Tools for assessing outcomes in studies of chronic cough: CHEST guideline and expert panel report.

Anne B Chang; Todd M Adams; Kenneth W Altman; Alan F Barker; Surinder S Birring; Fiona Blackhall; Donald C Bolser; Louis-Philippe Boulet; Sidney S Braman; Christopher Brightling; Priscilla Callahan-Lyon; Anne Bernadette Chang; Remy Coeytaux; Terrie Cowley; Paul Davenport; Rebecca L Diekemper; Satoru Ebihara; Ali A El Solh; Patricio Escalante; Anthony Feinstein; Stephen K Field; Dina Fisher; Cynthia T French; Peter Gibson; Philip Gold; Michael K Gould; Cameron Grant; Susan M Harding; Anthony Harnden; Adam T Hill; Richard S Irwin; Peter J Kahrilas; Karina A Keogh; Andrew P Lane; Sandra Zelman Lewis; Kaiser Lim; Mark A Malesker; Stuart Mazzone; Douglas C McCrory; Lorcan McGarvey; Alex Molasiotis; M Hassan Murad; Peter Newcombe; Huong Q Nguyen; John Oppenheimer; David Prezant; Marcos I Restrepo; Mark Rosen; Bruce Rubin; Jay H Ryu; Jaclyn Smith; Susan M Tarlo; Anne Vertigan; Gang Wang; Miles Weinberger; Kelly Weir

doi:10.1378/chest.14-2506

Tools for assessing outcomes in studies of chronic cough: CHEST guideline and expert panel report.

Anne B Chang, Todd M Adams (Collaborator), Kenneth W Altman (Collaborator), Alan F Barker (Collaborator), Surinder S Birring (Collaborator), Fiona Blackhall (Collaborator), Donald C Bolser (Collaborator), Louis-Philippe Boulet (Collaborator), Sidney S Braman (Collaborator), Christopher Brightling (Collaborator), Priscilla Callahan-Lyon (Collaborator), Anne Bernadette Chang (Collaborator), Remy Coeytaux (Collaborator), Terrie Cowley (Collaborator), Paul Davenport (Collaborator), Rebecca L Diekemper (Collaborator), Satoru Ebihara (Collaborator), Ali A El Solh (Collaborator), Patricio Escalante (Collaborator), Anthony Feinstein (Collaborator)Stephen K Field (Collaborator), Dina Fisher (Collaborator), Cynthia T French (Collaborator), Peter Gibson (Collaborator), Philip Gold (Collaborator), Michael K Gould (Collaborator), Cameron Grant (Collaborator), Susan M Harding (Collaborator), Anthony Harnden (Collaborator), Adam T Hill (Collaborator), Richard S Irwin (Collaborator), Peter J Kahrilas (Collaborator), Karina A Keogh (Collaborator), Andrew P Lane (Collaborator), Sandra Zelman Lewis (Collaborator), Kaiser Lim (Collaborator), Mark A Malesker (Collaborator), Stuart Mazzone (Collaborator), Douglas C McCrory (Collaborator), Lorcan McGarvey (Collaborator), Alex Molasiotis (Collaborator), M Hassan Murad (Collaborator), Peter Newcombe (Collaborator), Huong Q Nguyen (Collaborator), John Oppenheimer (Collaborator), David Prezant (Collaborator), Marcos I Restrepo (Collaborator), Mark Rosen (Collaborator), Bruce Rubin (Collaborator), Jay H Ryu (Collaborator), Jaclyn Smith (Collaborator), Susan M Tarlo (Collaborator), Anne Vertigan (Collaborator), Gang Wang (Collaborator), Miles Weinberger (Collaborator), Kelly Weir (Collaborator)

