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Aerodigestive Approach to Chronic Cough in Children
Samira Naime1, Suruchi K Batra2, Caitlin Fiorillo3
1Department of Pulmonary and Sleep Medicine, Children's National Health System, Washington, DC, USA. snaime2@childrensnational.org.
A multidisciplinary approach to pediatric chronic cough shows promise for improving diagnosis and cost-efficiency. Further research is needed to establish standardized protocols and measure quality of life outcomes.
Area of Science:
- Pediatric Pulmonology
- Aerodigestive Medicine
- Healthcare Management
Background:
- Chronic cough is a frequent reason for pediatric aerodigestive clinic visits.
- The causes of chronic cough are diverse, often involving multiple organ systems.
- A standardized approach to evaluating pediatric chronic cough is lacking.
Purpose of the Study:
- To review the current literature on a multidisciplinary approach for evaluating children with chronic cough.
- To highlight the benefits and challenges of current multidisciplinary strategies.
Main Methods:
- Literature review of studies focusing on multidisciplinary management of chronic cough in children.
- Analysis of existing data on the efficacy and cost-effectiveness of such clinics.
Main Results:
- Limited literature exists on multidisciplinary approaches for pediatric chronic cough.
- Multidisciplinary clinics demonstrate cost-efficiency for families with complex conditions.
- These clinics increase the probability of achieving a definitive diagnosis.
Conclusions:
- No established consensus exists for the work-up of chronic cough in pediatric aerodigestive clinics.
- Current evidence suggests improved cost-effectiveness and diagnostic yield from multidisciplinary clinics.
- Future research should focus on clinical outcomes, test utility, and the impact of interventions on quality of life.
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