Monitoring is a major component of asthma management in children. Regular monitoring allows for diagnosis confirmation, treatment optimization, and natural history review. Numerous factors that may affect disease activity and patient well-being need to be monitored: response and adherence to treatment, disease control, disease progression, comorbidities, quality of life, medication side-effects, allergen and irritant exposures, diet and more. However, the prioritization of such factors and the selection of relevant assessment tools is an unmet need. Furthermore, rapidly developing technologies promise new opportunities for closer, or even "real-time," monitoring between visits. Following an approach that included needs assessment, evidence appraisal, and Delphi consensus, the PeARL Think Tank, in collaboration with major international professional and patient organizations, has developed a set of 24 recommendations on pediatric asthma monitoring, to support healthcare professionals in decision-making and care pathway design.

1st Pediatric Department of Pediatrics National Pirogov Memorial Medical University Vinnytsia Children's Regional Hospital Vinnytsia Oblast Ukraine

Allergy and Asthma Network Vienna Virginia USA

Allergy and Clinical Immunology Transylvania University Brasov Romania

Allergy Center CUF Descobertas Hospital and CUF Tejo HospitalInfante Santo Hospital Lisbon Portugal

Allergy Center CUF Descobertas Hospital Lisbon Portugal

Allergy Department 2nd Paediatric Clinic National and Kapodistrian University of Athens Athens Greece

Allergy Department Bambino Gesù Children's Hospital IRCCS Rome Italy

Allergy Unit CHU de Montpellier Montpellier France

Asthma UK Centre for Applied Research Usher Institute of Population Health Sciences and Informatics The University of Edinburgh Edinburgh UK

Astrid Lindgren Children's Hospital Karolinska University Hospital Stockholm Sweden

Benemérita Universidad Autónoma de Puebla Hospital Universitario de Puebla Puebla México

Center of Allergy and Immunology Tbilisi Georgia

Chair Family Physician Airways Group of Canada Ontario Canada

Charité Universitätsmedizin Berlin Pediatric Respiratpry Medicine Immunology and Intensive Care Medicine Berlin Germany

Child Health Royal Aberdeen Children's Hospital and University of Aberdeen Aberdeen UK

Children's Center Bethel Evangelical Hospital Bethel University of Bielefeld Bielefeld Germany

Children's Hospital Boston Pediatric Allergy and Immunology Boston Massachusetts USA

Children's Hospital Landspitali University Hospital Reykjavik Iceland

China Medical University Children's Hospital Taichung Taichung Taiwan

Clinic of Children's Diseases Institute of Clinical Medicine Medical Faculty of Vilnius University Vilnius Lithuania

Department of Allergology and Clinical Immunology Kazakh National Medical University Almaty Kazakhstan

Department of Allergy and Immunology Penn State University Hershey Pennsylvania USA

Department of Allergy Helsinki University Central Hospital Helsinki Finland

Department of Allergy Mother Theresa School of Medicine University of Tirana Tirana Albania

Department of Cardiovascular and Pulmonary Sciences Università Cattolica del Sacro Cuore Rome Italy

Department of Clinical Immunology and Allergology Jessenius Faculty of Medicine in Martin Center for Vaccination in Special Situations University Hospital in Martin Comenius University in Bratislava Bratislava Slovakia

Department of Clinical Pharmacy and Pharmacology University of Groningen University Medical Center of Groningen and QPS NL Groningen The Netherlands

Department of Internal Medicine Asthma and Allergy Medical University of Lodz Lodz Poland

Department of Paediatric Pulmonology Amsterdam Public Health Research Institute Amsterdam University Medical Centers University of Amsterdam Amsterdam The Netherlands

Department of Pediatric Respiratory Diseases and Allergy The Medical University of Warsaw Warsaw Poland

Department of Pediatrics and Child Health Director MRC Unit on Child and Adolescent Health Red Cross War Memorial Children's Hospital University of Cape Town Cape Town South Africa

Department of Pediatrics and Medicine University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA

Department of Pediatrics and of Social and Preventive Medicine University of Montreal Montreal Québec Canada

Department of Pediatrics Faculty of Medicine The Chinese University of Hong Kong Sha Tin Hong Kong

Department of Pediatrics Imperial College London London UK

Department of Pediatrics Jessenius Faculty of Medicine in Martin Center for Vaccination in Special Situations University Hospital in Martin Comenius University in Bratislava Bratislava Slovakia

