Navigation Links
Nitric Oxide Monitoring of Little Benefit for Kids' Asthma
Date:1/9/2009

Added cost may also rule out this additional measure, study suggests

FRIDAY, Jan. 9 (HealthDay News) -- Measuring nitric oxide levels in an asthmatic child's breath every day does not improve the effectiveness of adjusting the child's medications, a new study shows.

Nitric oxide (NO) amounts in an asthmatic's breath can foretell the worsening of symptoms or even an attack. But a 30-week Dutch study of children with the breathing condition found basing daily asthma management on this added knowledge did not improve exacerbation rates, symptoms, or the use of medications any more than just calibrating medication use based on the child's symptoms alone.

However, those in the study -- in which families were regularly contacted by doctors to report on symptoms and receive instructions on adjusting medication -- showed a greater overall improvement in symptoms while cutting inhaled steroid doses in half, regardless of whether their fractional exhaled nitric oxide (FeNO) was being checked.

"We speculate that daily supervision and frequent phone contacts have produced an improvement that could not be beaten by additional monitoring of FeNO, most likely because of a ceiling effect on compliance," Dr. Johan C. de Jongste, of the Erasmus University Medical Center-Sophia Children's Hospital in the Netherlands, wrote in the study.

The findings were published in the second January issue of the American Journal of Respiratory and Critical Care Medicine.

Those in the study's FeNO group had nearly twice as many changes in medication as the symptom-only group, but the cost of the additional monitoring and its lack of apparent benefit would rule out adding this regimen to most asthmatic children's routine.

"There can be no doubt that adding frequent assessments of FeNO to management plans of most children and adults with asthma will add unjustifiable costs without providing clinical benefit. Whether there is a role for monitoring FeNO to aid management of severe asthma is untested," Stephen Stick, of the Princess Margaret Hospital for Children in Perth, Australia, and Peter Franklin, of the Centre for Asthma, Allergy and Respiratory Research at the University of Western Australia in Perth, wrote in an accompanying editorial.

More information

The Asthma and Allergy Foundation of America has more about asthma.



-- Kevin McKeever



SOURCE: American Thoracic Society, news release, Jan. 7, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. NO help: Nitric oxide monitoring does not help most children with asthma
2. Monitoring exhaled nitric oxide does not help manage asthma
3. New study: pine bark extract boosts nitric oxide production
4. Galderma Announces Availability of Epiduo(TM) Gel, the First and Only Combination Treatment with a Retinoid and Benzoyl Peroxide to Treat Acne
5. Small Doses of Carbon Monoxide Might Help Stroke Victims
6. Tis the Season for Carbon Monoxide
7. Particle Sciences Develops Methods for Increasing Quality of Sintered Metal Products and for Coating Surfaces with Metal Oxide Films
8. Carbon Monoxide May Help Bypass Surgery Patients
9. Increased level of magnetic iron oxides found in Alzheimers disease
10. Routine screenings uncover hidden carbon monoxide poisoning
11. UT Southwestern plastic surgeons deploy new carbon dioxide-based fractional laser
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Nitric Oxide Monitoring of Little Benefit for Kids' Asthma
(Date:6/27/2016)... ... June 27, 2016 , ... A revolution ... the emergency ambulance transport experience for the millions of people who require these ... disrupted the taxi industry through the use of technology. Now, SmartEMS has put ...
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, A Forever Recovery, a ... and World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is ... to some of the world’s leading providers of cereal and other breakfast foods. Its ...
(Date:6/26/2016)... ... ... legally blind and certified personal trainer is helping to develop a weight loss fitness plan ... fix the two major problems leading the fitness industry today:, , ... They don’t eliminate all the reasons people quit their exercise program ...
(Date:6/25/2016)... ... 25, 2016 , ... Austin residents seeking Mohs surgery services, can now turn ... to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization ... selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction ...
(Date:6/25/2016)... TX (PRWEB) , ... June 25, 2016 , ... ... the United States, named Dr. Sesan Ogunleye, as the Medical Director of its new ... the facility Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016   Pulmatrix, Inc ., (NASDAQ: ... drugs, announced today that it was added to the ... its comprehensive set of U.S. and global equity indexes ... important milestone for Pulmatrix," said Chief Executive Officer ... our progress in developing drugs for crucial unmet medical ...
(Date:6/23/2016)... , June 23, 2016 Any dentist who has ... of the current process. Many of them do not even ... technical difficulties and high laboratory costs involved. And those who ... it at such a high cost that the majority of ... Dr. Parsa Zadeh , founder of Dental Evolutions ...
(Date:6/23/2016)... , June 23, 2016 ... CAPR ), a biotechnology company focused on ... today announced that patient enrollment in its ongoing ... Duchenne) has exceeded 50% of its 24-patient target. ... in the third quarter of 2016, and to ...
Breaking Medicine Technology: