TABLE 1 ] .
Key Question: In Studies of Subjects With Chronic Cough, Did the Authors State That Evidence-Based Clinical Practice Guidelines or an Evidence-Based Protocol Were Followed for Diagnosis and Management, and Did Fidelity to the Guidelines/Study Improve Outcomes? |
PICOTS/study selection criteria |
Population |
Adult patients receiving clinical evaluation and management for chronic cough |
Includes both subjects with chronic cough that is ultimately resolved (explained) or that remains unresolved, unresponsive, intractable, refractory, idiopathic, unexplained |
Intervention |
Application of evidence-based guidelines or protocols for the diagnosis and management of chronic cough (includes subjects fulfilling the definition of chronic cough, fidelity to the recommended diagnostic evaluations performed and management strategies used, intervention fidelity to the study) |
Use of validated or standardized outcome measures |
Comparators |
Diagnosis and management of chronic cough that is not faithful to evidence-based guidelines or protocols |
Use of nonvalidated or nonstandardized measures to establish outcomes |
Outcomes |
Diagnosis of explained and unexplained (idiopathic) chronic cough |
Subjective or objective improvement in cough severity |
Subjective or objective improvement in cough-specific quality of life |
Timing |
Chronic cough, with cough of ≥ 3 wk duration |
Setting |
Outpatient |
Specialty or primary care |
Study design |
Any clinical trial or comparative study, randomized or not |
English language only |
Date of the first published guideline for the management of cough (1998) forward |
Human |
All sample sizes |
Studies with enough detail related to full cough guideline or protocol use to assess for intervention fidelity; exclude case series submitted as letters to the editor |
PICOTS = population, intervention, comparator, outcome, timing, setting.