Abstract：
BACKGROUND: Chronic cough (CC) is a burdensome health problem in adult and older people, with a major impact on quality of life. Its management is often troublesome, and many guidelines have been released. Notwithstanding, a proportion of cases still do not reach a definite diagnosis and resolutive treatment. A coordinated approach between different specialists would be highly recommended, but its implementation in clinical practice suffers from the lack of shared protocols and poor awareness of the problem. The present consensus document has been implemented to address these issues.
OBJECTIVE: To develop evidence-based recommendations for the management of adults with CC.
METHODS: A 12-member expert task force of general practitioners, geriatricians, pneumologists, allergologists, otorhynolaringologists and gastroenterologists was established to develop evidence-based recommendations for the diagnostic and therapeutic approach to subjects with CC. A modified Delphi approach was used to achieve consensus, and the US Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence.
RESULTS: A total of 56 recommendations were proposed, covering 28 topics and concerning definitions and epidemiology, pathogenesis and etiology, diagnostic and therapeutic approach along with the consideration of specific care settings.
CONCLUSIONS: These recommendations should ease the management of subjects with CC by coordinating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities.
OBJECTIVE: To develop evidence-based recommendations for the management of adults with CC.
METHODS: A 12-member expert task force of general practitioners, geriatricians, pneumologists, allergologists, otorhynolaringologists and gastroenterologists was established to develop evidence-based recommendations for the diagnostic and therapeutic approach to subjects with CC. A modified Delphi approach was used to achieve consensus, and the US Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence.
RESULTS: A total of 56 recommendations were proposed, covering 28 topics and concerning definitions and epidemiology, pathogenesis and etiology, diagnostic and therapeutic approach along with the consideration of specific care settings.
CONCLUSIONS: These recommendations should ease the management of subjects with CC by coordinating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities.
摘要：
背景：慢性咳嗽（CC）是成年人和老年人的严重健康问题，对生活质量有重大影响。它的管理往往很麻烦,并发布了许多指导方针。尽管如此,仍有一部分病例未得到明确诊断和治疗。强烈建议不同专家之间的协调方法，但其在临床实践中的实施受到缺乏共享协议和对问题认识不足的困扰。本共识文件已得到执行，以解决这些问题。
目的：为成人CC患者的管理制定循证建议。
方法：由12名成员组成的全科医生专家工作组，老年病学家,肺炎专家,变态反应学家,建立了耳鼻喉科医师和胃肠病学家，以制定基于证据的建议，以诊断和治疗CC受试者。采用改进的德尔菲法达成共识，美国预防服务工作队系统被用来评价建议的强度和证据的质量。
结果：共提出56项建议，涵盖28个主题，涉及定义和流行病学，发病机制和病因，诊断和治疗方法以及对特定护理环境的考虑。
结论：这些建议应通过协调不同专家的专业知识来简化对CC受试者的管理。通过提供一个方便的感兴趣的主题列表，他们可能有助于确定未满足的需求和研究重点。
目的：为成人CC患者的管理制定循证建议。
方法：由12名成员组成的全科医生专家工作组，老年病学家,肺炎专家,变态反应学家,建立了耳鼻喉科医师和胃肠病学家，以制定基于证据的建议，以诊断和治疗CC受试者。采用改进的德尔菲法达成共识，美国预防服务工作队系统被用来评价建议的强度和证据的质量。
结果：共提出56项建议，涵盖28个主题，涉及定义和流行病学，发病机制和病因，诊断和治疗方法以及对特定护理环境的考虑。
结论：这些建议应通过协调不同专家的专业知识来简化对CC受试者的管理。通过提供一个方便的感兴趣的主题列表，他们可能有助于确定未满足的需求和研究重点。
