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European Clinical Respiratory Journal

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https://www.readbyqxmd.com/read/28469833/use-of-electronic-medical-records-and-biomarkers-to-manage-risk-and-resource-efficiencies
#1
Dermot Ryan, John Blakey, Alison Chisholm, David Price, Mike Thomas, Björn Ställberg, Karin Lisspers, Janwillem W H Kocks
The migration from paper to electronic medical records (EMRs) was motivated by the administrative need to record, retrieve and process increasing amounts of clinical data in the 1980s. In the intervening period, there has been growing recognition of the potential of such records for achieving care efficiencies, informing clinical decision making and real-life research. EMRs can be used to characterise patient groups, management approaches and differential outcomes. Characterisation can also help with identification of potential biomarkers for future risk determination and likely treatment response...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326182/birt-hogg-dub%C3%A3-syndrome-a-case-report-and-a-review-of-the-literature
#2
REVIEW
Dea Kejlberg Jensen, Anders Villumsen, Anne-Bine Skytte, Mia Gebauer Madsen, Mette Sommerlund, Elisabeth Bendstrup
Background: Birt-Hogg-Dubé syndrome (BHDS) is a rare autosomal dominant inherited syndrome caused by mutations in the folliculin coding gene (FLCN). The clinical manifestations of the syndrome involve the skin, lungs, and kidneys. Because of the rarity of the syndrome, guidelines for diagnosis and management of the patients with BHDS are lacking. Objective: To present a case story and a review of the literature on BHDS in order to give an update on genetics, clinical manifestations, diagnosis, treatment, prognosis and follow-up strategies...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326181/undiagnosed-chronic-obstructive-pulmonary-disease-in-patients-admitted-to-an-acute-assessment-unit
#3
Karin D Eikhof, Kristine R Olsen, N C H Wrengler, Carl Nielsen, Uffe Boedtger, Ingrid L Titlestad, Ulla M Weinreich
Introduction: Chronic obstructive pulmonary disease (COPD) is very prevalent worldwide, yet underdiagnosed. Aim: This study investigates feasibility of performing spirometry in patients in need of acute hospital admission as well as the prevalence of undiagnosed COPD in the same cohort. Methods: During a two-week period, all patients admitted to three large acute assessment units were evaluated. Patients ≥ 18 years, able to perform spirometry, with no surgery to the thorax or abdomen within the last weeks and no known COPD was included...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326180/are-physicians-in-primary-health-care-able-to-recognize-pulmonary-fibrosis
#4
Minna Purokivi, Ulla Hodgson, Marjukka Myllärniemi, Eija-Riitta Salomaa, Riitta Kaarteenaho
Background: The early diagnosis of idiopathic pulmonary fibrosis (IPF) has become increasingly important due to evolving treatment options. IPF patients experience a significant delay in receiving an accurate diagnosis, thus delayed access to tertiary care is associated with higher mortality independently from disease severity. Objective: The aims were to evaluate whether there had been a delay in the referral process, and to determine whether the referring doctors had suspected IPF or other interstitial lung disease (ILD) already during the time of referral...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326179/clinic-continuity-of-care-clinical-outcomes-and-direct-costs-for-copd-in-sweden-a-population-based-cohort-study
#5
Sofia Sveréus, Kjell Larsson, Clas Rehnberg
Introduction: In this study we investigate whether clinic level continuity of care (COC) for individuals with chronic obstructive pulmonary disease (COPD) is associated with better health care outcomes and lower costs in a Swedish setting. Methods: Individuals with COPD (N = 20,187) were identified through ICD-10 codes in all Stockholm County health care registries in 2007-2011 (59% female, 40% in the age group 65-74 years). We followed the individuals prospectively for 365 days after their first outpatient visit in 2012...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326178/introduction-of-cryobiopsies-in-the-diagnostics-of-interstitial-lung-diseases-experiences-in-a-referral-center
#6
Sissel Kronborg-White, Birgitte Folkersen, Torben Riis Rasmussen, Nina Voldby, Line Bille Madsen, Finn Rasmussen, Venerino Poletti, Elisabeth Bendstrup
Introduction: Transbronchial cryobiopsies (cTBB) has emerged as a new method for obtaining lung tissue biopsies in the diagnosis of interstitial lung diseases (ILDs). Until now, it has been used in a few highly specialized interventional centers and has shown promising results in obtaining a definite diagnosis of ILDs. Method: All patients undergoing a cTBB between November 2015 and June 2016 were included in this case series study. Data on patient demographics, high-resolution computed tomography patterns, size and number of biopsies, histology patterns, the contribution to a confident diagnosis and complications were registered...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326177/characterization-of-secondary-care-for-copd-in-sweden
#7
Josefin Sundh, Christer Janson, Gunnar Johansson, Anders Lindén, Claes-Göran Löfdahl, Thomas Sandström, Kjell Larsson
Introduction: Only a selected proportion of chronic obstructive pulmonary disease (COPD) patients are managed in secondary care. The aim of this study was to characterize disease severity, treatment and structure of secondary care for COPD in Sweden. Methods: Information was collected from 29 of 33 existing secondary care units of respiratory medicine in Sweden, using both individual data from 373 consecutively enrolled COPD patients with Global initiative on Obstructive Lung Disease (GOLD) stage III-IV and a structural questionnaire about available resources at the units...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326176/medical-thoracoscopy-pleuroscopy-is-it-underutilized
#8
Deniz Koksal, Sevinc Sarinc Ulasli, Salih Emri
No abstract text is available yet for this article.