Department of Pediatrics Kyung Hee University Medical Center Kyung Hee University College of Medicine Seoul South Korea

Department of Pediatrics Nippon Medical School Tokyo Japan

Department of Pediatrics Pulmonology School of Medicine Pontifical Universidad Catolica de Chile Santiago Chile

Department of Pediatrics Respiratory Medicine Service KK Women's and Children's Hospital Singapore City Singapore

Department of Pediatrics Turku University Hospital and University of Turku Turku Finland

Department of Pediatrics University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA

Department of Respiratory Diseases and Respiratory Allergy in Children SI Institute of Pediatrics Obstetrics and Gynecology named after Academician O Lukjanova of NAMS of Ukraine Kyiv Ukraine

Department of Respiratory Medicine Beijing Children's Hospital Capital Medical University National Center for Children's Health China

Department of Women Children Teenagers University Hospital of Geneva Geneva Switzerland

Division of Allergy Immunology and Pulmonary Medicine Department of Pediatrics Monroe Carell Jr Children's Hospital at Vanderbilt University Medical Center Nashville Tennessee USA

Division of Applied Health Sciences Centre of Academic Primary Care University of Aberdeen Aberdeen UK

Division of Infection Immunity and Respiratory Medicine School of Biological Sciences The University of Manchester Manchester UK

Division of Paediatric Allergy Department of Paediatrics University of Cape Town Cape Town South Africa

Division of Pediatric Pulmonology Allergy and Endocrinologyneumology Department of Pediatrics and Juvenile Medicine Comprehensive Center Pediatrics Medical University of Vienna Vienna Austria

Division of Respiratory Medicine and Allergology Department of Pediatrics Erasmus University Medical Centre Sophia Children's Hospital Rotterdam The Netherlands

Faculty of Health Sciences Catholic University of Salta Salta Argentina

Health Planning Unit Department of Social Medicine Faculty of Medicine University of Crete Crete Greece

IDESP UA11 INSERM Universitè de Montpellier Montpellier France

Interasma Global Asthma Association

inVIVO Planetary Health Group of the Worldwide Universities Network

Medical School of Catholic University of Croatia Zagreb Croatia

National Heart and Lung Institute Imperial College London London UK

National Hospital Organization Sagamihara National Hospital Sagamihara Kanagawa Japan

North West Lung Centre Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK

NOVA Medical School Universidade NOVA de Lisboa Lisbon Portugal

Observational and Pragmatic Research Institute Singapore City Singapore

Paediatric Allergy and Respiratory Medicine within Medicine at the University of Southampton Southampton UK

Paediatric Allergy Centre for Allergy Research Karolinska Institutet Solna Sweden

Pediatric Allergy and Asthma Unit Hacettepe University School of Medicine Ankara Turkey

Pediatric Allergy Immunology and Rheumatology Unit Children's Hospital Ain Shams University Cairo Egypt

Pediatric Department University of Szeged Szeged Hungary

Pediatric Pulmonology and Allergy Unit Children's Hospital la Fe Health Research Institute La Fe Valencia Spain

Pediatric Pulmonology Pediatric Department 2nd Faculty of Medicine Charles University Prague Czech Republic

Pediatric Respiratory and Allergy Units Virgen de la Arrixaca Children's University Clinical Hospital University of Murcia Murcia Spain

Pulmonary Division Hospital Santa Casa de Porto Alegre Porto Alegre Brazil

Pulmonology Department Children's Hospital Zhejiang University School of Medicine Hangzhou China

Respiratory Diseases and Allergy Department Research Institute and Teaching Hospital San Martino Genoa Italy

School of Medicine University of Western Australia Perth Western Australia Australia

Srebrnjak Children's Hospital Zagreb Croatia

The Allergy and Asthma Institute Islamabad Pakistan

The European Federation of Allergy and Airways Diseases Patients' Associations Brussels Belgium

Univ Lille Pediatric Pulmonology and Allergy Department Hôpital Jeanne de Flandre CHU Lille Lille cedex France

University Hospital Motol Prague Czech Republic

University of Genoa Genoa Italy

Vinmec International Hospital Hanoi Vietnam

VN Allergy and Asthma Research Centre Chennai Tamilnadu India

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