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European Respiratory Society clinical practice guideline : palliative care for people with COPD or interstitial lung disease

Janssen, Daisy J.A. ; Bajwah, Sabrina ; Boon, Michele Hilton ; Coleman, Courtney ; Currow, David C. ; Devillers, Albert ; Vandendungen, Chantal ; Ekström, Magnus LU orcid ; Flewett, Ron and Greenley, Sarah , et al. (2023) In European Respiratory Journal 62(2).
Abstract

There is increased awareness of palliative care needs in people with COPD or interstitial lung disease (ILD). This European Respiratory Society (ERS) task force aimed to provide recommendations for initiation and integration of palliative care into the respiratory care of adult people with COPD or ILD. The ERS task force consisted of 20 members, including representatives of people with COPD or ILD and informal caregivers. Eight questions were formulated, four in the Population, Intervention, Comparison, Outcome format. These were addressed with full systematic reviews and application of Grading of Recommendations Assessment, Development and Evaluation for assessing the evidence. Four additional questions were addressed narratively. An... (More)

There is increased awareness of palliative care needs in people with COPD or interstitial lung disease (ILD). This European Respiratory Society (ERS) task force aimed to provide recommendations for initiation and integration of palliative care into the respiratory care of adult people with COPD or ILD. The ERS task force consisted of 20 members, including representatives of people with COPD or ILD and informal caregivers. Eight questions were formulated, four in the Population, Intervention, Comparison, Outcome format. These were addressed with full systematic reviews and application of Grading of Recommendations Assessment, Development and Evaluation for assessing the evidence. Four additional questions were addressed narratively. An "evidence-to-decision"framework was used to formulate recommendations. The following definition of palliative care for people with COPD or ILD was agreed. A holistic and multidisciplinary person-centred approach aiming to control symptoms and improve quality of life of people with serious health-related suffering because of COPD or ILD, and to support their informal caregivers. Recommendations were made regarding people with COPD or ILD and their informal caregivers: to consider palliative care when physical, psychological, social or existential needs are identified through holistic needs assessment; to offer palliative care interventions, including support for informal caregivers, in accordance with such needs; to offer advance care planning in accordance with preferences; and to integrate palliative care into routine COPD and ILD care. Recommendations should be reconsidered as new evidence becomes available.

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publishing date
type
Contribution to journal
publication status
published
subject
in
European Respiratory Journal
volume
62
issue
2
article number
2202014
publisher
European Respiratory Society
external identifiers
  • pmid:37290789
  • scopus:85168239848
ISSN
0903-1936
DOI
10.1183/13993003.02014-2022
language
English
LU publication?
yes
id
79e4d3b5-22f3-4f27-bb25-6487a35512fd
date added to LUP
2023-11-01 10:50:13
date last changed
2024-04-19 03:23:35
@article{79e4d3b5-22f3-4f27-bb25-6487a35512fd,
  abstract     = {{<p>There is increased awareness of palliative care needs in people with COPD or interstitial lung disease (ILD). This European Respiratory Society (ERS) task force aimed to provide recommendations for initiation and integration of palliative care into the respiratory care of adult people with COPD or ILD. The ERS task force consisted of 20 members, including representatives of people with COPD or ILD and informal caregivers. Eight questions were formulated, four in the Population, Intervention, Comparison, Outcome format. These were addressed with full systematic reviews and application of Grading of Recommendations Assessment, Development and Evaluation for assessing the evidence. Four additional questions were addressed narratively. An "evidence-to-decision"framework was used to formulate recommendations. The following definition of palliative care for people with COPD or ILD was agreed. A holistic and multidisciplinary person-centred approach aiming to control symptoms and improve quality of life of people with serious health-related suffering because of COPD or ILD, and to support their informal caregivers. Recommendations were made regarding people with COPD or ILD and their informal caregivers: to consider palliative care when physical, psychological, social or existential needs are identified through holistic needs assessment; to offer palliative care interventions, including support for informal caregivers, in accordance with such needs; to offer advance care planning in accordance with preferences; and to integrate palliative care into routine COPD and ILD care. Recommendations should be reconsidered as new evidence becomes available.</p>}},
  author       = {{Janssen, Daisy J.A. and Bajwah, Sabrina and Boon, Michele Hilton and Coleman, Courtney and Currow, David C. and Devillers, Albert and Vandendungen, Chantal and Ekström, Magnus and Flewett, Ron and Greenley, Sarah and Guldin, Mai Britt and Jácome, Cristina and Johnson, Miriam J. and Kurita, Geana Paula and Maddocks, Matthew and Marques, Alda and Pinnock, Hilary and Simon, Steffen T. and Tonia, Thomy and Marsaa, Kristoffer}},
  issn         = {{0903-1936}},
  language     = {{eng}},
  number       = {{2}},
  publisher    = {{European Respiratory Society}},
  series       = {{European Respiratory Journal}},
  title        = {{European Respiratory Society clinical practice guideline : palliative care for people with COPD or interstitial lung disease}},
  url          = {{http://dx.doi.org/10.1183/13993003.02014-2022}},
  doi          = {{10.1183/13993003.02014-2022}},
  volume       = {{62}},
  year         = {{2023}},
}