Treatment of severe stable COPD: the multidimensional approach of treatable traits

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

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

26 Downloads (Pure)

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.

Original languageEnglish
Article number00322-2019
Number of pages15
JournalERJ Open Research
Volume6
Issue number3
DOIs
Publication statusPublished - Jul-2020

Cite this