WAO-ARIA consensus on chronic cough – Part III: Management strategies in primary and cough-specialty care. Updates in COVID-19
Philip W. Rouadi
(1)
,
Samar Idriss
(2, 3)
,
Jean Bousquet
(4, 5, 6, 7)
,
Tanya Laidlaw
(8)
,
Cecilio Azar
(9, 10, 11)
,
Mona Al-Ahmad
(12)
,
Anahi Yañez
(13)
,
Maryam Ali Y. Al-Nesf
(14)
,
Talal M. Nsouli
(15)
,
Sami Bahna
(16)
,
Eliane Abou-Jaoude
(17)
,
Fares H. Zaitoun
(18)
,
Usamah M. Hadi
(9)
,
Peter W. Hellings
(19, 20, 21, 22)
,
Glenis K. Scadding
(23)
,
Peter K. Smith
(24)
,
Mario Morais-Almeida
(25)
,
René Maximiliano Gómez
(26)
,
Sandra N Gonzalez Diaz
(27)
,
Ludger Klimek
(28)
,
Georges S. Juvelekian
(29)
,
Moussa A. Riachy
(30)
,
Giorgio Walter Canonica
(31)
,
David Peden
(32)
,
Gary W.K. Wong
(33)
,
James Sublett
(34)
,
Jonathan A. Bernstein
(35)
,
Lianglu Wang
(36)
,
Lk Tanno
(7, 37, 38)
,
Manana Chikhladze
(39)
,
Michael Levin
(40)
,
Yoon-Seok Chang
(41)
,
Bryan L. Martin
(42)
,
Luis Caraballo
(43)
,
Adnan Custovic
(44)
,
José Antonio Ortego-Martell
(45)
,
Olivia J. Ly Lesslar
(46)
,
Erika Jensen-Jarolim
(47, 48)
,
Motohiro Ebisawa
(49)
,
Alessandro Fiocchi
(50)
,
Ignacio Javier Ansotegui
(51)
