Treatment of Severe Stable COPD: the Multidimensional Approach of Treatable Traits

Overview

Journal ERJ Open Res

Specialty Pulmonary Medicine

Date 2020 Sep 28

PMID 32984420

Citations 20

Authors

Marlies van Dijk

Christiaan T Gan

T David Koster

Peter J Wijkstra

Dirk-Jan Slebos

Huib A M Kerstjens

Hester van der Vaart

Marieke L Duiverman

Affiliations

Soon will be listed here.

Abstract

Now that additional treatment options for severe chronic obstructive pulmonary disease (COPD) have emerged in recent years, patients with severe COPD should not be left in the rather hopeless situation of "there is nothing to improve" any more. Inertia or fatalism is a disservice to our patients. Ranging from advanced care planning to quite intense and demanding therapies such as multidisciplinary pulmonary rehabilitation, (endoscopic) lung volume reduction, chronic noninvasive ventilation and lung transplantation, caregivers should try to provide a personalised treatment for every severe COPD patient. In this review, we aim to describe the multidimensional approach to these patients at our centre along the lines of treatable traits leading to specific additional treatment modalities on top of standard care.

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