Percepciones de médicos de familia, neumólogos y alergólogos sobre el abordaje de los pacientes con tos crónica. Resultados de una encuesta anónima

  1. J. Molina-París 1
  2. J.A. Trigueros 2
  3. J.T. Gómez-Sáenz 3
  4. L. Puente-Maestu 4
  5. B. Juliá 5
  6. J. Domínguez-Ortega 6
  1. 1 Centro de Salud Francia, Fuenlabrada (Madrid), España
  2. 2 Centro de Salud de Menasalbas, Toledo, España
  3. 3 Centro de Salud de Nájera, Logroño, España
  4. 4 Hospital Universitario Gregorio Marañón, Madrid, España
  5. 5 Medical Affairs, MSD, Madrid, España
  6. 6 Hospital Universitario La Paz, IdiPAZ; CIBER of Respiratory Diseases, CIBERES, Madrid, España
Erakutsi afiliazioak +
Aldizkaria:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Argitalpen urtea: 2021

Zenbakia: 6

Orrialdeak: 376-384

Mota: Artikulua

DOI: 10.1016/J.SEMERG.2021.04.005 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Semergen: revista española de medicina de familia

Laburpena

Objective To understand the perception of family doctors, pulmonologists and allergists about the current approach to chronic cough and its impact on patients’ quality of life. Material and methods Cross-sectional and anonymous survey disseminated through the scientific societies SEAIC, SEMERGEN, semFYC, SEMG and SEPAR. The participants were 620 family doctors, 92 pulmonologists and 62 allergists. A descriptive analysis of the answers was conducted. Response percentages, medians and interquartile intervals were presented. The differences in the percentages between specialties were evaluated with the chi-square. Results Only half of the respondents chose a duration greater than 8 weeks as a criterion for diagnosing chronic cough, and less than half considered refractory/unexplained chronic cough a disease in itself. Family doctors perceived that chronic cough had less impact on patients than did pulmonologists or allergists. After a diagnosis of refractory/unexplained chronic cough, all 3 specialties considered the most common approach to be to initiate treatment and to do the follow-up of the patient themselves. Most stated that they had no protocols for managing chronic cough, and more than 90% considered these to be necessary. Conclusions The management of patients with chronic cough by family doctors, pulmonologists or allergists seems to be heterogeneous. There is a need for protocols that standardise diagnosis, referral and treatment criteria to optimise patients’ management and reduce the impact of chronic cough.

€ Ikusi finantzaketa

Finantzaketari buruzko informazioa

Los autores quieren agradecer a las siguientes sociedades cient?ficas (en orden alfab?tico) la revisi?n de la encuesta y el env?o del enlace a sus asociados: SEAIC (Sociedad Espa?ola de Alergolog?a e Inmunolog?a Cl?nica (SEAIC), Sociedad Espa?ola de M?dicos de Atenci?n Primaria (SEMERGEN), Sociedad Espa?ola de Medicina Familiar y Comunitaria (semFYC), Sociedad Espa?ola de M?dicos Generales y de Familia (SEMG) y Sociedad Espa?ola de Neumolog?a y Cirug?a Tor?cica (SEPAR). Tambi?n agradecen a Content Ed Net (Madrid) y a Fernando S?nchez Barbero su asistencia editorial en la preparaci?n del manuscrito.