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326175/letter-to-the-editor
#9
Jean Bousquet
No abstract text is available yet for this article.
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326174/copd-stage-and-treatment-in-a-large-outpatient-clinic
#10
Claire Præst Holm, Jakob Holm, Annette Nørgaard, Nina Godtfredsen
Some COPD patients suffer from frequent exacerbations despite triple inhalation treatment. These frequent exacerbators should be identified, as exacerbations often lead to decreasing lung function and increasing mortality. Roflumilast reduces exacerbations in patients with a previous history of exacerbations. Our aim was to describe COPD patient characteristics and compare roflumilast treatment eligible to non-eligible patients. An observational cross-section study was conducted. Patients were included from a large COPD outpatient clinic...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326173/a-systematic-review-of-occupational-exposure-to-coal-dust-and-the-risk-of-interstitial-lung-diseases
#11
REVIEW
Christiane Beer, Henrik A Kolstad, Klaus Søndergaard, Elisabeth Bendstrup, Dick Heederik, Karen E Olsen, Øyvind Omland, Edward Petsonk, Torben Sigsgaard, David L Sherson, Vivi Schlünssen
Objective: Exposure to coal dust can cause interstitial lung disease (ILD), but whether this is due to pure coal or to the contents of quartz in coal is less clear. Here, we systematically reviewed the relation between 'pure coal' and ILD. Methods: In a systematic review based on PRISMA criteria 2945 articles were identified. Strict eligibility criteria, which evaluated the 'pure coal effect', led to the inclusion of only nine studies. Results: Among these nine studies six studies indicated an independent effect of the non-quartz part of coal on the development and progression of ILD, two did not demonstrate an effect and one was inconclusive...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28326172/the-use-of-copd-maintenance-therapy-following-spirometry-in-general-practice
#12
Vibeke Gottlieb, Anne Marie Lyngsø, Ditte Sæbye, Anne Frølich, Vibeke Backer
BACKGROUND: Several studies have shown that the use of pulmonary medication is widespread and often initiated without initial spirometry. Early detection of chronic obstructive pulmonary disease (COPD) by spirometry in General Practice is essential for an early and correct implementation of medical treatment. AIM: The aim of the present study was to evaluate the use of regular therapy following diagnostic spirometry for COPD in General Practice from February 2008 to February 2009...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27914192/accuracy-and-consequences-of-same-day-invasive-lung-cancer-workup-a-retrospective-study-in-patients-treated-with-surgical-resection
#13
Kirsten Riis Madsen, Asbjørn Høegholm, Uffe Bodtger
BACKGROUND: Though widely used, little is known about accuracy and efficacy of same-day, invasive workup of suspected lung cancer. OBJECTIVE: To evaluate the accuracy and efficacy of same-day, invasive lung cancer workup (diagnosis and mediastinal staging), and to identify differences between patients without (Group A) or with (Group B) need for resampling. METHODS: A retrospective study was performed on all consecutive patients referred for surgical treatment for localised lung cancer after invasive diagnostic and staging workup at our unit...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27900930/availability-of-pulmonary-rehabilitation-in-primary-care-for-patients-with-copd-a-cross-sectional-study-in-sweden
#14
Mats Arne, Margareta Emtner, Karin Lisspers, Karin Wadell, Björn Ställberg
BACKGROUND: Pulmonary rehabilitation (PR) is an important, evidence-based component for the management of individuals with chronic obstructive pulmonary disease (COPD). In daily practice, the majority of COPD patients are treated in primary care. However, information about the availability of PR in primary care in Sweden is lacking. The aim was to investigate the availability of rehabilitation resources in primary care settings for patients with COPD in Sweden. METHODS: A cross-sectional descriptive design was applied, using web-based questionnaires sent to all primary care centres in four regions, comprising more than half of the 9...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27890047/a-clear-urban-rural-gradient-of-allergic-rhinitis-in-a-population-based-study-in-northern-europe
#15
Stine Holmegaard Christensen, Signe Timm, Christer Janson, Bryndis Benediktsdóttir, Bertil Forsberg, Mathias Holm, Rain Jogi, Ane Johannessen, Ernst Omenaas, Torben Sigsgaard, Cecilie Svanes, Vivi Schlünssen