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: 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. METHODS: By following the CHEST methodologic guidelines, the CHEST Expert Cough Panel based its recommendations and suggestions on a recently published comparative effectiveness review commissioned by the US Agency for Healthcare Research and Quality, a corresponding summary published in CHEST, and an updated systematic review through November 2013. Recommendations or suggestions based on these data were discussed, graded, and voted on during a meeting of the Expert Cough Panel. RESULTS: We recommend for adults, adolescents (≥ 14 years of age), and children complaining of chronic cough that validated and reliable health-related quality-of-life (QoL) questionnaires be used as the measurement of choice to assess the impact of cough, such as the Leicester Cough Questionnaire and the Cough-Specific Quality-of-Life Questionnaire in adult and adolescent patients and the Parent Cough-Specific Quality of Life Questionnaire in children. We recommend acoustic cough counting to assess cough frequency but not cough severity. Limited data exist regarding the performance of visual analog scales, numeric rating scales, and tussigenic challenges. CONCLUSIONS: Validated and reliable cough-specific health-related QoL questionnaires are recommended as the measurement of choice to assess the impact of cough on patients. How they compare is yet to be determined. When used, the reporting of cough severity by visual analog or numeric rating scales should be standardized. Previously validated QoL questionnaires or other cough assessments should not be modified unless the new version has been shown to be reliable and valid. Finally, in research settings, tussigenic challenges play a role in understanding mechanisms of cough.

Original language	English
Pages (from-to)	804-814
Number of pages	10
Journal	Chest
Volume	147
Issue number	3
DOIs	https://doi.org/10.1378/chest.14-2506
Publication status	Published - Mar 2015

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Chang, A. B., Adams, T. M., Altman, K. W., Barker, A. F., Birring, S. S., Blackhall, F., Bolser, D. C., Boulet, L.-P., Braman, S. S., Brightling, C., Callahan-Lyon, P., Chang, A. B., Coeytaux, R., Cowley, T., Davenport, P., Diekemper, R. L., Ebihara, S., El Solh, A. A., Escalante, P., ... Weir, K. (2015). Tools for assessing outcomes in studies of chronic cough: CHEST guideline and expert panel report. Chest, 147(3), 804-814. https://doi.org/10.1378/chest.14-2506

@article{6a9441e14fa14af8bb2c947e17d21db3,

title = "Tools for assessing outcomes in studies of chronic cough: CHEST guideline and expert panel report.",

abstract = "BACKGROUND: 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. METHODS: By following the CHEST methodologic guidelines, the CHEST Expert Cough Panel based its recommendations and suggestions on a recently published comparative effectiveness review commissioned by the US Agency for Healthcare Research and Quality, a corresponding summary published in CHEST, and an updated systematic review through November 2013. Recommendations or suggestions based on these data were discussed, graded, and voted on during a meeting of the Expert Cough Panel. RESULTS: We recommend for adults, adolescents (≥ 14 years of age), and children complaining of chronic cough that validated and reliable health-related quality-of-life (QoL) questionnaires be used as the measurement of choice to assess the impact of cough, such as the Leicester Cough Questionnaire and the Cough-Specific Quality-of-Life Questionnaire in adult and adolescent patients and the Parent Cough-Specific Quality of Life Questionnaire in children. We recommend acoustic cough counting to assess cough frequency but not cough severity. Limited data exist regarding the performance of visual analog scales, numeric rating scales, and tussigenic challenges. CONCLUSIONS: Validated and reliable cough-specific health-related QoL questionnaires are recommended as the measurement of choice to assess the impact of cough on patients. How they compare is yet to be determined. When used, the reporting of cough severity by visual analog or numeric rating scales should be standardized. Previously validated QoL questionnaires or other cough assessments should not be modified unless the new version has been shown to be reliable and valid. Finally, in research settings, tussigenic challenges play a role in understanding mechanisms of cough.",

