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

  • Nikolaos G. Papadopoulos*
  • , Adnan Custovic
  • , Antoine Deschildre
  • , James E. Gern
  • , Antonio Nieto Garcia
  • , Michael Miligkos
  • , Wanda Phipatanakul
  • , Gary Wong
  • , Paraskevi Xepapadaki
  • , Ioana Agache
  • , Stefania Arasi
  • , Zeinab Awad el-Sayed
  • , Leonard B. Bacharier
  • , Matteo Bonini
  • , Fulvio Braido
  • , Davide Caimmi
  • , Jose A. Castro-Rodriguez
  • , Zhimin Chen
  • , Michael Clausen
  • , Timothy Craig
  • Zuzana Diamant, Francine M. Ducharme, Motohiro Ebisawa, Philippe Eigenmann, Wojciech Feleszko, Vincezo Fierro, Alessandro Fiocchi, Luis Garcia-Marcos, Anne Goh, René Maximiliano Gómez, Maia Gotua, Eckard Hamelmann, Gunilla Hedlin, Elham M. Hossny, Zhanat Ispayeva, Daniel J. Jackson, Tuomas Jartti, Miloš Jeseňák, Omer Kalayci, Alan Kaplan, Jon R. Konradsen, Piotr Kuna, Susanne Lau, Peter le Souef, Robert F. Lemanske, Michael Levin, Mika J. Makela, Alexander G. Mathioudakis, Oleksandr Mazulov, M. rio Morais-Almeida, Clare Murray, Karthik Nagaraju, Zoltan Novak, Ruby Pawankar, Marielle W. Pijnenburg, Helena Pite, Paulo M. Pitrez, Petr Pohunek, David Price, Alfred Priftanji, Valeria Ramiconi, Daniela Rivero Yeverino, Graham Roberts, Aziz Sheikh, Kun-Ling Shen, Zsolt Szepfalusi, Ioanna Tsiligianni, Mirjana Turkalj, Steve Turner, Tetiana Umanets, Arunas Valiulis, Susanne Vijveberg, Jiu-Yao Wang, Tonya Winders, Dong Keon Yon, Osman M. Yusuf, Heather J. Zar
*Corresponding author for this work
  • Division of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK
  • National and Kapodistrian University of Athens
  • Imperial College London
  • Université de Lille
  • University of Wisconsin-Madison
  • Hospital Universitario La Fe
  • Children's Hospital Boston
  • Chinese University of Hong Kong, Faculty of Medicine
  • Transilvania University of Brasov
  • IRCCS Ospedale pediatrico Bambino Gesù - Roma
  • Ain Shams University
  • Vanderbilt University
  • Catholic University of the Sacred Heart
  • University of Genoa
  • San Martino Research Hospital
  • Interasma – Global Asthma Association (GAA)
  • Lapeyronie - CHU of Montpellier, France
  • Université de Montpellier
  • Pontificia Universidad Católica de Chile
  • Zhejiang University
  • Landspitali University Hospital
  • Pennsylvania State University
  • eVinmec International Hospital, Hanoi, Viet Nam
  • University of Groningen
  • University of Montreal
  • National Hospital Organization Sagamihara National Hospital
  • University of Geneva
  • Medical University of Warsaw
  • University of Murcia
  • KK Women's and Children's Hospital
  • Universidad Catolica de Salta
  • Center of Allergy and Immunology
  • Bielefeld University
  • Karolinska Institutet
  • Kazakh National Medical University
  • University of Turku
  • University Hospital in Bratislava
  • Hacettepe University
  • Chair Family Physician Airways Group of Canada
  • Medical University of Łódź
  • Charité – Universitätsmedizin Berlin
  • School of Medicine, University of Western Australia, Perth, Australia
  • University of Cape Town
  • inVIVO Planetary Health Group of the Worldwide Universities Network
  • Helsinki University Hospital
  • Wythenshawe Hospital Acute Intensive Care Unit, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK
  • National Pirogov Memorial Medical University, Vinnytsya
  • Immunoallergy Department of CUF-Descobertas Hospital, Lisbon, Portugal
  • VN Allergy & Asthma Research Centre
  • University of Szeged
  • Nippon Medical School
  • Erasmus University Rotterdam
  • CUF Descobertas Hospital and CUF Infante Santo Hospital
  • NOVA University Lisbon
  • Santa Casa de Porto Alegre
  • Charles University
  • University of Aberdeen
  • Observational and Pragmatic Research Institute, Singapore
  • University of Tirana
  • European Federation of Allergy and Airways Diseases Patients' Associations (EFA), Brussels, Belgium
  • Benemerita Universidad Autonoma de Puebla
  • University of Southampton
  • University of Edinburgh
  • Capital Medical University
  • Medical University of Vienna
  • University of Crete
  • Dječja bolnica Srebrnjak
  • Catholic University of Croatia
  • NHS Grampian
  • National Academy of Medical Sciences of Ukraine
  • Vilnius University
  • Amsterdam UMC
  • China Medical University Children's Hospital
  • Allergy & Asthma Network
  • Kyung Hee University
  • Allergy and Asthma Institute

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

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. (Figure presented.).
Original languageEnglish
Article numbere14129
JournalPediatric allergy and immunology
Volume35
Issue number4
DOIs
Publication statusPublished - 1 Apr 2024
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • asthma management
  • biomarkers
  • childhood
  • consensus
  • diagnosis
  • guidelines
  • therapy

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