Evidence map›Paper›PMID 41158394›Full record

ArticleJournal of thoracic disease2025

Assessment of cough in asthma patients attending clinic using the cough questionnaire for asthma (CQA).

Sujuan Guo, Zhicheng Yang, Min Liu, Mary S M Ip, Woo-Jung Song, Kian Fan Chung

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Phenotypes and endotypes of cough in asthma.Therapeutic advances in respiratory disease
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sujuan GuoRespiratory and Critical Care Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.
Zhicheng YangDepartment of Pharmacy, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.
Min LiuRespiratory and Critical Care Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.
Mary S M IpDepartment of Medicine, University of Hong Kong, Hong Kong, China.
Woo-Jung SongDepartment of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Kian Fan ChungNational Heart & Lung Institute, Imperial College London & Royal Brompton & Harefield Hospital, London, UK.ORCID https://orcid.org/0000-0001-7101-1426

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cough is a common and troublesome symptom in asthma that can persist despite treatment, but there is no tool to specifically assess cough in asthma patients. We developed the Cough Questionnaire for Asthma (CQA) to evaluate cough severity and its impact in asthma patients. Methods: We developed an 8-item questionnaire to assess cough severity and its impact, which was later refined to a 6-item version (CQA6). The questionnaire was validated in 289 asthma patients attending a hospital asthma clinic. Internal consistency was assessed using Cronbach's alpha. Concurrent validity was evaluated through correlations with the 6-item Asthma Control Questionnaire (ACQ6), the Cough Hypersensitivity Questionnaire (CHQ), and both patient and physician cough severity ratings (in a 5-point Liker scale). Repeatability was assessed using intraclass correlation coefficient (ICC) and Bland-Altman analysis of responses obtained 3-6 months later. Results: CQA6 demonstrated excellent internal consistency (Cronbach's alpha =0.898) and strong correlations with patient-rated cough control (r=0.769), physician-rated cough control (r=0.692), and ACQ6 scores (r=0.672). CQA6 showed moderate correlation with CHQ scores (r=0.574). In longitudinal assessment, changes in CQA6 scores correlated strongly with changes in patient-assessed cough control (r=0.608) and ACQ6 (r=0.647). The ICC for CQA6 was 0.800 in stable patients, demonstrating good repeatability. Conclusions: CQA6 is a reliable and valid tool for assessing cough severity and its impact in asthma patients. It will help in the evaluation of cough as an important contributory symptom for asthma management.

Indexed as

asthmaCoughcough questionnaire

Identifiers

PMID41158394
PMCPMC12557683

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Registered trials

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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.