Tools For Assessing Outcomes In Studies Of Chronic Cough
Publication Date: March 1, 2015
Recommendations
In adult and adolescent patients (≥14 years of age) complaining of chronic cough, we recommend that validated and reliable health-related quality of life (QoL) questionnaires be used as the measurement of choice to assess the impact of cough on patients. (1, B)
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In adults and adolescents with chronic cough, we recommend the Cough-Specific Quality-of-Life Questionnaire and Leicester Cough Questionnaire, since they are the most extensively studied and commonly used previously validated and reliable cough-specific health-related QoL questionnaires to assess the impact of cough. (1, B)
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In children ( <14 years of age) with chronic cough, we recommend that validated and reliable healthrelated QoL questionnaires be used as the measurement of choice to assess the impact of cough. (1, B)
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In children ( <14 years of age) with chronic cough, we recommend the Parent Cough-Specific Quality of Life Questionnaire, the most extensively studied and commonly used previously validated and reliable health-related QoL questionnaire, as the measurement of choice to assess the impact of cough. (1, B)
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To standardize the development, utilization, and reporting of cough-specific QoL questionnaires, we suggest that cough counting alone not be used to estab lish validity of the questionnaires.
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To standardize the development, use, and reporting of cough severity by visual analog scales (VASs) or numeric rating scales, we suggest that they be used in standard fashion.
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To ensure the integrity of health-related QoL questionnaires and other patient-reported outcomes that have been shown to be valid and reliable, we suggest that a modified version should not be used and reported unless the modified version has been shown to be reliable and valid. (, )
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In adult and adolescent patients with cough of any duration, we suggest that tussigenic challenges have a role in research settings to understand mechanisms of cough.
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In patients of all ages, we recommend acoustic cough counting to assess cough frequency but not cough severity. (1, B)
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Title
Tools For Assessing Outcomes In Studies Of Chronic Cough
Authoring Organization
American College of Chest Physicians
Publication Month/Year
March 1, 2015
External Publication Status
Published
Country of Publication
US
Document Objectives
Since the publication of the 2006 American College of Chest Physicians (CHEST) cough guidelines, a variety of tools has been developed or further refined for assessing cough. The purpose of the present committee was to evaluate instruments used by investigators performing clinical research on chronic cough. The specific aims were to (1) assess the performance of tools designed to measure cough frequency, severity, and impact in adults, adolescents, and children with chronic cough and (2) make recommendations or suggestions related to these findings.
Target Patient Population
Adults and child with cough
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Older adult
Health Care Settings
Ambulatory, Hospital, Outpatient, School
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Management, Treatment
Diseases/Conditions (MeSH)
D003371 - Cough, D063868 - Patient Outcome Assessment, D063189 - Symptom Assessment
Keywords
assessment, chronic cough
Methodology
Number of Source Documents
111
Literature Search Start Date
June 4, 2012
Literature Search End Date
November 1, 2013