Chronic Cough Due to Stable Chronic Bronchitis: CHEST Expert Panel Report

Mark A. Malesker; Priscilla Callahan-Lyon; J. Mark Madison; Belinda Ireland; Richard S. Irwin; Todd M. Adams; Kenneth W. Altman; Elie Azoulay; Alan F. Barker; Surinder S. Birring; Fiona Blackhall; Donald C. Bolser; Louis Philippe Boulet; Sidney S. Braman; Christopher Brightling; Anne B. Chang; Paul Davenport; Ali A. El Solh; Patricio Escalante; Stephen K. Field; Dina Fisher; Cynthia T. French; Peter Gibson; Cameron Grant; Susan M. Harding; Anthony Harnden; Adam T. Hill; Peter J. Kahrilas; Joanne Kavanagh; Karina A. Keogh; Kefang Lai; Andrew P. Lane; Craig Lilly; Kaiser Lim; Mark Lown; Stuart Mazzone; Lorcan McGarvey; Alex Molassoitis; M. Hassan Murad; Mangala Narasimhan; John Oppenheimer; Mark Rosen; Bruce Rubin; Richard J. Russell; Jay H. Ryu; Sonal Singh; Maeve P. Smith; Susan M. Tarlo; Anne E. Vertigan

doi:10.1016/j.chest.2020.02.015

Chronic Cough Due to Stable Chronic Bronchitis: CHEST Expert Panel Report

Mark A. Malesker, Priscilla Callahan-Lyon, J. Mark Madison, Belinda Ireland, Richard S. Irwin, Todd M. Adams, Kenneth W. Altman, Elie Azoulay, Alan F. Barker, Surinder S. Birring, Fiona Blackhall, Donald C. Bolser, Louis Philippe Boulet, Sidney S. Braman, Christopher Brightling, Anne B. Chang, Paul Davenport, Ali A. El Solh, Patricio Escalante, Stephen K. FieldDina Fisher, Cynthia T. French, Peter Gibson, Cameron Grant, Susan M. Harding, Anthony Harnden, Adam T. Hill, Peter J. Kahrilas, Joanne Kavanagh, Karina A. Keogh, Kefang Lai, Andrew P. Lane, Craig Lilly, Kaiser Lim, Mark Lown, Stuart Mazzone, Lorcan McGarvey, Alex Molassoitis, M. Hassan Murad, Mangala Narasimhan, John Oppenheimer, Mark Rosen, Bruce Rubin, Richard J. Russell, Jay H. Ryu, Sonal Singh, Maeve P. Smith, Susan M. Tarlo, Anne E. Vertigan

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

2 Scopus citations

Abstract

Background: Chronic cough due to chronic bronchitis (CB) causes significant impairment in quality of life, and effective treatment strategies are needed. We conducted a systematic review on the management of chronic cough due to CB to update the recommendations and suggestions of the American College of Chest Physicians (CHEST) 2006 guideline on this topic. Methods: This systematic review asked three questions: (1) What are the clinical features of the history that suggest a patient's cough-phlegm syndrome is due to CB? (2) Can treatment of stable CB improve or eliminate chronic cough? (3) Can therapy that targets chronic cough due to CB prevent or reduce the occurrence of acute CB exacerbations? Studies of adult patients with CB were included and assessed for relevance and quality. Based on the systematic review, guideline suggestions were developed and voted on by using the CHEST organization methodology. Results: The search strategy used an assortment of descriptors and assessments to identify studies of chronic cough due to CB. Conclusions: The evidence supporting the management of chronic cough due to CB is limited overall and of low quality. This article provides guidance on treatment by presenting suggestions based on the best currently available evidence and identifies gaps in our knowledge and areas for future research.

Original language	English (US)
Pages (from-to)	705-718
Number of pages	14
Journal	Chest
Volume	158
Issue number	2
DOIs	https://doi.org/10.1016/j.chest.2020.02.015
State	Published - Aug 2020

Keywords

chronic bronchitis
chronic cough
nonpharmacological treatment
pharmacological treatment

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.chest.2020.02.015

Cite this

Malesker, M. A., Callahan-Lyon, P., Madison, J. M., Ireland, B., Irwin, R. S., Adams, T. M., Altman, K. W., Azoulay, E., Barker, A. F., Birring, S. S., Blackhall, F., Bolser, D. C., Boulet, L. P., Braman, S. S., Brightling, C., Chang, A. B., Davenport, P., El Solh, A. A., Escalante, P., ... Vertigan, A. E. (2020). Chronic Cough Due to Stable Chronic Bronchitis: CHEST Expert Panel Report. Chest, 158(2), 705-718. https://doi.org/10.1016/j.chest.2020.02.015

