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

Author:

Papadopoulos Nikolaos G.12ORCID,Custovic Adnan3ORCID,Deschildre Antoine4ORCID,Gern James E.5,Nieto Garcia Antonio6,Miligkos Michael2ORCID,Phipatanakul Wanda7,Wong Gary8ORCID,Xepapadaki Paraskevi2ORCID,Agache Ioana9,Arasi Stefania10ORCID,Awad El‐Sayed Zeinab11,Bacharier Leonard B.12,Bonini Matteo1314,Braido Fulvio151617,Caimmi Davide1819ORCID,Castro‐Rodriguez Jose A.20ORCID,Chen Zhimin21ORCID,Clausen Michael22,Craig Timothy2324,Diamant Zuzana2526,Ducharme Francine M.27,Ebisawa Motohiro28ORCID,Eigenmann Philippe29ORCID,Feleszko Wojciech30ORCID,Fierro Vincezo10,Fiocchi Alessandro10ORCID,Garcia‐Marcos Luis31ORCID,Goh Anne32,Gómez René Maximiliano33,Gotua Maia34,Hamelmann Eckard35,Hedlin Gunilla36,Hossny Elham M.11,Ispayeva Zhanat37,Jackson Daniel J.38,Jartti Tuomas39,Jeseňák Miloš4041ORCID,Kalayci Omer42,Kaplan Alan43,Konradsen Jon R.44,Kuna Piotr45,Lau Susanne46ORCID,Le Souef Peter5,Lemanske Robert F.47,Levin Michael4849ORCID,Makela Mika J.50,Mathioudakis Alexander G.151,Mazulov Oleksandr52,Morais‐Almeida Mário53,Murray Clare1,Nagaraju Karthik54,Novak Zoltan55,Pawankar Ruby56,Pijnenburg Marielle W.57,Pite Helena5859,Pitrez Paulo M.60,Pohunek Petr61ORCID,Price David6263ORCID,Priftanji Alfred64,Ramiconi Valeria65,Rivero Yeverino Daniela66ORCID,Roberts Graham67ORCID,Sheikh Aziz68,Shen Kun‐Ling69,Szepfalusi Zsolt70ORCID,Tsiligianni Ioanna71,Turkalj Mirjana72,Turner Steve73ORCID,Umanets Tetiana7475,Valiulis Arunas76,Vijveberg Susanne77,Wang Jiu‐Yao78ORCID,Winders Tonya79,Yon Dong Keon80ORCID,Yusuf Osman M.81,Zar Heather J.82,

Affiliation:

1. Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences The University of Manchester Manchester UK

2. Allergy Department, 2nd Paediatric Clinic National and Kapodistrian University of Athens Athens Greece

3. Department of Pediatrics Imperial College London London UK

4. Univ. Lille, Pediatric Pulmonology and Allergy Department Hôpital Jeanne de Flandre, CHU Lille Lille cedex France

5. Department of Pediatrics and Medicine University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA

6. Pediatric Pulmonology & Allergy Unit Children's Hospital la Fe Health Research Institute La Fe Valencia Spain

7. Children's Hospital Boston, Pediatric Allergy and Immunology Boston Massachusetts USA

8. Department of Pediatrics, Faculty of Medicine The Chinese University of Hong Kong Sha Tin Hong Kong

9. Allergy & Clinical Immunology Transylvania University Brasov Romania

10. Allergy Department Bambino Gesù Children's Hospital, IRCCS Rome Italy

11. Pediatric Allergy, Immunology and Rheumatology Unit, Children's Hospital Ain Shams University Cairo Egypt

12. Division of Allergy, Immunology, and Pulmonary Medicine, Department of Pediatrics Monroe Carell Jr Children's Hospital at Vanderbilt University Medical Center Nashville Tennessee USA

13. Department of Cardiovascular and Pulmonary Sciences Università Cattolica del Sacro Cuore Rome Italy

14. National Heart and Lung Institute (NHLI), Imperial College London London UK

15. University of Genoa Genoa Italy

16. Respiratory Diseases and Allergy Department Research Institute and Teaching Hospital San Martino Genoa Italy

17. Interasma – Global Asthma Association (GAA)

18. Allergy Unit CHU de Montpellier Montpellier France

19. IDESP, UA11 INSERM‐Universitè de Montpellier Montpellier France

20. Department of Pediatrics Pulmonology, School of Medicine Pontifical Universidad Catolica de Chile Santiago Chile

21. Pulmonology Department Children's Hospital Zhejiang University School of Medicine Hangzhou China

22. Children's Hospital Landspitali University Hospital Reykjavik Iceland

23. Department of Allergy and Immunology Penn State University Hershey Pennsylvania USA

24. Vinmec International Hospital Hanoi Vietnam

25. Department of Clinical Pharmacy & Pharmacology University of Groningen, University Medical Center of Groningen and QPS‐NL Groningen The Netherlands

26. Department of Pediatrics and of Social and Preventive Medicine University of Montreal Montreal Québec Canada

27. National Hospital Organization Sagamihara National Hospital Sagamihara Kanagawa Japan

28. Department of Women‐Children‐Teenagers University Hospital of Geneva Geneva Switzerland

29. Department of Pediatric Respiratory Diseases and Allergy The Medical University of Warsaw Warsaw Poland

30. Pediatric Respiratory and Allergy Units “Virgen de la Arrixaca” Children's University Clinical Hospital, University of Murcia Murcia Spain

