Occupational and Environmental Contributions to Chronic Cough in Adults: Chest Expert Panel Report

Susan M. Tarlo, Kenneth W. Altman, John Oppenheimer, Kaiser Lim, Anne Vertigan, David J. Prezant, 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, Priscilla Callahan-Lyon, Anne B. Chang, Satoru EbiharaAli A. El Solh, Patricio Escalante, Anthony Feinstein, Stephen K. Field, Dina Fisher, Cynthia T. French, Peter Gibson, Philip Gold, Michael K. Gould, Cameron Grant, Susan M. Harding, Anthony Harnden, Adam T. Hill, Richard S. Irwin, Peter J. Kahrilas, Karina A. Keogh, Kefang Lai, Andrew P. Lane, Kaiser Lim, Mark A. Malesker, Stuart Mazzone, Lorcan McGarvey, Alex Molasiotis, M. Hassan Murad, John Oppenheimer, David Prezant, Marcos I. Restrepo, Mark Rosen, Bruce Rubin, Jay H. Ryu, Susan M. Tarlo, Anne E. Vertigan, Gang Wang, Miles Weinberger, Kelly Weir

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background In response to occupational and environmental exposures, cough can be an isolated symptom reflecting exposure to an irritant with little physiological consequence, or it can be a manifestation of more significant disease. This document reviews occupational and environmental contributions to chronic cough in adults, focusing on aspects not previously covered in the 2006 ACCP Cough Guideline or our more recent systematic review, and suggests an approach to investigation of these factors when suspected. Methods MEDLINE and TOXLINE literature searches were supplemented by articles identified by the cough panel occupational and environmental subgroup members, to identify occupational and environmental aspects of chronic cough not previously covered in the 2006 ACCP Cough Guideline. Based on the literature reviews and the Delphi methodology, the cough panel occupational and environmental subgroup developed guideline suggestions that were approved after review and voting by the full cough panel. Results The literature review identified relevant articles regarding: mechanisms; allergic environmental causes; chronic cough and the recreational and involuntary inhalation of tobacco and marijuana smoke; nonallergic environmental triggers; laryngeal syndromes; and occupational diseases and exposures. Consensus-based statements were developed for the approach to diagnosis due to a lack of strong evidence from published literature. Conclusions Despite increased understanding of cough related to occupational and environmental triggers, there remains a gap between the recommended assessment of occupational and environmental causes of cough and the reported systematic assessment of these factors. There is a need for further documentation of occupational and environmental causes of cough in the future.

Original languageEnglish (US)
Pages (from-to)894-907
Number of pages14
JournalChest
Volume150
Issue number4
DOIs
StatePublished - Oct 1 2016
Externally publishedYes

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Cough
Thorax
Guidelines
Occupational Exposure
Occupational Diseases
Irritants
Environmental Exposure
Politics
Cannabis
MEDLINE
Smoke
Documentation
Inhalation
Tobacco

Keywords

  • allergy
  • cough
  • environmental
  • occupational
  • smoking

ASJC Scopus subject areas

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

Cite this

Tarlo, S. M., Altman, K. W., Oppenheimer, J., Lim, K., Vertigan, A., Prezant, D. J., ... Weir, K. (2016). Occupational and Environmental Contributions to Chronic Cough in Adults: Chest Expert Panel Report. Chest, 150(4), 894-907. https://doi.org/10.1016/j.chest.2016.07.029

Occupational and Environmental Contributions to Chronic Cough in Adults : Chest Expert Panel Report. / Tarlo, Susan M.; Altman, Kenneth W.; Oppenheimer, John; Lim, Kaiser; Vertigan, Anne; Prezant, David J.; Irwin, Richard S.; Adams, Todd M.; Altman, Kenneth W.; Azoulay, Elie; Barker, Alan F.; Birring, Surinder S.; Blackhall, Fiona; Bolser, Donald C.; Boulet, Louis Philippe; Braman, Sidney S.; Brightling, Christopher; Callahan-Lyon, Priscilla; Chang, Anne B.; Ebihara, Satoru; El Solh, Ali A.; Escalante, Patricio; Feinstein, Anthony; Field, Stephen K.; Fisher, Dina; French, Cynthia T.; Gibson, Peter; Gold, Philip; Gould, Michael K.; Grant, Cameron; Harding, Susan M.; Harnden, Anthony; Hill, Adam T.; Irwin, Richard S.; Kahrilas, Peter J.; Keogh, Karina A.; Lai, Kefang; Lane, Andrew P.; Lim, Kaiser; Malesker, Mark A.; Mazzone, Stuart; McGarvey, Lorcan; Molasiotis, Alex; Murad, M. Hassan; Oppenheimer, John; Prezant, David; Restrepo, Marcos I.; Rosen, Mark; Rubin, Bruce; Ryu, Jay H.; Tarlo, Susan M.; Vertigan, Anne E.; Wang, Gang; Weinberger, Miles; Weir, Kelly.

In: Chest, Vol. 150, No. 4, 01.10.2016, p. 894-907.

