools, current and optimal practices did not differ much (eg, spirometry), whereas in others, there was considerable space for improvement (eg, standardized control and adherence tests). The largest gap was observed for between-visit monitoring with electronic trackers, apps, and smart devices. Differences across country economies, care settings, and medical specialties were modest.Conclusions and RelevanceThese survey results suggest that pediatric asthma monitoring is performed generally homogeneously worldwide, in most cases following evidence-based standards. Wider use of standardized instruments and the intensification of continuous between-visit monitoring, supported by electronic devices, is needed for further improvement of disease outcomes. The results of this survey, in conjunction with the available evidence base, can inform recommendations toward further optimization.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Current and Optimal Practices in Childhood Asthma Monitoring Among Multiple International Stakeholders

et al. 2023

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“…It is predicted that when air pollution and ambient temperature rise, the number of allergic reactions would rise even more. These environmental changes will affect pollen counts, the presence or absence of stinging insects, and the presence or absence of molds associated with allergic diseases 12 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Hypersensitivity Reaction in Patients Attending Selected Diagnostic Centers NOVA/SOMLAB in Benadir Region, Somalia

Abdiaziz,

Rahman,

Hossain

et al. 2023

Bangladesh J. Infect. Dis.

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Background: The immune system plays a crucial role in maintaining health and protecting the human body against microbial invasions. Objective: The purpose of the present study was to assess the prevalence of hypersensitivities reaction in allergic patient attending selected diagnostic centers. Methodology: This cross- sectional was performed at selected hospitals. The study was carried out from 01st August 2023 to 30th November 2023 at the Immunology department of Nova Diagnostic and Research Institute, Somalia. There 300 samples were included in this study. Questionnaire and investigation (Sample Testing) was used as the main instrument for collecting patient socio-demographic profile and laboratory test were done at Nova diagnostic center. Results: A total 300 participants were enrolled in this study. Among the 300 the predominant the prevalence of respondents was high which was 273(91%) cases and most of the participants were Banana allergic which was 215 (71.7%) cases. Maximum cases were from age group of 2-20 years (48%) and followed by 21-39 years (22%), 40-58 years (17.67%) and >58 years (12.33%). There was a statistically significant correlation between allergic status and education (P=0.003), but not between allergic status and age group (P=00.219) or gender (P=0.456). Conclusion: The study revealed a significant correlation between allergic status and education, indicating that the majority of participants were allergic to bananas. Bangladesh Journal of Infectious Diseases, December 2023;10(2):85-91

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“…While eHealth and mHealth technologies can offer considerable benefits in pediatric asthma monitoring, 118,119 technological solutions are not usually evaluated according to medical standards, 120 while novel applications and devices appear almost daily. 121 Considering this very high turnover, and, as a word of caution, regular updates to the state-of-the-art are recommended.…”

Section: Due To the Extremely Rapid Development Of Ehealth Technologiesmentioning

confidence: 99%

Recommendations for asthma monitoring in children: A PeARL document endorsed by APAPARI, EAACI, INTERASMA, REG, and WAO

Papadopoulos,

Custovic,

Deschildre

et al. 2024

Pediatric Allergy Immunology

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Monitoring is a major component of asthma management in children. Regular monitoring allows for diagnosis confirmation, treatment optimization, and natural history review. Numerous factors that may affect disease activity and patient well‐being need to be monitored: response and adherence to treatment, disease control, disease progression, comorbidities, quality of life, medication side‐effects, allergen and irritant exposures, diet and more. However, the prioritization of such factors and the selection of relevant assessment tools is an unmet need. Furthermore, rapidly developing technologies promise new opportunities for closer, or even “real‐time,” monitoring between visits. Following an approach that included needs assessment, evidence appraisal, and Delphi consensus, the PeARL Think Tank, in collaboration with major international professional and patient organizations, has developed a set of 24 recommendations on pediatric asthma monitoring, to support healthcare professionals in decision‐making and care pathway design. image

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Digital tools in allergy and respiratory care

Cited by 11 publications

References 47 publications

Current and Optimal Practices in Childhood Asthma Monitoring Among Multiple International Stakeholders

Current and Optimal Practices in Childhood Asthma Monitoring Among Multiple International Stakeholders

Prevalence of Hypersensitivity Reaction in Patients Attending Selected Diagnostic Centers NOVA/SOMLAB in Benadir Region, Somalia

Recommendations for asthma monitoring in children: A PeARL document endorsed by APAPARI, EAACI, INTERASMA, REG, and WAO

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