TY - JOUR
T1 - Consensus goals and standards for specialist cough clinics
T2 - the NEUROCOUGH international Delphi study
AU - European Respiratory Society NEUROCOUGH Clinical Research Collaboration
AU - Song, Woo Jung
AU - Dupont, Lieven
AU - Birring, Surinder S.
AU - Chung, Kian Fan
AU - Dąbrowska, Marta
AU - Dicpinigaitis, Peter
AU - Ribas, Christian Domingo
AU - Fontana, Giovanni
AU - Gibson, Peter G.
AU - Guilleminault, Laurent
AU - Hull, James H.
AU - Idzko, Marco
AU - Kardos, Peter
AU - Kim, Hyun Jung
AU - Lai, Kefang
AU - Lavorini, Federico
AU - Millqvist, Eva
AU - Morice, Alyn H.
AU - Niimi, Akio
AU - Parker, Sean M.
AU - Satia, Imran
AU - Smith, Jaclyn A.
AU - van den Berg, Jan Willem
AU - McGarvey, Lorcan P.
N1 - Publisher Copyright:
© The authors 2023.
PY - 2023/11/1
Y1 - 2023/11/1
N2 - Background Current guidelines on the management of chronic cough do not provide recommendations for the operation of specialist cough clinics. The objective of the present study was to develop expert consensus on goals and standard procedures for specialist cough clinics. Methods We undertook a modified Delphi process, whereby initial statements proposed by experts were categorised and presented back to panellists over two ranking rounds using an 11-point Likert scale to identify consensus. Results An international panel of 57 experts from 19 countries participated, with consensus reached on 15 out of 16 statements, covering the aims, roles and standard procedures of specialist cough clinics. Panellists agreed that specialist cough clinics offer optimal care for patients with chronic cough. They also agreed that history taking should enquire as to cough triggers, cough severity rating scales should be routinely used, and a minimum of chest radiography, spirometry and measurements of type 2 inflammatory markers should be undertaken in newly referred patients. The importance of specialist cough clinics in promoting clinical research and cough specialty training was acknowledged. Variability in healthcare resources and clinical needs between geographical regions was noted. Conclusions The Delphi exercise provides a platform and guidance for both established cough clinics and those in planning stages.
AB - Background Current guidelines on the management of chronic cough do not provide recommendations for the operation of specialist cough clinics. The objective of the present study was to develop expert consensus on goals and standard procedures for specialist cough clinics. Methods We undertook a modified Delphi process, whereby initial statements proposed by experts were categorised and presented back to panellists over two ranking rounds using an 11-point Likert scale to identify consensus. Results An international panel of 57 experts from 19 countries participated, with consensus reached on 15 out of 16 statements, covering the aims, roles and standard procedures of specialist cough clinics. Panellists agreed that specialist cough clinics offer optimal care for patients with chronic cough. They also agreed that history taking should enquire as to cough triggers, cough severity rating scales should be routinely used, and a minimum of chest radiography, spirometry and measurements of type 2 inflammatory markers should be undertaken in newly referred patients. The importance of specialist cough clinics in promoting clinical research and cough specialty training was acknowledged. Variability in healthcare resources and clinical needs between geographical regions was noted. Conclusions The Delphi exercise provides a platform and guidance for both established cough clinics and those in planning stages.
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U2 - 10.1183/23120541.00618-2023
DO - 10.1183/23120541.00618-2023
M3 - Article
AN - SCOPUS:85177685481
SN - 2312-0541
VL - 9
JO - ERJ Open Research
JF - ERJ Open Research
IS - 6
M1 - 00618-2023
ER -