author = "Chang, {Anne B} and Adams, {Todd M} and Altman, {Kenneth W} and Barker, {Alan F} and Birring, {Surinder S} and Fiona Blackhall and Bolser, {Donald C} and Louis-Philippe Boulet and Braman, {Sidney S} and Christopher Brightling and Priscilla Callahan-Lyon and Chang, {Anne Bernadette} and Remy Coeytaux and Terrie Cowley and Paul Davenport and Diekemper, {Rebecca L} and Satoru Ebihara and {El Solh}, {Ali A} and Patricio Escalante and Anthony Feinstein and Field, {Stephen K} and Dina Fisher and French, {Cynthia T} and Peter Gibson and Philip Gold and Gould, {Michael K} and Cameron Grant and Harding, {Susan M} and Anthony Harnden and Hill, {Adam T} and Irwin, {Richard S} and Kahrilas, {Peter J} and Keogh, {Karina A} and Lane, {Andrew P} and Lewis, {Sandra Zelman} and Kaiser Lim and Malesker, {Mark A} and Stuart Mazzone and McCrory, {Douglas C} and Lorcan McGarvey and Alex Molasiotis and Murad, {M Hassan} and Peter Newcombe and Nguyen, {Huong Q} and John Oppenheimer and David Prezant and Restrepo, {Marcos I} and Mark Rosen and Bruce Rubin and Ryu, {Jay H} and Jaclyn Smith and Tarlo, {Susan M} and Anne Vertigan and Gang Wang and Miles Weinberger and Kelly Weir",

year = "2015",

month = mar,

doi = "10.1378/chest.14-2506",

language = "English",

volume = "147",

pages = "804--814",

journal = "Chest",

issn = "0012-3692",

publisher = "Elsevier BV",

number = "3",

}

Chang, AB, Adams, TM, Altman, KW, Barker, AF, Birring, SS, Blackhall, F, Bolser, DC, Boulet, L-P, Braman, SS, Brightling, C, Callahan-Lyon, P, Chang, AB, Coeytaux, R, Cowley, T, Davenport, P, Diekemper, RL, Ebihara, S, El Solh, AA, Escalante, P, Feinstein, A, Field, SK, Fisher, D, French, CT, Gibson, P, Gold, P, Gould, MK, Grant, C, Harding, SM, Harnden, A, Hill, AT, Irwin, RS, Kahrilas, PJ, Keogh, KA, Lane, AP, Lewis, SZ, Lim, K, Malesker, MA, Mazzone, S, McCrory, DC, McGarvey, L, Molasiotis, A, Murad, MH, Newcombe, P, Nguyen, HQ, Oppenheimer, J, Prezant, D, Restrepo, MI, Rosen, M, Rubin, B, Ryu, JH, Smith, J, Tarlo, SM, Vertigan, A, Wang, G, Weinberger, M & Weir, K 2015, 'Tools for assessing outcomes in studies of chronic cough: CHEST guideline and expert panel report.', Chest, vol. 147, no. 3, pp. 804-814. https://doi.org/10.1378/chest.14-2506

TY - JOUR

T1 - Tools for assessing outcomes in studies of chronic cough: CHEST guideline and expert panel report.

