ArticleArchives of disease in childhood2005
How accurate is the diagnosis of exercise induced asthma among Vancouver schoolchildren?
Article in Archives of disease in childhood, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 147 citations in OpenAlex.
- Factors impacting therapy duration in children and adolescents with Paradoxical Vocal Fold Movement (PVFM).International journal of pediatric otorhinolaryngology · 2022Article
- The course of specific self-reported exercise-induced airway symptoms in adolescents with and without asthma.ERJ open research · 2020Article
- Exercise Limitation in Children and Adolescents With Severe Refractory Asthma: A Lack of Asthma Control?Frontiers in physiology · 2020Article
- Can Pediatricians Assess Exercise-Induced Bronchoconstriction From Post-exercise Videos?Frontiers in pediatrics · 2019Article
- Assessing Exercise-Induced Bronchoconstriction in Children; The Need for Testing.Frontiers in pediatrics · 2019Article
- Dysfunctional Breathing in Children and Adults With Asthma.Frontiers in pediatrics · 2018Review
- Reported Exercise-Related Respiratory Symptoms and Exercise-Induced Bronchoconstriction in Asthmatic Children.Journal of clinical medicine research · 2017Article
- Dysfunctional breathing and reaching one's physiological limit as causes of exercise-induced dyspnoea.Breathe (Sheffield, England) · 2016Review
- Gastro-oesophageal reflux and worse asthma control in obese children: a case of symptom misattribution?Thorax · 2016Article
- Chronic pulmonary embolism in a young athletic woman.Proceedings (Baylor University. Medical Center) · 2015Article
- Eucapnic voluntary hyperpnoea and exercise-induced vocal cord dysfunction.BMJ open sport & exercise medicine · 2015Article
- Dyspneic athlete.Current reviews in musculoskeletal medicine · 2014Article
- The Saudi initiative for asthma - 2012 update: Guidelines for the diagnosis and management of asthma in adults and children.Annals of thoracic medicine · 2012Article
- Childhood asthma: diagnosis and treatment.Scientifica · 2012Review
- Exercise-induced laryngeal obstructions: prevalence and symptoms in the general public.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2011Article
- Management of severe asthma in children.Lancet (London, England) · 2010Review
- Physical activity recommendations for children with specific chronic health conditions: Juvenile idiopathic arthritis, hemophilia, asthma and cystic fibrosis.Paediatrics & child health · 2010Article
- Imitators of exercise-induced bronchoconstriction.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2009Article
- Exercise-induced bronchospasm in children.Clinical reviews in allergy & immunology · 2008Review
- Surgical treatment of exercise-induced laryngeal dysfunction.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2007Article
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLimited access to exercise testing facilities means that the diagnosis of exercise induced asthma (EIA) is mainly based on self-reported respiratory symptoms. This is open to error since the correlation between exercise related symptoms and subsequent exercise testing has been shown to be poor.
aimTo study the accuracy of clinically diagnosed EIA among Vancouver schoolchildren.
methodsFifty two children referred for investigation of poorly controlled EIA were studied. Following a careful history and physical examination, children performed pulmonary function tests before, then 5 and 15 minutes after a standardised treadmill exercise test. Based on overall assessment, a diagnostic explanation for each child's respiratory complaints was provided as far as possible.
resultsOnly eight children (15.4%) fulfilled diagnostic criteria for EIA (fall in FEV(1) > or =10%). Of the remainder: 12 (23.1%) were unfit, 14 (26.9%) had vocal cord dysfunction/sigh dyspnoea, 7 (13.5%) had a habit cough, and 11 (21.1%) had no abnormalities on clinical or laboratory testing, so were given no diagnosis. Initial reported symptoms of wheeze or cough often changed significantly following a careful history, particularly among the eight elite athletes. The final complaint was sometimes not respiratory, and, in a few cases, was not even associated with exercise.
conclusionsThe clinical diagnosis of EIA is inaccurate among Vancouver schoolchildren, principally due to the unreliability of their initial exercise related complaints. Symptom exaggeration, familiarity with medical jargon, and psychogenic complaints are all common. A careful history is essential in this population before basing any diagnosis on self-reported respiratory symptoms.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.