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:5/24/2017)... ... May 24, 2017 , ... Medic CE , a Career Step company, ... Septic Shock” hosted by the Journal of Emergency Medical Services (JEMS). The free webinar, ... be presented by Captain Rommie Duckworth, LP, a career fire captain as well as ...
(Date:5/24/2017)... ... ... you are thinking of a visit to San Francisco , fall is a great ... to visit. , Business Architecture Associates is pleased to offer 5 days of training courses, ... day package for individuals, and as 4-½ day corporate package for up to 3 employees ...
(Date:5/24/2017)... ... , ... Rob Lowe is a sought after actor, and also serves as ... public important topics from all aspects of life, and a new segment is being ... and ankles. , Podiatry is essential to people’s overall well-being, and if viewers have ...
(Date:5/24/2017)... Falls, Wisconsin (PRWEB) , ... May 24, 2017 ... ... leader in clean label food ingredient solutions for the food and beverage industry ... factor in food ingredient statements during the purchasing decision process. As a result, ...
(Date:5/24/2017)... ... May 24, 2017 , ... ... (PVDF) based sleep diagnostics sensors, announced today it had completed the first phase ... a mix of domestic and rest of world (ROW) authorized dealers specializing in ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... , May 10, 2017 Global Health Intelligence ... Latin America , published its 2017 ranking of ... is based on extensive data analysis from GHI,s hospitals ... hospitals database for the region. The GHI database covers 86% ... offering more than 130 data points for each institution in ...
(Date:5/9/2017)... WASHINGTON , May 9, 2017  Demonstrating ... the board of directors for the Pharmaceutical Research ... criteria for membership. Biopharmaceutical companies will now have ... in order to be eligible to join PhRMA. ... criteria, the board is sending a clear message ...
(Date:5/6/2017)... , May 5, 2017   Provista , a ... more than 200,000 customers, today announced Jim Cunniff ... wealth of executive and business experience to Provista, including most ... pharmacy in California . He assumed his ... "Jim is a great fit for Provista," says Jody ...
Breaking Medicine Technology: