An Official American Thoracic Society/European Respiratory Society Statement: Research Questions in Chronic Obstructive Pulmonary Disease

被引:172
作者
Celli, Bartolome R. [1 ]
Decramer, Marc [1 ]
Wedzicha, Jadwiga A. [1 ]
Wilson, Kevin C. [1 ]
Agusti, Alvar [1 ]
Griner, Gerard J. [1 ]
MacNee, William [1 ]
Make, Barry J. [1 ]
Rennard, Stephen I. [1 ]
Stockley, Robert A. [1 ]
Vogelmeier, Claus [1 ]
Anzueto, Antonio [1 ]
Au, David H. [1 ]
Barnes, Peter J. [1 ]
Burgel, Pierre-Regis [1 ]
Calverley, Peter M. [1 ]
Casanova, Ciro [1 ]
Clini, Enrico M. [1 ]
Cooper, Christopher B. [1 ]
Coxson, Harvey O. [1 ]
Dusser, Daniel J. [1 ]
Fabbri, Leonardo M. [1 ]
Fahy, Bonnie [1 ]
Ferguson, Gary T. [1 ]
Fisher, Andrew [1 ]
Fletcher, Monica J. [1 ]
Hayot, Maurice [1 ]
Hurst, John R. [1 ]
Jones, Paul W. [1 ]
Mahler, Donald A. [1 ]
Maltais, Francois [1 ]
Mannino, David M. [1 ]
Martinez, Fernando J. [1 ]
Miravitlles, Marc [1 ]
Meek, Paula M. [1 ]
Papi, Alberto [1 ]
Rabe, Klaus F. [1 ]
Roche, Nicolas [1 ]
Sciurba, Frank C. [1 ]
Sethi, Sanjay [1 ]
Siafakas, Nikos [1 ]
Sin, Don D. [1 ]
Soriano, Joan B. [1 ]
Stoller, James K. [1 ]
Tashkin, Donald P. [1 ]
Troosters, Thierry [1 ]
Verleden, Geert M. [1 ]
Verschakelen, Johny [1 ]
Vestbo, Jorgen [1 ]
Walsh, John W. [1 ]
机构
[1] Boston Univ, Med Ctr, Ctr Pulm, Amer Thorac Soc,Documents & Med Affairs, R-304,72 E Concord St, Boston, MA 02118 USA
关键词
POSITIVE-PRESSURE VENTILATION; AIR-FLOW OBSTRUCTION; RANDOMIZED CONTROLLED-TRIAL; TERM OXYGEN-THERAPY; SMOKING-CESSATION; NONINVASIVE VENTILATION; COMPUTED-TOMOGRAPHY; LUNG-FUNCTION; DOUBLE-BLIND; BODE INDEX;
D O I
10.1164/rccm.201501-0044ST
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity, mortality, and resource use worldwide. The goal of this Official American Thoracic Society (ATS)/European Respiratory Society (ERS) Research Statement is to describe evidence related to diagnosis, assessment, and management; identify gaps in knowledge; and make recommendations for future research. It is not intended to provide clinical practice recommendations on COPD diagnosis and management. Methods: Clinicians, researchers, and patient advocates with expertise in COPD were invited to participate. A literature search of Medline was performed, and studies deemed relevant were selected. The search was not a systematic review of the evidence. Existing evidence was appraised and summarized, and then salient knowledge gaps were identified. Results: Recommendations for research that addresses important gaps in the evidence in all areas of COPD were formulated via discussion and consensus. Conclusions: Great strides have been made in the diagnosis, assessment, and management of COPD as well as understanding its pathogenesis. Despite this, many important questions remain unanswered. This ATS/ERS Research Statement highlights the types of research that leading clinicians, researchers, and patient advocates believe will have the greatest impact on patient-centered Outcomes.
引用
收藏
页码:831 / 844
页数:14
相关论文
共 122 条
[21]   High prevalence of diagnosis of diabetes, depression, anxiety, hypertension, asthma and COPD in the total population of Stockholm, Sweden - a challenge for public health [J].
Carlsson, Axel C. ;
Wandell, Per ;
Osby, Urban ;
Zarrinkoub, Ramin ;
Wettermark, Bjorn ;
Ljunggren, Gunnar .
BMC PUBLIC HEALTH, 2013, 13
[22]   Improvement in exercise tolerance with the combination of tiotropium and pulmonary rehabilitation in patients with COPD [J].
Casaburi, R ;
Kukafka, D ;
Cooper, CB ;
Witek, TJ ;
Kesten, S .
CHEST, 2005, 127 (03) :809-817
[23]   Distinct Quantitative Computed Tomography Emphysema Patterns Are Associated with Physiology and Function in Smokers [J].
Castaldi, Peter J. ;
Estepar, Raul San Jose ;
Mendoza, Carlos S. ;
Hersh, Craig P. ;
Laird, Nan ;
Crapo, James D. ;
Lynch, David A. ;
Silverman, Edwin K. ;
Washko, George R. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2013, 188 (09) :1083-1090
[24]   Effect of pharmacotherapy on rate of decline of lung function in chronic obstructive pulmonary disease - Results from the TORCH study [J].
Celli, Bartolome R. ;
Thomas, Nicola E. ;
Anderson, Julie A. ;
Ferguson, Gary T. ;
Jenkins, Christine R. ;
Jones, Paul W. ;
Vestbo, Jorgen ;
Knobil, Katharine ;
Yates, Julie C. ;
Calverley, Peter M. A. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2008, 178 (04) :332-338
[25]   Inflammatory Biomarkers Improve Clinical Prediction of Mortality in Chronic Obstructive Pulmonary Disease [J].
Celli, Bartolome R. ;
Locantore, Nicholas ;
Yates, Julie ;
Tal-Singer, Ruth ;
Miller, Bruce E. ;
Bakke, Per ;
Calverley, Peter ;
Coxson, Harvey ;
Crim, Courtney ;
Edwards, Lisa D. ;
Lomas, David A. ;
Duvoix, Annelyse ;
MacNee, William ;
Rennard, Stephen ;
Silverman, Edwin ;
Vestbo, Jorgen ;
Wouters, Emiel ;
Agusti, Alvar .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2012, 185 (10) :1065-1072
[26]   Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper [J].
Celli, BR ;
MacNee, W ;
Agusti, A ;
Anzueto, A ;
Berg, B ;
Buist, AS ;
Calverley, PMA ;
Chavannes, N ;
Dillard, T ;
Fahy, B ;
Fein, A ;
Heffner, J ;
Lareau, S ;
Meek, P ;
Martinez, F ;
McNicholas, W ;
Muris, J ;
Austegard, E ;
Pauwels, R ;
Rennard, S ;
Rossi, A ;
Siafakas, N ;
Tiep, B ;
Vestbo, J ;
Wouters, E ;
ZuWallack, R .
EUROPEAN RESPIRATORY JOURNAL, 2004, 23 (06) :932-946
[27]   The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease [J].
Celli, BR ;
Cote, CG ;
Marin, JM ;
Casanova, C ;
de Oca, MM ;
Mendez, RA ;
Pinto Plata, V ;
Cabral, HJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (10) :1005-1012
[28]   Underestimation of airflow obstruction among young adults using FEV1/FVC <70% as a fixed cut-off: a longitudinal evaluation of clinical and functional outcomes [J].
Cerveri, I. ;
Corsico, A. G. ;
Accordini, S. ;
Niniano, R. ;
Ansaldo, E. ;
Anto, J. M. ;
Kunzli, N. ;
Janson, C. ;
Sunyer, J. ;
Jarvis, D. ;
Svanes, C. ;
Gislason, T. ;
Heinrich, J. ;
Schouten, J. P. ;
Wjst, M. ;
Burney, P. ;
de Marco, R. .
THORAX, 2008, 63 (12) :1040-1045
[29]   Tiotropium versus long-acting beta-agonists for stable chronic obstructive pulmonary disease [J].
Chong, Jimmy ;
Karner, Charlotta ;
Poole, Phillippa .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (09)
[30]   Accuracy of low-dose computed tomography (CT) for detecting and characterizing the most common CT-patterns of pulmonary disease [J].
Christe, Andreas ;
Charimo-Torrente, Jaled ;
Roychoudhury, Kingshuk ;
Vock, Peter ;
Roos, Justus E. .
EUROPEAN JOURNAL OF RADIOLOGY, 2013, 82 (03) :E142-E150