Digital Tools in Pediatric Chronic Respiratory Disease Management: Technical, Ethical, and Social Challenges – A Position Paper by the Italian Pediatric Respiratory Society (SIMRI/IPRS)

Digital technologies are increasingly integrated into the management of pediatric chronic respiratory diseases, offering new opportunities for monitoring, diagnosis, treatment adherence, and patient engagement. However, their implementation raises important technical, ethical, and social challenges, including issues of interoperability, data protection, equitable access, and clinical validation. This position paper, endorsed by the Italian Pediatric Respiratory Society (SIMRI/IPRS), synthesizes current evidence and expert consensus to provide a structured overview of these challenges. It highlights areas of unmet need, such as the development of standardized guidelines, the promotion of responsible data sharing, and the creation of inclusive digital health policies. By addressing these aspects, the paper aims to inform clinicians, researchers, policymakers, and technology developers, fostering the safe, effective, and equitable integration of digital innovations into pediatric respiratory care.