BACKGROUND: The protective effect of farm upbringing on allergic rhinitis is well known, but how upbringing in other environments influences the development of allergic rhinitis is scarcely investigated. The aim of this study was to investigate the association between place of upbringing and pet keeping in childhood and allergic rhinitis and nasal symptoms in adulthood. METHODS: The population-based Respiratory Health in Northern Europe study includes subjects from Denmark, Norway, Sweden, Iceland, and Estonia born in 1945-1973...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27839531/complications-and-discomfort-of-bronchoscopy-a-systematic-review
#16
REVIEW
Elise Orvedal Leiten, Einar Marius Hjellestad Martinsen, Per Sigvald Bakke, Tomas Mikal Lind Eagan, Rune Grønseth
OBJECTIVE: To identify bronchoscopy-related complications and discomfort, meaningful complication rates, and predictors. METHOD: We conducted a systematic literature search in PubMed on 8 February 2016, using a search strategy including the PICO model, on complications and discomfort related to bronchoscopy and related sampling techniques. RESULTS: The search yielded 1,707 hits, of which 45 publications were eligible for full review. Rates of mortality and severe complications were low...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27834178/the-danish-national-database-for-asthma-establishing-clinical-quality-indicators
#17
REVIEW
Susanne Hansen, Benjamin Hoffmann-Petersen, Asger Sverrild, Elvira V Bräuner, Jesper Lykkegaard, Uffe Bodtger, Lone Agertoft, Lene Korshøj, Vibeke Backer
Asthma is one of the most common chronic diseases worldwide affecting more than 300 million people. Symptoms are often non-specific and include coughing, wheezing, chest tightness, and shortness of breath. Asthma may be highly variable within the same individual over time. Although asthma results in death only in extreme cases, the disease is associated with significant morbidity, reduced quality of life, increased absenteeism, and large costs for society. Asthma can be diagnosed based on report of characteristic symptoms and/or the use of several different diagnostic tests...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27834177/swedish-translation-and-linguistic-validation-of-the-multidimensional-dyspnoea-profile
#18
Magnus Ekström, Josefin Sundh
BACKGROUND: Dyspnoea, the feeling of breathing discomfort, consists of multiple dimensions that can vary in intensity, including the level of unpleasantness, qualities or descriptors of the sensation, emotional responses, and impact on function. No validated instrument for multidimensional measurement of dyspnoea is available in Swedish. The Multidimensional Dyspnea Profile (MDP) was recently developed to measure the unpleasantness, sensory qualities, and emotional responses of dyspnoea across diseases and settings...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27834176/primary-pulmonary-adenocarcinoma-in-a-16-year-old-boy-a-five-year-follow-up
#19
Ane Stillits Måreng, Seppo W Langer, Uffe Bodtger
Primary pulmonary adenocarcinoma in children or adolescents is a rare disease, and as such, there are no randomised studies on lung cancer for this age group. Treatment choice is extrapolated from studies in adults (mean age of participants: 60 years). We present the 5-year follow-up of a 16-year-old boy who presented with metastatic primary pulmonary adenocarcinoma (T3N3M1a) and was treated aggressively, including radiation therapy for local and distant recurrence. He had complete remission, had completed his education, was employed full-time, and suffered only from mild side effects to treatment...
2016: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27834175/severe-asthma-anti-ige-or-anti-il-5
#20
REVIEW
Evgenia Papathanassiou, Stelios Loukides, Petros Bakakos
Severe asthma is a discrete clinical entity characterised by recurrent exacerbations, reduced quality of life and poor asthma control as ordinary treatment regimens remain inadequate. Difficulty in managing severe asthma derives partly from the multiple existing phenotypes and our inability to recognise them. Though the exact pathogenetic pathway of severe allergic asthma remains unclear, it is known that numerous inflammatory cells and cytokines are involved, and eosinophils represent a key inflammatory cell mediator...
2016: European Clinical Respiratory Journal
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