31. Department of Pediatrics, Respiratory Medicine Service KK Women's and Children's Hospital Singapore City Singapore

32. Faculty of Health Sciences Catholic University of Salta Salta Argentina

33. Center of Allergy and Immunology Tbilisi Georgia

34. Children's Center Bethel, Evangelical Hospital Bethel University of Bielefeld Bielefeld Germany

35. Paediatric Allergy, Centre for Allergy Research Karolinska Institutet Solna Sweden

36. Department of Allergology and Clinical Immunology Kazakh National Medical University Almaty Kazakhstan

37. Department of Pediatrics University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA

38. Department of Pediatrics Turku University Hospital and University of Turku Turku Finland

39. Department of Pediatrics, Jessenius Faculty of Medicine in Martin, Center for Vaccination in Special Situations University Hospital in Martin, Comenius University in Bratislava Bratislava Slovakia

40. Department of Clinical Immunology and Allergology, Jessenius Faculty of Medicine in Martin, Center for Vaccination in Special Situations University Hospital in Martin, Comenius University in Bratislava Bratislava Slovakia

41. Pediatric Allergy and Asthma Unit Hacettepe University School of Medicine Ankara Turkey

42. Chair Family Physician Airways Group of Canada Ontario Canada

43. Astrid Lindgren Children's Hospital, Karolinska University Hospital Stockholm Sweden

44. Department of Internal Medicine, Asthma and Allergy Medical University of Lodz Lodz Poland

45. Charité Universitätsmedizin Berlin, Pediatric Respiratpry Medicine, Immunology and Intensive Care Medicine Berlin Germany

46. School of Medicine University of Western Australia Perth Western Australia Australia

47. Division of Paediatric Allergy, Department of Paediatrics University of Cape Town Cape Town South Africa

48. inVIVO Planetary Health Group of the Worldwide Universities Network

49. Department of Allergy Helsinki University Central Hospital Helsinki Finland

50. North West Lung Centre, Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK

51. First Pediatric Department of Pediatrics National Pirogov Memorial Medical University, Vinnytsia Children's Regional Hospital Vinnytsia Oblast Ukraine

52. Allergy Center, CUF Descobertas Hospital Lisbon Portugal

53. VN Allergy & Asthma Research Centre Chennai Tamilnadu India

54. Pediatric Department University of Szeged Szeged Hungary

55. Department of Pediatrics Nippon Medical School Tokyo Japan

56. Division of Respiratory Medicine and Allergology, Department of Pediatrics Erasmus University Medical Centre – Sophia Children's Hospital Rotterdam The Netherlands

57. Allergy Center CUF Descobertas Hospital and CUF Tejo HospitalInfante Santo Hospital Lisbon Portugal

58. NOVA Medical School Universidade NOVA de Lisboa Lisbon Portugal

59. Pulmonary Division Hospital Santa Casa de Porto Alegre Porto Alegre Brazil

60. Pediatric Pulmonology, Pediatric Department, 2nd Faculty of Medicine Charles University Prague Czech Republic

61. University Hospital Motol Prague Czech Republic

62. Division of Applied Health Sciences, Centre of Academic Primary Care University of Aberdeen Aberdeen UK

63. Observational and Pragmatic Research Institute Singapore City Singapore

64. Department of Allergy, Mother Theresa School of Medicine University of Tirana Tirana Albania

65. The European Federation of Allergy and Airways Diseases Patients' Associations (EFA) Brussels Belgium

66. Benemérita Universidad Autónoma de Puebla, Hospital Universitario de Puebla Puebla México

67. Paediatric Allergy and Respiratory Medicine within Medicine at the University of Southampton Southampton UK

68. Asthma UK Centre for Applied Research, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh Edinburgh UK

69. Department of Respiratory Medicine, Beijing Children's Hospital Capital Medical University, National Center for Children's Health China

70. Division of Pediatric Pulmonology, Allergy and Endocrinologyneumology, Department of Pediatrics and Juvenile Medicine, Comprehensive Center Pediatrics Medical University of Vienna Vienna Austria

71. Health Planning Unit, Department of Social Medicine, Faculty of Medicine University of Crete Crete Greece

72. Srebrnjak Children's Hospital Zagreb Croatia

73. Medical School of Catholic University of Croatia Zagreb Croatia

74. Child Health, Royal Aberdeen Children's Hospital and University of Aberdeen Aberdeen UK

75. Department of Respiratory Diseases and Respiratory Allergy in Children SI “Institute of Pediatrics, Obstetrics and Gynecology named after Academician O. Lukjanova of NAMS of Ukraine Kyiv Ukraine

76. Clinic of Children's Diseases Institute of Clinical Medicine, Medical Faculty of Vilnius University Vilnius Lithuania

77. Department of Paediatric Pulmonology Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, University of Amsterdam Amsterdam The Netherlands

78. China Medical University Children's Hospital Taichung Taichung Taiwan

79. Allergy and Asthma Network Vienna Virginia USA

80. Department of Pediatrics Kyung Hee University Medical Center, Kyung Hee University College of Medicine Seoul South Korea

81. The Allergy & Asthma Institute Islamabad Pakistan

82. Department of Pediatrics & Child Health, Director MRC Unit on Child & Adolescent Health, Red Cross War Memorial Children's Hospital University of Cape Town Cape Town South Africa

Abstract

AbstractMonitoring 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. image

Funder

Respiratory Effectiveness Group

Publisher

Wiley

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