AU - Chang, Anne B

A2 - Adams, Todd M

A2 - Altman, Kenneth W

A2 - Barker, Alan F

A2 - Birring, Surinder S

A2 - Blackhall, Fiona

A2 - Bolser, Donald C

A2 - Boulet, Louis-Philippe

A2 - Braman, Sidney S

A2 - Brightling, Christopher

A2 - Callahan-Lyon, Priscilla

A2 - Chang, Anne Bernadette

A2 - Coeytaux, Remy

A2 - Cowley, Terrie

A2 - Davenport, Paul

A2 - Diekemper, Rebecca L

A2 - Ebihara, Satoru

A2 - El Solh, Ali A

A2 - Escalante, Patricio

A2 - Feinstein, Anthony

A2 - Field, Stephen K

A2 - Fisher, Dina

A2 - French, Cynthia T

A2 - Gibson, Peter

A2 - Gold, Philip

A2 - Gould, Michael K

A2 - Grant, Cameron

A2 - Harding, Susan M

A2 - Harnden, Anthony

A2 - Hill, Adam T

A2 - Irwin, Richard S

A2 - Kahrilas, Peter J

A2 - Keogh, Karina A

A2 - Lane, Andrew P

A2 - Lewis, Sandra Zelman

A2 - Lim, Kaiser

A2 - Malesker, Mark A

A2 - Mazzone, Stuart

A2 - McCrory, Douglas C

A2 - McGarvey, Lorcan

A2 - Molasiotis, Alex

A2 - Murad, M Hassan

A2 - Newcombe, Peter

A2 - Nguyen, Huong Q

A2 - Oppenheimer, John

A2 - Prezant, David

A2 - Restrepo, Marcos I

A2 - Rosen, Mark

A2 - Rubin, Bruce

A2 - Ryu, Jay H

A2 - Smith, Jaclyn

A2 - Tarlo, Susan M

A2 - Vertigan, Anne

A2 - Wang, Gang

A2 - Weinberger, Miles

A2 - Weir, Kelly

PY - 2015/3

Y1 - 2015/3

N2 - BACKGROUND: 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. METHODS: By following the CHEST methodologic guidelines, the CHEST Expert Cough Panel based its recommendations and suggestions on a recently published comparative effectiveness review commissioned by the US Agency for Healthcare Research and Quality, a corresponding summary published in CHEST, and an updated systematic review through November 2013. Recommendations or suggestions based on these data were discussed, graded, and voted on during a meeting of the Expert Cough Panel. RESULTS: We recommend for adults, adolescents (≥ 14 years of age), and children complaining of chronic cough that validated and reliable health-related quality-of-life (QoL) questionnaires be used as the measurement of choice to assess the impact of cough, such as the Leicester Cough Questionnaire and the Cough-Specific Quality-of-Life Questionnaire in adult and adolescent patients and the Parent Cough-Specific Quality of Life Questionnaire in children. We recommend acoustic cough counting to assess cough frequency but not cough severity. Limited data exist regarding the performance of visual analog scales, numeric rating scales, and tussigenic challenges. CONCLUSIONS: Validated and reliable cough-specific health-related QoL questionnaires are recommended as the measurement of choice to assess the impact of cough on patients. How they compare is yet to be determined. When used, the reporting of cough severity by visual analog or numeric rating scales should be standardized. Previously validated QoL questionnaires or other cough assessments should not be modified unless the new version has been shown to be reliable and valid. Finally, in research settings, tussigenic challenges play a role in understanding mechanisms of cough.

AB - BACKGROUND: 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. METHODS: By following the CHEST methodologic guidelines, the CHEST Expert Cough Panel based its recommendations and suggestions on a recently published comparative effectiveness review commissioned by the US Agency for Healthcare Research and Quality, a corresponding summary published in CHEST, and an updated systematic review through November 2013. Recommendations or suggestions based on these data were discussed, graded, and voted on during a meeting of the Expert Cough Panel. RESULTS: We recommend for adults, adolescents (≥ 14 years of age), and children complaining of chronic cough that validated and reliable health-related quality-of-life (QoL) questionnaires be used as the measurement of choice to assess the impact of cough, such as the Leicester Cough Questionnaire and the Cough-Specific Quality-of-Life Questionnaire in adult and adolescent patients and the Parent Cough-Specific Quality of Life Questionnaire in children. We recommend acoustic cough counting to assess cough frequency but not cough severity. Limited data exist regarding the performance of visual analog scales, numeric rating scales, and tussigenic challenges. CONCLUSIONS: Validated and reliable cough-specific health-related QoL questionnaires are recommended as the measurement of choice to assess the impact of cough on patients. How they compare is yet to be determined. When used, the reporting of cough severity by visual analog or numeric rating scales should be standardized. Previously validated QoL questionnaires or other cough assessments should not be modified unless the new version has been shown to be reliable and valid. Finally, in research settings, tussigenic challenges play a role in understanding mechanisms of cough.

U2 - 10.1378/chest.14-2506

DO - 10.1378/chest.14-2506

M3 - Article

C2 - 25522203

SN - 0012-3692

VL - 147

SP - 804

EP - 814

JO - Chest

JF - Chest

IS - 3

ER -

Tools for assessing outcomes in studies of chronic cough: CHEST guideline and expert panel report.

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