RT Journal Article
SR Electronic
T1 Consensus goals and standards for specialist cough clinics: the NEUROCOUGH international Delphi study
JF ERJ Open Research
JO erjor
FD European Respiratory Society
SP 00618-2023
DO 10.1183/23120541.00618-2023
VO 9
IS 6
A1 Woo-Jung Song
A1 Lieven Dupont
A1 Surinder S. Birring
A1 Kian Fan Chung
A1 Marta Dąbrowska
A1 Peter Dicpinigaitis
A1 Christian Domingo Ribas
A1 Giovanni Fontana
A1 Peter G. Gibson
A1 Laurent Guilleminault
A1 James H. Hull
A1 Marco Idzko
A1 Peter Kardos
A1 Hyun Jung Kim
A1 Kefang Lai
A1 Federico Lavorini
A1 Eva Millqvist
A1 Alyn H. Morice
A1 Akio Niimi
A1 Sean M. Parker
A1 Imran Satia
A1 Jaclyn A. Smith
A1 Jan Willem van den Berg
A1 Lorcan P. McGarvey
A1 ,
YR 2023
UL http://openres.ersjournals.com/content/9/6/00618-2023.abstract
AB Background Current guidelines on the management of chronic cough do not provide recommendations for the operation of specialist cough clinics. The objective of the present study was to develop expert consensus on goals and standard procedures for specialist cough clinics.Methods We undertook a modified Delphi process, whereby initial statements proposed by experts were categorised and presented back to panellists over two ranking rounds using an 11-point Likert scale to identify consensus.Results An international panel of 57 experts from 19 countries participated, with consensus reached on 15 out of 16 statements, covering the aims, roles and standard procedures of specialist cough clinics. Panellists agreed that specialist cough clinics offer optimal care for patients with chronic cough. They also agreed that history taking should enquire as to cough triggers, cough severity rating scales should be routinely used, and a minimum of chest radiography, spirometry and measurements of type 2 inflammatory markers should be undertaken in newly referred patients. The importance of specialist cough clinics in promoting clinical research and cough specialty training was acknowledged. Variability in healthcare resources and clinical needs between geographical regions was noted.Conclusions The Delphi exercise provides a platform and guidance for both established cough clinics and those in planning stages.A Delphi exercise undertaken to provide expert consensus on goals and standard procedures for establishing and delivering a specialist cough clinic service https://bit.ly/3Qopt6z