Finantzatzaile

Erreferentzia bibliografikoak

  • W.J. Song, Y.S. Chang, S. Faruqi, J.Y. Kim, M.G. Kang, S. Kim, et al. The global epidemiology of chronic cough in adults: A systematic review meta-analysis Eur Respir J., 45 (2015), pp. 1479-1481, 10.1183/09031936.00218714 View PDFCrossRefView Record in ScopusGoogle Scholar
  • A.H. Morice, E. Millqvist, K. Bieksiene, S.S. Birring, P. Dicpinigaitis, C. Domingo Ribas, et al. ERS guidelines on the diagnosis and treatment of chronic cough in adults and children Eur Respir J. (2020), p. 55, 10.1183/13993003.01136-2019 Google Scholar
  • L. McGarvey, P.G. Gibson What is chronic cough? Terminology J Allergy Clin Immunol Pract., 7 (2019), pp. 1711-1714, 10.1016/j.jaip.2019.04.012 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • R.S. Irwin, C.L. French, A.B. Chang, K.W. Altman CHEST Expert Cough Panel, Classification of cough as a symptom in adults and management algorithms: CHEST guideline and expert panel report Chest., 153 (2018), pp. 196-209, 10.1016/j.chest.2017.10.016 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • P. Gibson, G. Wang, L. McGarvey, A.E. Vertigan, K.W. Altman, S.S. Birring, et al. Treatment of unexplained chronic cough: CHEST guideline and expert panel report Chest., 149 (2016), pp. 27-44, 10.1378/chest.15-1496 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • L.P. McGarvey, A.J. Ing Idiopathic cough, prevalence and underlying mechanisms Pulm Pharmacol Ther., 17 (2004), pp. 435-439, 10.1016/j.pupt.2004.09.012 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • S.B. Mazzone, K.F. Chung, L. McGarvey The heterogeneity of chronic cough: A case for endotypes of cough hypersensitivity Lancet Respir Med., 6 (2018), pp. 636-646, 10.1016/S2213-2600(18)30150-4 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • K.F. Chung, L. McGarvey, S.B. Mazzone Chronic cough as a neuropathic disorder Lancet Respir Med., 1 (2013), pp. 414-422, 10.1016/S2213-2600(13)70043-2 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • K.F. Chung, L. McGarvey, S. Mazzone Chronic cough and cough hypersensitivity syndrome Lancet Respir Med., 4 (2016), pp. 934-935, 10.1016/S2213-2600(16)30373-3 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • C.L. French, R.S. Irwin, F.J. Curley, C.J. Krikorian Impact of chronic cough on quality of life Arch Intern Med., 158 (1998), pp. 1657-1661, 10.1001/archinte.158.15.1657 View PDFView Record in ScopusGoogle Scholar
  • P.V. Dicpinigaitis Cough: An unmet clinical need Br J Pharmacol., 163 (2011), pp. 116-124, 10.1111/j.1476-5381.2010.01198.x View PDFCrossRefView Record in ScopusGoogle Scholar
  • A.B. Chang, W.B. Glomb Guidelines for evaluating chronic cough in pediatrics: ACCP evidence-based clinical practice guidelines Chest., 129 (2006) https://doi.org/10.1378/chest.129.1_suppl.260S, 260S- 83S Google Scholar
  • J.A. Keller, A.E. McGovern, S.B. Mazzone Translating cough mechanisms into better cough suppressants Chest., 152 (2017), pp. 833-841, 10.1016/j.chest.2017.05.016 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • A.E. McGovern, K.R. Short, A.A. Kywe Moe, S.B. Mazzone Translational review: Neuroimmune mechanisms in cough and emerging therapeutic targets J Allergy Clin Immunol., 142 (2018), pp. 1392-1402, 10.1016/j.jaci.2018.09.004 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • R.D. Turner, S.S. Birring Chronic cough: ATP, afferent pathways and hypersensitivity Eur Respir J. (2019), p. 54, 10.1183/13993003.00889-2019 View PDFCrossRefView Record in ScopusGoogle Scholar
  • World Health Organization. International Classification of Diseases. Cough [consultado 3 agosto 2020]. Disponible en: https://icd.who.int/browse10/2019/en#/R05. Google Scholar
  • S.A. Chamberlain, R. Garrod, A. Douiri, S. Masefield, P. Powell, C. Bucher, et al. The impact of chronic cough: A cross-sectional European survey Lung., 193 (2015), pp. 401-408, 10.1007/s00408-015-9701-2 View PDFCrossRefView Record in ScopusGoogle Scholar
  • C.F. Everett, J.A. Kastelik, R.H. Thompson, A.H. Morice Chronic persistent cough in the community: A questionnaire survey Cough., 3 (2007), p. 5, 10.1186/1745-9974-3-5 View PDFView Record in ScopusGoogle Scholar
  • A. De Diego Damiá Medición de la tos Med Respir, 10 (2017), pp. 7-17 View Record in ScopusGoogle Scholar
  • A. Martin Nguyen, E. Bacci, P. Dicpinigaitis, M. Vernon Quantitative measurement properties and score interpretation of the Cough Severity Diary in patients with chronic cough Ther Adv Respir Dis., 14 (2020), 10.1177/1753466620915155 1753466620915155 Google Scholar
  • Z. Wang, M. Wang, S. Wen, L. Yu, X. Xu Types and applications of cough-related questionnaires J Thorac Dis., 11 (2019), pp. 4379-4388, 10.21037/jtd.2019.09.62 View PDFCrossRefView Record in ScopusGoogle Scholar
  • M. Vernon, N.K. Leidy, A. Nacson, L. Nelsen Measuring cough severity: Perspectives from the literature and from patients with chronic cough Cough., 5 (2009), p. 5, 10.1186/1745-9974-5-5 View PDFCrossRefView Record in ScopusGoogle Scholar
  • M. Vernon, N. Kline Leidy, A. Nacson, L. Nelsen Measuring cough severity: development and pilot testing of a new seven-item cough severity patient-reported outcome measure Ther Adv Respir Dis., 4 (2010), pp. 199-208, 10.1177/1753465810372526 View PDFCrossRefView Record in ScopusGoogle Scholar
  • A. Pacheco, I. Cobeta, C. Wagner Refractory chronic cough: new perspectives in diagnosis and treatment Arch Bronconeumol., 49 (2013), pp. 151-157, 10.1016/j.arbres.2012.09.009 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • S.S. Birring, B. Prudon, A.J. Carr, S.J. Singh, M.D. Morgan, I.D. Pavord Development of a symptom specific health status measure for patients with chronic cough: Leicester Cough Questionnaire (LCQ) Thorax., 58 (2003), pp. 339-343, 10.1136/thorax.58.4.339 View PDFCrossRefView Record in ScopusGoogle Scholar
  • A. Pacheco, A. de Diego, C. Domingo, A. Lamas, R. Gutiérrez, K. Naberan, et al. Chronic cough Arch Bronconeumol., 51 (2015), pp. 579-589, 10.1016/j.arbres.2015.03.019 ArticleDownload PDFView Record in ScopusGoogle Scholar
Datuen iturria: Dialnet