Kanjanawasee Dichapong, Poachanukoon Orapan, Sriprasart Thitiwat, Chirakalwasan Naricha, Saiphoklang Narongkorn, Athipongarporn Athipat, Senavonge Anchalee, Kamalaporn Harutai, Sanguanwong Natthawan, Mitthamsiri Wat, Chiewchalermsri Chirawat, Suetrong Bandarn, Suwanchanratsamee Aphichat, Tantilipikorn Pongsakorn, Maneerattanaporn Monthira, Jaruchinda Pariyanan, Kawamatawong Theerasuk, Luvira Varisara, Sombuntham Premsuda, Sompornrattanaphan Mongkhon, Suwanwech Triphoom, Chotchai Nonpavit, Ruxrungtham Kiat, Boonsawat Watchara, Brannan John Daniel, Song Woo-Jung, Pornsuriyasak Prapaporn
Center of Research Excellence in Allergy & Immunology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Biodesign Innovation Center, Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Asian Pac J Allergy Immunol. 2024 Dec;42(4):318-332. doi: 10.12932/AP-191124-1974.
This part reviews the management of chronic cough and proposes a management algorithm. Despite proven improvements in quality of life following chronic cough treatment, a clear understanding of the disease and the evidence for the efficacy of some treatments remain vague. Eight key questions regarding the treatment in the uncertain areas were systematically addressed based on the PICO framework and applying the GRADE system for evidence synthesis to provide the strength of recommendation and quality of evidence for key questions, with narrative components for the description of other chronic cough treatment including non-pharmacological therapy. Practical diagrams were developed to facilitate clinical decision-making on treatment. Our guideline introduces the concept of the cough management process for guiding practitioners to assess chronic cough using a holistic approach.
本部分回顾了慢性咳嗽的管理并提出了一种管理算法。尽管慢性咳嗽治疗后生活质量有了明显改善，但对该疾病的清晰认识以及某些治疗方法疗效的证据仍不明确。基于PICO框架，系统地探讨了关于不确定领域治疗的八个关键问题，并应用GRADE系统进行证据综合，以提供关键问题的推荐强度和证据质量，同时用叙述性内容描述包括非药物治疗在内的其他慢性咳嗽治疗方法。绘制了实用图表以促进治疗方面的临床决策。我们的指南引入了咳嗽管理流程的概念，以指导从业者采用整体方法评估慢性咳嗽。
