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Standardization of Reporting Obstructive Airway Disease in Children: A National Delphi Process

Carmen C M de Jong1, Cristina Ardura-Garcia2, Eva S L Pedersen2

  • 1Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland; Division of Respiratory Medicine, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

The Journal of Allergy and Clinical Immunology. in Practice
|September 15, 2022
PubMed

Insights

Pediatric pulmonologists lack standardized reporting for childhood obstructive airway diseases. Consensus recommends using "asthma" for older children and "obstructive bronchitis" for younger children, with key features for clear communication.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Clinical Informatics

Background:

  • Heterogeneity exists in how pediatric pulmonologists document asthma and obstructive bronchitis.
  • Lack of standardized reporting hinders consistent medical record interpretation and research.

Approach:

  • Qualitative thematic framework analysis of 562 children's electronic health records (2017-2018).
  • Modified Delphi process to achieve consensus on diagnostic labels and features.
  • Extracted and categorized 123 distinct diagnostic terms used by pulmonologists.

Key Points:

  • Recommended diagnostic labels: "asthma" (>5 years), "obstructive bronchitis" or "suspected asthma" (<5 years).
  • Essential accompanying features include diagnostic certainty, triggers, symptom control, exacerbation risk, atopy, adherence, and perception.
  • Standardized reporting aims to unify terminology for improved clinical communication and research.

Conclusions:

  • Significant variation in reporting obstructive airway disease necessitates standardization.
  • Proposed standardized reporting enhances physician communication and electronic health record-based research quality.
Abstract

Keywords:
AsthmaChildrenClinical practiceDiagnosisDiagnostic labelsReportingStandardizationStandardized reporting

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