Malesker, MA, Callahan-Lyon, P, Madison, JM, Ireland, B, Irwin, RS, Adams, TM, Altman, KW, Azoulay, E, Barker, AF, Birring, SS, Blackhall, F, Bolser, DC, Boulet, LP, Braman, SS, Brightling, C, Chang, AB, Davenport, P, El Solh, AA, Escalante, P, Field, SK, Fisher, D, French, CT, Gibson, P, Grant, C, Harding, SM, Harnden, A, Hill, AT, Kahrilas, PJ, Kavanagh, J, Keogh, KA, Lai, K, Lane, AP, Lilly, C, Lim, K, Lown, M, Mazzone, S, McGarvey, L, Molassoitis, A, Murad, MH, Narasimhan, M, Oppenheimer, J, Rosen, M, Rubin, B, Russell, RJ, Ryu, JH, Singh, S, Smith, MP, Tarlo, SM & Vertigan, AE 2020, 'Chronic Cough Due to Stable Chronic Bronchitis: CHEST Expert Panel Report', Chest, vol. 158, no. 2, pp. 705-718. https://doi.org/10.1016/j.chest.2020.02.015

@article{de2fea3566b24e5db7e09264fc5d0198,

title = "Chronic Cough Due to Stable Chronic Bronchitis: CHEST Expert Panel Report",

abstract = "Background: Chronic cough due to chronic bronchitis (CB) causes significant impairment in quality of life, and effective treatment strategies are needed. We conducted a systematic review on the management of chronic cough due to CB to update the recommendations and suggestions of the American College of Chest Physicians (CHEST) 2006 guideline on this topic. Methods: This systematic review asked three questions: (1) What are the clinical features of the history that suggest a patient's cough-phlegm syndrome is due to CB? (2) Can treatment of stable CB improve or eliminate chronic cough? (3) Can therapy that targets chronic cough due to CB prevent or reduce the occurrence of acute CB exacerbations? Studies of adult patients with CB were included and assessed for relevance and quality. Based on the systematic review, guideline suggestions were developed and voted on by using the CHEST organization methodology. Results: The search strategy used an assortment of descriptors and assessments to identify studies of chronic cough due to CB. Conclusions: The evidence supporting the management of chronic cough due to CB is limited overall and of low quality. This article provides guidance on treatment by presenting suggestions based on the best currently available evidence and identifies gaps in our knowledge and areas for future research.",

keywords = "chronic bronchitis, chronic cough, nonpharmacological treatment, pharmacological treatment",

author = "Malesker, {Mark A.} and Priscilla Callahan-Lyon and Madison, {J. Mark} and Belinda Ireland and Irwin, {Richard S.} and Adams, {Todd M.} and Altman, {Kenneth W.} and Elie Azoulay and Barker, {Alan F.} and Birring, {Surinder S.} and Fiona Blackhall and Bolser, {Donald C.} and Boulet, {Louis Philippe} and Braman, {Sidney S.} and Christopher Brightling and Chang, {Anne B.} and Paul Davenport and {El Solh}, {Ali A.} and Patricio Escalante and Field, {Stephen K.} and Dina Fisher and French, {Cynthia T.} and Peter Gibson and Cameron Grant and Harding, {Susan M.} and Anthony Harnden and Hill, {Adam T.} and Kahrilas, {Peter J.} and Joanne Kavanagh and Keogh, {Karina A.} and Kefang Lai and Lane, {Andrew P.} and Craig Lilly and Kaiser Lim and Mark Lown and Stuart Mazzone and Lorcan McGarvey and Alex Molassoitis and Murad, {M. Hassan} and Mangala Narasimhan and John Oppenheimer and Mark Rosen and Bruce Rubin and Russell, {Richard J.} and Ryu, {Jay H.} and Sonal Singh and Smith, {Maeve P.} and Tarlo, {Susan M.} and Vertigan, {Anne E.}",

note = "Publisher Copyright: {\textcopyright} 2020 American College of Chest Physicians",

year = "2020",

month = aug,

doi = "10.1016/j.chest.2020.02.015",

language = "English (US)",

volume = "158",

pages = "705--718",

journal = "Chest",

issn = "0012-3692",

publisher = "American College of Chest Physicians",

number = "2",

}

TY - JOUR

T1 - Chronic Cough Due to Stable Chronic Bronchitis

T2 - CHEST Expert Panel Report

AU - Malesker, Mark A.

