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

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

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. (Figure presented.).

Anti-Asthmatic Agents/therapeutic use, Asthma/diagnosis, Child, Delphi Technique, Humans, Monitoring, Physiologic/methods, Quality of Life, childhood, biomarkers, therapy, diagnosis, consensus, asthma management, guidelines
0905-6157
e14129
Papadopoulos, Nikolaos G
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Roberts, Graham
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WAO Pediatric Asthma Committee
Papadopoulos, Nikolaos G
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Roberts, Graham
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WAO Pediatric Asthma Committee (2024) Recommendations for asthma monitoring in children: A PeARL document endorsed by APAPARI, EAACI, INTERASMA, REG, and WAO. Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 35 (4), e14129, [e14129]. (doi:10.1111/pai.14129).

Record type: Article

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. (Figure presented.).

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More information

Accepted/In Press date: 25 March 2024
e-pub ahead of print date: 25 April 2024
Published date: April 2024
Additional Information: Publisher Copyright: © 2024 The Authors. Pediatric Allergy and Immunology published by European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.
Keywords: Anti-Asthmatic Agents/therapeutic use, Asthma/diagnosis, Child, Delphi Technique, Humans, Monitoring, Physiologic/methods, Quality of Life, childhood, biomarkers, therapy, diagnosis, consensus, asthma management, guidelines

Identifiers

Local EPrints ID: 507722
URI: http://eprints.soton.ac.uk/id/eprint/507722
ISSN: 0905-6157
PURE UUID: a083d55c-d457-486a-bccf-555ff654bb54
ORCID for Graham Roberts: ORCID iD orcid.org/0000-0003-2252-1248

Catalogue record

Date deposited: 19 Dec 2025 18:13
Last modified: 20 Dec 2025 02:45

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Contributors

Author: Nikolaos G Papadopoulos
Author: Adnan Custovic
Author: Antoine Deschildre
Author: James E Gern
Author: Antonio Nieto Garcia
Author: Michael Miligkos
Author: Wanda Phipatanakul
Author: Gary Wong
Author: Paraskevi Xepapadaki
Author: Ioana Agache
Author: Stefania Arasi
Author: Zeinab Awad El-Sayed
Author: Leonard B Bacharier
Author: Matteo Bonini
Author: Fulvio Braido
Author: Davide Caimmi
Author: Jose A Castro-Rodriguez
Author: Zhimin Chen
Author: Michael Clausen
Author: Timothy Craig
Author: Zuzana Diamant
Author: Francine M Ducharme
Author: Motohiro Ebisawa
Author: Philippe Eigenmann
Author: Wojciech Feleszko
Author: Vincezo Fierro
Author: Alessandro Fiocchi
Author: Luis Garcia-Marcos
Author: Anne Goh
Author: René Maximiliano Gómez
Author: Maia Gotua
Author: Eckard Hamelmann
Author: Gunilla Hedlin
Author: Elham M Hossny
Author: Zhanat Ispayeva
Author: Daniel J Jackson
Author: Tuomas Jartti
Author: Miloš Jeseňák
Author: Omer Kalayci
Author: Alan Kaplan
Author: Jon R Konradsen
Author: Piotr Kuna
Author: Susanne Lau
Author: Peter Le Souef
Author: Robert F Lemanske
Author: Michael Levin
Author: Mika J Makela
Author: Alexander G Mathioudakis
Author: David Price
Author: Graham Roberts ORCID iD
Corporate Author: WAO Pediatric Asthma Committee

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