Research output: Contribution to journalArticle

Tarlo, SM, Altman, KW, Oppenheimer, J, Lim, K, Vertigan, A, Prezant, DJ, Irwin, RS, Adams, TM, Altman, KW, Azoulay, E, Barker, AF, Birring, SS, Blackhall, F, Bolser, DC, Boulet, LP, Braman, SS, Brightling, C, Callahan-Lyon, P, Chang, AB, Ebihara, S, El Solh, AA, Escalante, P, Feinstein, A, Field, SK, Fisher, D, French, CT, Gibson, P, Gold, P, Gould, MK, Grant, C, Harding, SM, Harnden, A, Hill, AT, Irwin, RS, Kahrilas, PJ, Keogh, KA, Lai, K, Lane, AP, Lim, K, Malesker, MA, Mazzone, S, McGarvey, L, Molasiotis, A, Murad, MH, Oppenheimer, J, Prezant, D, Restrepo, MI, Rosen, M, Rubin, B, Ryu, JH, Tarlo, SM, Vertigan, AE, Wang, G, Weinberger, M & Weir, K 2016, 'Occupational and Environmental Contributions to Chronic Cough in Adults: Chest Expert Panel Report', Chest, vol. 150, no. 4, pp. 894-907. https://doi.org/10.1016/j.chest.2016.07.029
Tarlo, Susan M. ; Altman, Kenneth W. ; Oppenheimer, John ; Lim, Kaiser ; Vertigan, Anne ; Prezant, David J. ; Irwin, Richard S. ; Adams, Todd M. ; Altman, Kenneth W. ; Azoulay, Elie ; Barker, Alan F. ; Birring, Surinder S. ; Blackhall, Fiona ; Bolser, Donald C. ; Boulet, Louis Philippe ; Braman, Sidney S. ; Brightling, Christopher ; Callahan-Lyon, Priscilla ; Chang, Anne B. ; Ebihara, Satoru ; El Solh, Ali A. ; Escalante, Patricio ; Feinstein, Anthony ; Field, Stephen K. ; Fisher, Dina ; French, Cynthia T. ; Gibson, Peter ; Gold, Philip ; Gould, Michael K. ; Grant, Cameron ; Harding, Susan M. ; Harnden, Anthony ; Hill, Adam T. ; Irwin, Richard S. ; Kahrilas, Peter J. ; Keogh, Karina A. ; Lai, Kefang ; Lane, Andrew P. ; Lim, Kaiser ; Malesker, Mark A. ; Mazzone, Stuart ; McGarvey, Lorcan ; Molasiotis, Alex ; Murad, M. Hassan ; Oppenheimer, John ; Prezant, David ; Restrepo, Marcos I. ; Rosen, Mark ; Rubin, Bruce ; Ryu, Jay H. ; Tarlo, Susan M. ; Vertigan, Anne E. ; Wang, Gang ; Weinberger, Miles ; Weir, Kelly. / Occupational and Environmental Contributions to Chronic Cough in Adults : Chest Expert Panel Report. In: Chest. 2016 ; Vol. 150, No. 4. pp. 894-907.
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abstract = "Background In response to occupational and environmental exposures, cough can be an isolated symptom reflecting exposure to an irritant with little physiological consequence, or it can be a manifestation of more significant disease. This document reviews occupational and environmental contributions to chronic cough in adults, focusing on aspects not previously covered in the 2006 ACCP Cough Guideline or our more recent systematic review, and suggests an approach to investigation of these factors when suspected. Methods MEDLINE and TOXLINE literature searches were supplemented by articles identified by the cough panel occupational and environmental subgroup members, to identify occupational and environmental aspects of chronic cough not previously covered in the 2006 ACCP Cough Guideline. Based on the literature reviews and the Delphi methodology, the cough panel occupational and environmental subgroup developed guideline suggestions that were approved after review and voting by the full cough panel. Results The literature review identified relevant articles regarding: mechanisms; allergic environmental causes; chronic cough and the recreational and involuntary inhalation of tobacco and marijuana smoke; nonallergic environmental triggers; laryngeal syndromes; and occupational diseases and exposures. Consensus-based statements were developed for the approach to diagnosis due to a lack of strong evidence from published literature. Conclusions Despite increased understanding of cough related to occupational and environmental triggers, there remains a gap between the recommended assessment of occupational and environmental causes of cough and the reported systematic assessment of these factors. There is a need for further documentation of occupational and environmental causes of cough in the future.",
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T1 - Occupational and Environmental Contributions to Chronic Cough in Adults

T2 - Chest Expert Panel Report

AU - Tarlo, Susan M.

AU - Altman, Kenneth W.

AU - Oppenheimer, John

AU - Lim, Kaiser

AU - Vertigan, Anne

AU - Prezant, David J.

AU - Irwin, Richard S.

AU - Adams, Todd M.

AU - Altman, Kenneth W.

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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 - Callahan-Lyon, Priscilla

AU - Chang, Anne B.

AU - Ebihara, Satoru

AU - El Solh, Ali A.

AU - Escalante, Patricio

AU - Feinstein, Anthony

AU - Field, Stephen K.

AU - Fisher, Dina

AU - French, Cynthia T.

AU - Gibson, Peter

AU - Gold, Philip

AU - Gould, Michael K.

AU - Grant, Cameron

AU - Harding, Susan M.

AU - Harnden, Anthony

AU - Hill, Adam T.

AU - Irwin, Richard S.

AU - Kahrilas, Peter J.

AU - Keogh, Karina A.

AU - Lai, Kefang

AU - Lane, Andrew P.

AU - Lim, Kaiser

AU - Malesker, Mark A.

AU - Mazzone, Stuart

AU - McGarvey, Lorcan

AU - Molasiotis, Alex

AU - Murad, M. Hassan

AU - Oppenheimer, John

AU - Prezant, David

AU - Restrepo, Marcos I.

AU - Rosen, Mark

AU - Rubin, Bruce

AU - Ryu, Jay H.

AU - Tarlo, Susan M.

AU - Vertigan, Anne E.

AU - Wang, Gang

AU - Weinberger, Miles

AU - Weir, Kelly

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KW - allergy

KW - cough

KW - environmental

KW - occupational

KW - smoking

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