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Monitoring asthma in children.

Mariëlle W Pijnenburg1, Eugenio Baraldi2, Paul L P Brand3

  • 1Dept of Paediatrics/Paediatric Respiratory Medicine, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands.

The European Respiratory Journal
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Summary
This summary is machine-generated.

Monitoring asthma in children requires ongoing assessment of symptoms, lung function, and inflammation. Current evidence for integrating these factors for optimal pediatric asthma monitoring is limited, highlighting a need for further research.

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Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Clinical Practice Guidelines

Background:

  • Effective asthma management in children aims for clinical control and reduced future risks.
  • Ongoing monitoring is crucial for achieving optimal asthma control in pediatric patients.
  • Current understanding of integrating diverse asthma components (symptoms, lung function, bronchial hyperresponsiveness, inflammation) for monitoring is limited.

Purpose of the Study:

  • To describe current practices in monitoring childhood asthma.
  • To provide an overview of the best available evidence for monitoring children with asthma.
  • To identify gaps in evidence regarding pediatric asthma monitoring strategies.

Main Methods:

  • Literature review conducted by 22 clinical and research experts.
  • Consensus reached using a modified Delphi method and four Task Force meetings.
  • Synthesis of available evidence on monitoring tools and strategies for pediatric asthma.

Main Results:

  • Available monitoring tools include clinical assessments, lung function tests, bronchial responsiveness measures, and inflammatory markers.
  • The statement summarizes how these tools may be applied in pediatric asthma management.
  • Significant lack of evidence exists for many aspects of monitoring asthma in children.

Conclusions:

  • Despite interest, substantial evidence gaps persist in monitoring children with asthma.
  • Further research is needed to develop integrated and evidence-based monitoring strategies.
  • Optimal monitoring requires consideration of management, comorbidities, and environmental factors.