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

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.

• Authors: 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, Mário 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, WAO Pediatric Asthma Committee
• Journal: Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology (Pediatr Allergy Immunol) Vol. 35 Issue 4 Pg. e14129 (Apr 2024) ISSN: 1399-3038 [Electronic] England
• PMID: 38664926 (Publication Type: Journal Article, Review, Practice Guideline, Research Support, Non-U.S. Gov't)
• Copyright: © 2024 The Authors. Pediatric Allergy and Immunology published by European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.

Chemical References

• Anti-Asthmatic Agents

Topics

• Humans
• Asthma (diagnosis, therapy)
• Child
• Quality of Life
• Anti-Asthmatic Agents (therapeutic use)
• Delphi Technique
• Monitoring, Physiologic (methods)