Monitoring asthma in childhood: lung function, bronchial responsiveness and inflammation

Moeller, Alexander; Carlsen, Kai‐Håkon; Sly, Peter D.; Baraldi, Eugenio; Piacentini, Giorgio; Pavord, Ian D.; Lex, Christiane; Saglani, Sejal

doi:10.1183/16000617.00003914

Cited by 120 publications

(99 citation statements)

References 150 publications

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“…age and risk factors), and describe the knowledge gaps in terms of documenting the effect of the measurements [47][48][49].…”

Section: Limitations Of the Ers Task Forcementioning

confidence: 99%

“…All strategies described in the reviews in this issue are based on a modified Delphi process, as well as on what the task force members do in clinical practice and, where possible, are supported by evidence [47][48][49].…”

Section: Limitations Of the Ers Task Forcementioning

confidence: 99%

“…In the present issue of European Respiratory Review the first review focuses on symptoms, exacerbations and quality of life [47], the second review focuses on management-related issues, including comorbidities and environmental factors [48], and the third focuses on lung function, bronchial hyperresponsiveness and inflammation [49].…”

Section: Limitations Of the Ers Task Forcementioning

confidence: 99%

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Monitoring asthma in childhood

Carlsen

Pijnenburg

2015

Eur Respir Rev

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The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. However, to date there is limited evidence on how to monitor patients with asthma. Childhood asthma introduces specific challenges in terms of deciding what, when, how often, by whom and in whom different assessments of asthma should be performed. The age of the child, the fluctuating course of asthma severity, variability in clinical presentation, exacerbations, comorbidities, socioeconomic and psychosocial factors, and environmental exposures may all influence disease activity and, hence, monitoring strategies. These factors will be addressed in herein.We identified large knowledge gaps in the effects of different monitoring strategies in children with asthma. Studies into monitoring strategies are urgently needed, preferably in collaborative paediatric studies across countries and healthcare systems. @ERSpublications Monitoring asthma in children is essential for disease control and should reflect age, triggers and disease activity http://ow.ly/J0k7f

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“…age and risk factors), and describe the knowledge gaps in terms of documenting the effect of the measurements [47][48][49].…”

Section: Limitations Of the Ers Task Forcementioning

confidence: 99%

Section: Limitations Of the Ers Task Forcementioning

confidence: 99%

Section: Limitations Of the Ers Task Forcementioning

confidence: 99%

See 1 more Smart Citation

Monitoring asthma in childhood

Carlsen

Pijnenburg

2015

Eur Respir Rev

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“…In particular, we will discuss monitoring in view of appropriateness in different age groups. In this issue of the European Respiratory Review, three other articles will address general considerations on monitoring asthma in children, lung function and inflammatory markers, and management-related issues [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Monitoring asthma in childhood: symptoms, exacerbations and quality of life

et al. 2015

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Monitoring asthma in children in clinical practice is primarily performed by reviewing disease activity (daytime and night-time symptoms, use of reliever medication, exacerbations requiring frequent use of reliever medication and urgent visits to the healthcare professional) and the impact of the disease on children's daily activities, including sports and play, in a clinical interview. In such an interview, most task force members also discuss adherence to maintenance therapy and the patients' (and parents') views and beliefs on the goals of treatment and the amount of treatment required to achieve those goals. Composite asthma control and quality of life measures, although potentially useful in research, have limited value in clinical practice because they have a short recall window and do not cover the entire spectrum of asthma control. Telemonitoring of children with asthma cannot replace face-to-face follow-up and monitoring because there is no evidence that it is associated with improved health outcomes. @ERSpublications To monitor asthma control in children interviewing the child and parents is preferred over composite control scores http://ow.ly/JbqnR

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“…allergic rhinitis, environmental irritant exposure and obesity) or that may become apparent during follow-up. Three other articles in this issue of the European Respiratory Review will address general considerations on monitoring asthma in children, monitoring symptoms, exacerbations and quality of life, and monitoring lung function, bronchial responsiveness and inflammation [2][3][4]. As no formal grading of the evidence was conducted, this statement does not contain recommendations for clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Monitoring asthma in childhood: management-related issues

et al. 2015

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Management-related issues are an important aspect of monitoring asthma in children in clinical practice. This review summarises the literature on practical aspects of monitoring including adherence to treatment, inhalation technique, ongoing exposure to allergens and irritants, comorbid conditions and side-effects of treatment, as agreed by the European Respiratory Society Task Force on Monitoring Asthma in Childhood.The evidence indicates that it is important to discuss adherence to treatment in a non-confrontational way at every clinic visit, and take into account a patient's illness and medication beliefs. All task force members teach inhalation techniques at least twice when introducing a new inhalation device and then at least annually. Exposure to second-hand tobacco smoke, combustion-derived air pollutants, house dust mites, fungal spores, pollens and pet dander deserve regular attention during follow-up according to most task force members. In addition, allergic rhinitis should be considered as a cause for poor asthma control. Task force members do not screen for gastro-oesophageal reflux and food allergy. Height and weight are generally measured at least annually to identify individuals who are susceptible to adrenal suppression and to calculate body mass index, even though causality between obesity and asthma has not been established.In cases of poor asthma control, before stepping up treatment the above aspects of monitoring deserve closer attention. @ERSpublications ERS review summarising and discussing the management-related issues regarding the monitoring of asthma in childhood

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Monitoring asthma in childhood: lung function, bronchial responsiveness and inflammation

Cited by 120 publications

References 150 publications

Monitoring asthma in childhood

Monitoring asthma in childhood

Monitoring asthma in childhood: symptoms, exacerbations and quality of life

Monitoring asthma in childhood: management-related issues

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