Personalised pulmonary rehabilitation in COPD

被引：88

作者：

Wouters, Emiel F. M. ^{[1
,2
]}

Wouters, Birgit B. R. E. F. ^{[3
]}

Augustin, Ingrid M. L. ^{[2
]}

Houben-Wilke, Sarah ^{[2
]}

Vanfleteren, Lowie E. G. W. ^{[1
]}

Franssen, Frits M. E. ^{[1
,2
]}

机构：

[1] Maastricht Univ, Med Ctr, Dept Resp Dis, POB 5800, NL-6202 AZ Maastricht, Netherlands

[2] Ctr Expertise Chron Organ Failure, CIRO, Horn, Netherlands

[3] Maastricht Univ, Dept Hlth Eth & Soc, CAPHRI Sch Publ Hlth & Primary Care, Fac Hlth Med & Life Sci,Med Ctr, Maastricht, Netherlands

来源：

EUROPEAN RESPIRATORY REVIEW | 2018年 / 27卷 / 147期

关键词：

SYSTEMIC INFLAMMATION; COMPLEXITY SCIENCE; PRECISION MEDICINE; DISEASE; MANAGEMENT; PHENOTYPES; STATEMENT;

D O I：

10.1183/16000617.0125-2017

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

This review summarises ongoing developments in personalised medicine and individualised medicine in chronic obstructive pulmonary disease (COPD). Currently applied classification systems largely ignore the complexity and heterogeneity of the COPD syndrome. Personalised medicine has to consider the influence of unique circumstances of the person, which contribute to this heterogeneity and complexity. Pulmonary rehabilitation is described as a comprehensive, individualised intervention based on thorough assessment of identifiable treatable traits. Partnership in care will become a crucial factor to improve and maintain health. Tolerating uncertainty and unpredictability will enrich future doctor-patient relationships.

引用

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