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Home oxygen therapy for adults with chronic lung disease an official american thoracic society clinical practice guideline

Jacobs, Susan S. ; Krishnan, Jerry A. ; Lederer, David J. ; Ghazipura, Marya ; Hossain, Tanzib ; Tan, Ai Yui M. ; Carlin, Brian ; Bradley Drummond, M. ; Ekstrom, Magnus LU orcid and Garvey, Chris , et al. (2020) In American Journal of Respiratory and Critical Care Medicine 202(10). p.121-141
Abstract

Background: Evidence-based guidelines are needed for effective delivery of home oxygen therapy to appropriate patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD). Methods: The multidisciplinary panel created six research questions using a modified Delphi approach. A systematic review of the literature was completed, and the Grading of Recommendations Assessment, Development and Evaluation approach was used to formulate clinical recommendations. Recommendations: The panel found varying quality and availability of evidence and made the following judgments: 1) strong recommendations for long-term oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe... (More)

Background: Evidence-based guidelines are needed for effective delivery of home oxygen therapy to appropriate patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD). Methods: The multidisciplinary panel created six research questions using a modified Delphi approach. A systematic review of the literature was completed, and the Grading of Recommendations Assessment, Development and Evaluation approach was used to formulate clinical recommendations. Recommendations: The panel found varying quality and availability of evidence and made the following judgments: 1) strong recommendations for long-term oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe chronic resting hypoxemia, 2) a conditional recommendation against long-term oxygen use in patients with COPD with moderate chronic resting hypoxemia, 3) conditional recommendations for ambulatory oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe exertional hypoxemia, 4) a conditional recommendation for ambulatory liquidoxygen use in patients who are mobile outside the home and require .3 L/min of continuous-flow oxygen during exertion (very-lowquality evidence), and 5) a recommendation that patients and their caregivers receive education on oxygen equipment and safety (bestpractice statement). Conclusions: These guidelines provide the basis for evidence-based use of home oxygen therapy in adults with COPD or ILD but also highlight the need for additional research to guide clinical practice.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Chronic obstructive pulmonary disease, Hypoxemia, Interstitial lung disease, Mobility, Quality of life
in
American Journal of Respiratory and Critical Care Medicine
volume
202
issue
10
pages
121 - 141
publisher
American Thoracic Society
external identifiers
  • pmid:33185464
  • scopus:85096202984
ISSN
1073-449X
DOI
10.1164/rccm.202009-3608ST
language
English
LU publication?
yes
id
8a701654-3a3d-4310-8cfd-1e4e1cabdffb
date added to LUP
2021-01-15 12:43:04
date last changed
2024-06-27 06:58:01
@article{8a701654-3a3d-4310-8cfd-1e4e1cabdffb,
  abstract     = {{<p>Background: Evidence-based guidelines are needed for effective delivery of home oxygen therapy to appropriate patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD). Methods: The multidisciplinary panel created six research questions using a modified Delphi approach. A systematic review of the literature was completed, and the Grading of Recommendations Assessment, Development and Evaluation approach was used to formulate clinical recommendations. Recommendations: The panel found varying quality and availability of evidence and made the following judgments: 1) strong recommendations for long-term oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe chronic resting hypoxemia, 2) a conditional recommendation against long-term oxygen use in patients with COPD with moderate chronic resting hypoxemia, 3) conditional recommendations for ambulatory oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe exertional hypoxemia, 4) a conditional recommendation for ambulatory liquidoxygen use in patients who are mobile outside the home and require .3 L/min of continuous-flow oxygen during exertion (very-lowquality evidence), and 5) a recommendation that patients and their caregivers receive education on oxygen equipment and safety (bestpractice statement). Conclusions: These guidelines provide the basis for evidence-based use of home oxygen therapy in adults with COPD or ILD but also highlight the need for additional research to guide clinical practice.</p>}},
  author       = {{Jacobs, Susan S. and Krishnan, Jerry A. and Lederer, David J. and Ghazipura, Marya and Hossain, Tanzib and Tan, Ai Yui M. and Carlin, Brian and Bradley Drummond, M. and Ekstrom, Magnus and Garvey, Chris and Graney, Bridget A. and Jackson, Beverly and Kallstrom, Thomas and Knight, Shandra L. and Lindell, Kathleen and Prieto-Centurion, Valentin and Renzoni, Elisabetta A. and Ryerson, Christopher J. and Schneidman, Ann and Swigris, Jeffrey and Upson, Dona and Holland, Anne E.}},
  issn         = {{1073-449X}},
  keywords     = {{Chronic obstructive pulmonary disease; Hypoxemia; Interstitial lung disease; Mobility; Quality of life}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{121--141}},
  publisher    = {{American Thoracic Society}},
  series       = {{American Journal of Respiratory and Critical Care Medicine}},
  title        = {{Home oxygen therapy for adults with chronic lung disease an official american thoracic society clinical practice guideline}},
  url          = {{http://dx.doi.org/10.1164/rccm.202009-3608ST}},
  doi          = {{10.1164/rccm.202009-3608ST}},
  volume       = {{202}},
  year         = {{2020}},
}