AU - Callahan-Lyon, Priscilla

AU - Madison, J. Mark

AU - Ireland, Belinda

AU - Irwin, Richard S.

AU - Adams, Todd M.

AU - Altman, Kenneth W.

AU - Azoulay, Elie

AU - Barker, Alan F.

AU - Birring, Surinder S.

AU - Blackhall, Fiona

AU - Bolser, Donald C.

AU - Boulet, Louis Philippe

AU - Braman, Sidney S.

AU - Brightling, Christopher

AU - Chang, Anne B.

AU - Davenport, Paul

AU - El Solh, Ali A.

AU - Escalante, Patricio

AU - Field, Stephen K.

AU - Fisher, Dina

AU - French, Cynthia T.

AU - Gibson, Peter

AU - Grant, Cameron

AU - Harding, Susan M.

AU - Harnden, Anthony

AU - Hill, Adam T.

AU - Kahrilas, Peter J.

AU - Kavanagh, Joanne

AU - Keogh, Karina A.

AU - Lai, Kefang

AU - Lane, Andrew P.

AU - Lilly, Craig

AU - Lim, Kaiser

AU - Lown, Mark

AU - Mazzone, Stuart

AU - McGarvey, Lorcan

AU - Molassoitis, Alex

AU - Murad, M. Hassan

AU - Narasimhan, Mangala

AU - Oppenheimer, John

AU - Rosen, Mark

AU - Rubin, Bruce

AU - Russell, Richard J.

AU - Ryu, Jay H.

AU - Singh, Sonal

AU - Smith, Maeve P.

AU - Tarlo, Susan M.

AU - Vertigan, Anne E.

PY - 2020/8

Y1 - 2020/8

N2 - Background: Chronic cough due to chronic bronchitis (CB) causes significant impairment in quality of life, and effective treatment strategies are needed. We conducted a systematic review on the management of chronic cough due to CB to update the recommendations and suggestions of the American College of Chest Physicians (CHEST) 2006 guideline on this topic. Methods: This systematic review asked three questions: (1) What are the clinical features of the history that suggest a patient's cough-phlegm syndrome is due to CB? (2) Can treatment of stable CB improve or eliminate chronic cough? (3) Can therapy that targets chronic cough due to CB prevent or reduce the occurrence of acute CB exacerbations? Studies of adult patients with CB were included and assessed for relevance and quality. Based on the systematic review, guideline suggestions were developed and voted on by using the CHEST organization methodology. Results: The search strategy used an assortment of descriptors and assessments to identify studies of chronic cough due to CB. Conclusions: The evidence supporting the management of chronic cough due to CB is limited overall and of low quality. This article provides guidance on treatment by presenting suggestions based on the best currently available evidence and identifies gaps in our knowledge and areas for future research.

AB - Background: Chronic cough due to chronic bronchitis (CB) causes significant impairment in quality of life, and effective treatment strategies are needed. We conducted a systematic review on the management of chronic cough due to CB to update the recommendations and suggestions of the American College of Chest Physicians (CHEST) 2006 guideline on this topic. Methods: This systematic review asked three questions: (1) What are the clinical features of the history that suggest a patient's cough-phlegm syndrome is due to CB? (2) Can treatment of stable CB improve or eliminate chronic cough? (3) Can therapy that targets chronic cough due to CB prevent or reduce the occurrence of acute CB exacerbations? Studies of adult patients with CB were included and assessed for relevance and quality. Based on the systematic review, guideline suggestions were developed and voted on by using the CHEST organization methodology. Results: The search strategy used an assortment of descriptors and assessments to identify studies of chronic cough due to CB. Conclusions: The evidence supporting the management of chronic cough due to CB is limited overall and of low quality. This article provides guidance on treatment by presenting suggestions based on the best currently available evidence and identifies gaps in our knowledge and areas for future research.

KW - chronic bronchitis

KW - chronic cough

KW - nonpharmacological treatment

KW - pharmacological treatment

UR - http://www.scopus.com/inward/record.url?scp=85087477599&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85087477599&partnerID=8YFLogxK

U2 - 10.1016/j.chest.2020.02.015

DO - 10.1016/j.chest.2020.02.015

M3 - Article

C2 - 32105719

AN - SCOPUS:85087477599

SN - 0012-3692

VL - 158

SP - 705

EP - 718

JO - Chest

JF - Chest

IS - 2

ER -

Chronic Cough Due to Stable Chronic Bronchitis: CHEST Expert Panel Report

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this