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:6/24/2016)... ... June 24, 2016 , ... The ... in Dallas that it will receive two significant new grants to support its ... PHA marked its 25th anniversary by recognizing patients, medical professionals and scientists for ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, CA is excited ... To Recovery® program to drive cancer patients to and from their cancer treatments. ... highest quality of life and ongoing independence. Getting to and from medical treatments ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB Medicine ... Making in Emergency Medicine conference in Ponte Vedra Beach, FL. The awards honor ... Emergency Medicine Practice and Pediatric Emergency Medicine Practice. , “With this ...
(Date:6/24/2016)... ... June 24, 2016 , ... Strategic Capital Partners, LLC (SCP) ... obtaining investment capital for emerging technology companies. SCP has delivered investment events ... in more than a million dollars of capital investment for five companies. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Today, MTI-GlobalStem, a ... cells and other difficult to transfect cells, announces its launch of the PluriQ™ ... Gene Editing System is a complete system for culturing and transfecting human ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)...   Bay Area Lyme Foundation , collaborating ... for Tick Borne Illness , Harvard Medical School ... Medicine, University of California, Berkeley, and the Veterans ... finalists of Lyme Innovation , the first ... scientists, clinicians, researchers, entrepreneurs, and investors from several ...
(Date:6/24/2016)... Research and Markets has ... 2015-2025: Applications, Technologies, Forecasts" report to their ... Electronics, Smart Skin, Structural Health Monitoring, Composite Smart ... electronics involves electronic and/or electrical components and circuits ... structures such as vehicle bodies or conformally placed ...
(Date:6/24/2016)... , June 24, 2016 Dehaier Medical Systems ... "Company"), which develops, markets and sells medical devices and ... , signed a strategic cooperation agreement with Hongyuan Supply ... Supply Chain") on June 20, 2016, to develop Dehaier,s ... strategic cooperation agreement, Dehaier will leverage Hongyuan Supply Chain,s ...
Breaking Medicine Technology: