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  1. Article ; Online: Gefapixant for Chronic Cough.

    Turner, Richard D / Smith, Jaclyn A / Birring, Surinder S

    JAMA

    2024  Volume 331, Issue 6, Page(s) 529

    MeSH term(s) Humans ; Benzenesulfonamides/therapeutic use ; Chronic Cough/drug therapy ; Pyrimidines/therapeutic use ; Sulfonamides
    Chemical Substances Benzenesulfonamides ; Gefapixant (6K6L7E3F1L) ; Pyrimidines ; Sulfonamides
    Language English
    Publishing date 2024-02-13
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2023.26032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Chronic Cough as a Genetic Neurological Disorder? Insights from Cerebellar Ataxia with Neuropathy and Vestibular Areflexia Syndrome (CANVAS).

    Turner, Richard D / Hirons, Barnaby / Cortese, Andrea / Birring, Surinder S

    Lung

    2023  Volume 201, Issue 6, Page(s) 511–519

    Abstract: Chronic cough is common, and in many cases unexplained or refractory to otherwise effective treatment of associated medical conditions. Cough hypersensitivity has developed as a paradigm that helps to explain clinical and research observations that ... ...

    Abstract Chronic cough is common, and in many cases unexplained or refractory to otherwise effective treatment of associated medical conditions. Cough hypersensitivity has developed as a paradigm that helps to explain clinical and research observations that frequently point towards chronic cough as a neuropathic disorder. Cerebellar ataxia with neuropathy and vestibular areflexia syndrome (CANVAS) is a recently described neurological condition whose clinical features include gait ataxia, unsteadiness, peripheral neuropathy, and autonomic dysfunction. Chronic cough is also a common feature of the syndrome, with features of hypersensitivity, often preceding core neurological symptoms by up to 30 years or more. The genetic basis in a majority of cases of CANVAS appears to be biallelic variable repeat intron expansion sequences within RFC1, a gene normally involved in the regulation of DNA replication and repair. The same polymorphism has now been identified at an increased frequency in patients with unexplained or refractory chronic cough in the absence of defining clinical features of CANVAS. This review expands on these points, aiming to increase the awareness of CANVAS amongst clinicians and researchers working with chronic cough. We discuss the implications of a link between RFC1 disease and cough. Improved understanding of CANVAS may lead to an enhanced grasp of the pathophysiology of chronic cough, and new approaches to antitussive treatments.
    MeSH term(s) Humans ; Cerebellar Ataxia/diagnosis ; Cerebellar Ataxia/genetics ; Bilateral Vestibulopathy/complications ; Cough/genetics ; Cough/complications ; Peripheral Nervous System Diseases ; Syndrome
    Language English
    Publishing date 2023-11-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 6165-7
    ISSN 1432-1750 ; 0341-2040
    ISSN (online) 1432-1750
    ISSN 0341-2040
    DOI 10.1007/s00408-023-00660-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Chronic Refractory Cough: A Disorder of the Brain and the Respiratory System.

    Cho, Peter S P / Turner, Richard D

    Chest

    2022  Volume 162, Issue 4, Page(s) 736–737

    MeSH term(s) Brain/diagnostic imaging ; Chronic Disease ; Cough/diagnosis ; Cough/etiology ; Humans ; Respiratory System
    Language English
    Publishing date 2022-09-14
    Publishing country United States
    Document type Editorial
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2022.06.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Neurokinin-1 Receptor Inhibition and Cough.

    Turner, Richard D / Birring, Surinder S

    American journal of respiratory and critical care medicine

    2020  Volume 203, Issue 6, Page(s) 672–674

    MeSH term(s) Antitussive Agents/therapeutic use ; Aprepitant/therapeutic use ; Cough/drug therapy ; Humans ; Lung Neoplasms ; Receptors, Neurokinin-1/therapeutic use
    Chemical Substances Antitussive Agents ; Receptors, Neurokinin-1 ; Aprepitant (1NF15YR6UY)
    Language English
    Publishing date 2020-10-27
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.202010-3783ED
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Cough Intensity: Is Respiratory Muscle Activation Important and Does It Relate to Symptoms?

    Turner, Richard D

    Chest

    2016  Volume 149, Issue 1, Page(s) 285–286

    MeSH term(s) Cough/physiopathology ; Exhalation/physiology ; Female ; Humans ; Male ; Muscle Contraction/physiology ; Muscle Strength/physiology ; Respiratory Muscles/physiopathology
    Language English
    Publishing date 2016-01
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2015.09.034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Chronic cough: ATP, afferent pathways and hypersensitivity.

    Turner, Richard D / Birring, Surinder S

    The European respiratory journal

    2019  Volume 54, Issue 1

    MeSH term(s) Adenosine Triphosphate ; Afferent Pathways ; Chronic Disease ; Cough ; Humans ; Reflex
    Chemical Substances Adenosine Triphosphate (8L70Q75FXE)
    Language English
    Publishing date 2019-07-04
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.00889-2019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Cough and Pain: More Similar Than at First Glance.

    Cho, Peter S P / Turner, Richard D

    Chest

    2021  Volume 159, Issue 3, Page(s) 904–905

    MeSH term(s) Automobile Driving ; Cough/etiology ; Humans ; Pain
    Language English
    Publishing date 2021-03-07
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2020.10.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Cough in chronic lung disease: a state of the art review.

    Hirons, Barnaby / Rhatigan, Katherine / Kesavan, Harini / Turner, Richard D / Birring, Surinder S / Cho, Peter S P

    Journal of thoracic disease

    2023  Volume 15, Issue 10, Page(s) 5823–5843

    Abstract: Chronic cough (CC; ≥8 weeks in duration) is a common and burdensome feature of respiratory diseases. The understanding of cough has progressed significantly in recent years, albeit largely in refractory (unexplained) chronic cough (RCC) in the absence of ...

    Abstract Chronic cough (CC; ≥8 weeks in duration) is a common and burdensome feature of respiratory diseases. The understanding of cough has progressed significantly in recent years, albeit largely in refractory (unexplained) chronic cough (RCC) in the absence of other respiratory conditions. The prevalence of CC in respiratory diseases is poorly described, but estimates have been reported: asthma (8-58%), chronic obstructive pulmonary disease (COPD; 10-74%), bronchiectasis (82-98%), interstitial lung disease (ILD; 50-89%) and sarcoidosis (3-64%). CC in respiratory conditions generally predicts impaired health status and more severe disease. It is associated with increased symptom burden and disease severity in asthma, COPD, bronchiectasis and ILD, higher exacerbation frequency in asthma and bronchiectasis, and increased mortality and lung transplantation in idiopathic pulmonary fibrosis (IPF). Physiologically, heightened cough reflex sensitivity (CRS) has been reported and postulated to be mechanistic in isolated RCC. Cough reflex hypersensitivity (CRH) has also been reported in asthma, COPD, bronchiectasis, ILD and sarcoidosis. Unlike recent advances in isolated RCC, there are limited studies and understanding of central cough neuropathways in other respiratory conditions. Of note, dysfunctional central voluntary cough suppression neuropathways and physiology were observed in isolation in RCC; cough suppression is preserved in COPD. Understanding in the mechanism of RCC cannot be simply extrapolated to other respiratory conditions. The restricted understanding of cough mechanisms in these conditions has limited cough-specific therapeutic options in this context. There is currently an unmet need to expand our understanding of cough in chronic respiratory conditions, both in order to improve the quality of life of patients, and to improve knowledge of cough in general. This review aims to describe the prevalence, impact, pathophysiology and management of CC in asthma, COPD, bronchiectasis, ILD and sarcoidosis.
    Language English
    Publishing date 2023-09-21
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd-22-1776
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Extra safeguards are needed.

    Turner, Richard D

    BMJ (Clinical research ed.)

    2012  Volume 345, Page(s) e6206

    MeSH term(s) Delivery of Health Care, Integrated ; Electronic Health Records ; Humans ; Medical Records ; Patient Access to Records
    Language English
    Publishing date 2012-09-18
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.e6206
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  10. Article ; Online: Chronic cough and a normal chest X-ray - a simple systematic approach to exclude common causes before referral to secondary care: a retrospective cohort study.

    Turner, Richard D / Bothamley, Graham H

    NPJ primary care respiratory medicine

    2016  Volume 26, Page(s) 15081

    Abstract: Chronic cough is common in the community and can cause significant morbidity. It is not clear how closely treatment guidelines are used in general practice, or how often specialist referral is indicated. We aimed to assess the management of chronic cough ...

    Abstract Chronic cough is common in the community and can cause significant morbidity. It is not clear how closely treatment guidelines are used in general practice, or how often specialist referral is indicated. We aimed to assess the management of chronic cough in primary care before referral to a cough clinic, and to assess the outcome of managing chronic cough with an approach of simple investigation and empirical treatment trials. Data were extracted from the records of all patients attending a district general hospital respiratory clinic over a two-year period with isolated chronic cough lasting ⩾8 weeks. The clinic assessed symptoms with a cough-severity visual analogue scale and the Leicester Cough Questionnaire. Among 266 patients, the most frequent diagnoses were asthma (29%), gastro-oesophageal reflux (22%) and angiotensin-converting enzyme inhibitor use (14%). In all, 12% had unexplained chronic cough. Common diagnoses had often not been excluded in primary care: only 21% had undergone spirometry, 86% had undergone chest radiography and attempts to exclude asthma with corticosteroids had been made only in 39%. In the clinic few investigations were conducted that were not available in primary care. Substantial improvements in symptoms occurred with a median (interquartile range) total of 2 (2-3) clinic visits. We estimated that 87% of patients could have been managed solely in primary care; we did not identify distinguishing characteristics among this group. Most cases of chronic cough referred to secondary care could be managed with a simple and systematic approach, which is potentially transferrable to a community setting.
    MeSH term(s) Adrenal Cortex Hormones/therapeutic use ; Adult ; Aged ; Angiotensin-Converting Enzyme Inhibitors/adverse effects ; Asthma/complications ; Asthma/diagnosis ; Chronic Disease ; Cohort Studies ; Cough/diagnosis ; Cough/drug therapy ; Cough/etiology ; Diagnosis, Differential ; Disease Management ; Female ; Gastroesophageal Reflux/complications ; Gastroesophageal Reflux/diagnosis ; Humans ; Male ; Middle Aged ; Radiography, Thoracic ; Referral and Consultation ; Retrospective Studies ; Secondary Care ; Spirometry
    Chemical Substances Adrenal Cortex Hormones ; Angiotensin-Converting Enzyme Inhibitors
    Language English
    Publishing date 2016-03-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2780812-9
    ISSN 2055-1010 ; 2055-1010
    ISSN (online) 2055-1010
    ISSN 2055-1010
    DOI 10.1038/npjpcrm.2015.81
    Database MEDical Literature Analysis and Retrieval System OnLINE

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