1
BESH -
Beirut Eye & ENT Specialist Hospital
2 Eye & Ear Hospital [Beirut]
3 Hôpital Edouard Herriot [CHU - HCL]
4 Charité - UniversitätsMedizin = Charité - University Hospital [Berlin]
5 BIH - Berlin Institute of Health
6 MACVIA-LR - Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon
7 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
8 Brigham and Women’s Hospital [Boston, MA]
9 AUB - American University of Beirut Faculty of Medicine and Medical Center
10 Middle East Institute of Health
11 CMC - Clemenceau Medical Center
12 Kuwait University
13 InAER - Investigaciones en Alergia y Enfermedades Respiratorias
14 Hamad Medical Corporation [Doha, Qatar]
15 ICI - International Cough Institute
16 LSU - Louisiana State University
17 ICI - International Cough Institute
18 LAU Medical Center-Rizk Hospital
19 University Hospitals Leuven [Leuven]
20 Department of Microbiology, Immunology and Transplantation [Leuven]
21 Ghent University Hospital
22 AMC - Academic Medical Center - Academisch Medisch Centrum [Amsterdam]
23 The Royal National Throat, Nose and Ear Hospital
24 Griffith University [Brisbane]
25 Hospital CUF Descobertas
26 Facultad de Ciencias de la Salud [Salta]
27 UANL - Universidad Autonoma de Nuevo Leon [Mexique]
28 Center for Rhinology and Allergology = Zentrum für Rhinologie und Allergologie
29 Saint George Hospital University Medical Center [UOB LIBAN]
30 HDF - Hôtel-Dieu de France
31 Humanitas Clinical and Research Center [Rozzano, Milan, Italy]
32 UNC School of Medicine
33 CUHK - The Chinese University of Hong Kong [Hong Kong]
34 University of Louisville School of Medicine [Louisville]
35 University of Cincinnati College of Medicine
36 PUMCH - Peking Union Medical College Hospital [Beijing]
37 IDESP - Institut Desbrest de santé publique
38 OMS / WHO - Organisation Mondiale de la Santé / World Health Organization Office
39 Akaki Tsereteli State University
40 University of Cape Town
41 SNUBH - Seoul National University Bundang Hospital
42 The Ohio State University Wexner Medical Center.
43 University of Cartagena
44 NHLI - National Heart and Lung Institute [London]
45 UAEH - Universidad Autónoma del Estado de Hidalgo
46 LifeSpan medicine
47 Medizinische Universität Wien = Medical University of Vienna
48 Messerli Research Institute
49 Sagamihara National Hospital [Kanagawa, Japan]
50 IRCCS Ospedale Pediatrico Bambino Gesù = Bambino Gesù Children’s Hospital
51 Hospital Quirónsalud Bizkaia [Bilbao]
2 Eye & Ear Hospital [Beirut]
3 Hôpital Edouard Herriot [CHU - HCL]
4 Charité - UniversitätsMedizin = Charité - University Hospital [Berlin]
5 BIH - Berlin Institute of Health
6 MACVIA-LR - Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon
7 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
8 Brigham and Women’s Hospital [Boston, MA]
9 AUB - American University of Beirut Faculty of Medicine and Medical Center
10 Middle East Institute of Health
11 CMC - Clemenceau Medical Center
12 Kuwait University
13 InAER - Investigaciones en Alergia y Enfermedades Respiratorias
14 Hamad Medical Corporation [Doha, Qatar]
15 ICI - International Cough Institute
16 LSU - Louisiana State University
17 ICI - International Cough Institute
18 LAU Medical Center-Rizk Hospital
19 University Hospitals Leuven [Leuven]
20 Department of Microbiology, Immunology and Transplantation [Leuven]
21 Ghent University Hospital
22 AMC - Academic Medical Center - Academisch Medisch Centrum [Amsterdam]
23 The Royal National Throat, Nose and Ear Hospital
24 Griffith University [Brisbane]
25 Hospital CUF Descobertas
26 Facultad de Ciencias de la Salud [Salta]
27 UANL - Universidad Autonoma de Nuevo Leon [Mexique]
28 Center for Rhinology and Allergology = Zentrum für Rhinologie und Allergologie
29 Saint George Hospital University Medical Center [UOB LIBAN]
30 HDF - Hôtel-Dieu de France
31 Humanitas Clinical and Research Center [Rozzano, Milan, Italy]
32 UNC School of Medicine
33 CUHK - The Chinese University of Hong Kong [Hong Kong]
34 University of Louisville School of Medicine [Louisville]
35 University of Cincinnati College of Medicine
36 PUMCH - Peking Union Medical College Hospital [Beijing]
37 IDESP - Institut Desbrest de santé publique
38 OMS / WHO - Organisation Mondiale de la Santé / World Health Organization Office
39 Akaki Tsereteli State University
40 University of Cape Town
41 SNUBH - Seoul National University Bundang Hospital
42 The Ohio State University Wexner Medical Center.
43 University of Cartagena
44 NHLI - National Heart and Lung Institute [London]
45 UAEH - Universidad Autónoma del Estado de Hidalgo
46 LifeSpan medicine
47 Medizinische Universität Wien = Medical University of Vienna
48 Messerli Research Institute
49 Sagamihara National Hospital [Kanagawa, Japan]
50 IRCCS Ospedale Pediatrico Bambino Gesù = Bambino Gesù Children’s Hospital
51 Hospital Quirónsalud Bizkaia [Bilbao]
Lk Tanno
- Fonction : Auteur
- PersonId : 987406
- IdHAL : luciana-kase-tanno
- ORCID : 0000-0003-3236-1225
- IdRef : 248787136
Yoon-Seok Chang
- Fonction : Auteur
- PersonId : 791914
- ORCID : 0000-0003-3157-0447
Motohiro Ebisawa
- Fonction : Auteur
- PersonId : 798506
- ORCID : 0000-0003-4117-558X
- IdRef : 186089961
Alessandro Fiocchi
- Fonction : Auteur
- PersonId : 798507
- ORCID : 0000-0002-2549-0523
Résumé
Background: Chronic cough management necessitates a clear integrated care pathway approach. Primary care physicians initially encounter the majority of chronic cough patients, yet their role in proper management can prove challenging due to limited access to advanced diagnostic testing. A multidisciplinary approach involving otolaryngologists and chest physicians, allergists, and gastroenterologists, among others, is central to the optimal diagnosis and treatment of conditions which underly or worsen cough. These include infectious and inflammatory, upper and lower airway pathologies, or gastro-esophageal reflux. Despite the wide armamentarium of ancillary testing conducted in cough multidisciplinary care, such management can improve cough but seldom resolves it completely. This can be due partly to the limited data on the role of tests (eg, spirometry, exhaled nitric oxide), as well as classical pharmacotherapy conducted in multidisciplinary specialties for chronic cough. Other important factors include presence of multiple concomitant cough trigger mechanisms and the central neuronal complexity of chronic cough.
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