1
|
Agusti A, Alcazar B, Cosio B, Echave JM, Faner R, Izquierdo JL, Marin JM, Soler-Cataluña JJ, Celli B. Time for a change: anticipating the diagnosis and treatment of COPD. Eur Respir J 2020; 56:56/1/2002104. [DOI: 10.1183/13993003.02104-2020] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 06/15/2020] [Indexed: 01/12/2023]
|
2
|
Gaga M, Powell P, Almagro M, Tsiligianni I, Loukides S, Roca J, Cullen M, Simonds AK, Ward B, Saraiva I, Troosters T, Robalo Cordeiro C. ERS Presidential Summit 2018: multimorbidities and the ageing population. ERJ Open Res 2019; 5:00126-2019. [PMID: 31579675 PMCID: PMC6759575 DOI: 10.1183/23120541.00126-2019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Accepted: 07/29/2019] [Indexed: 11/12/2022] Open
Abstract
As the average age of the population increases, so will the prevalence of chronic respiratory diseases and associated multimorbidity. This will result in a more complex clinical environment. Part of the solution will be to allow patients to be co-creators in the design of their care. It will also require clinicians to shift in their current approaches to care, step out of the disease- or pathology-oriented approach and embrace new ideas. In an effort to prepare the respiratory community for the challenge, we reflect on concepts to empower patients via multidisciplinary systems, new technologies and transition from end-of-life care to advanced care planning.
Collapse
Affiliation(s)
- Mina Gaga
- 7th Resp. Med. Dept and Asthma Center, Athens, Greece
| | | | - Marta Almagro
- ELF Bronchiectasis Patient Advisory Committee, Sheffield, UK
| | | | | | - Josep Roca
- University of Barcelona, Barcelona, Spain
| | | | | | - Brian Ward
- European Respiratory Society, Brussels, Belgium
| | | | | | | |
Collapse
|
3
|
Roca J, Tenyi A, Cano I. Paradigm changes for diagnosis: using big data for prediction. ACTA ACUST UNITED AC 2018; 57:317-327. [DOI: 10.1515/cclm-2018-0971] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Accepted: 11/21/2018] [Indexed: 11/15/2022]
Abstract
Abstract
Due to profound changes occurring in biomedical knowledge and in health systems worldwide, an entirely new health and social care scenario is emerging. Moreover, the enormous technological potential developed over the last years is increasingly influencing life sciences and driving changes toward personalized medicine and value-based healthcare. However, the current slow progression of adoption, limiting the generation of healthcare efficiencies through technological innovation, can be realistically overcome by fostering convergence between a systems medicine approach and the principles governing Integrated Care. Implicit with this strategy is the multidisciplinary active collaboration of all stakeholders involved in the change, namely: citizens, professionals with different profiles, academia, policy makers, industry and payers. The article describes the key building blocks of an open and collaborative hub currently being developed in Catalonia (Spain) aiming at generation, deployment and evaluation of a personalized medicine program addressing highly prevalent chronic conditions that often show co-occurrence, namely: cardiovascular disorders, chronic obstructive pulmonary disease, type 2 diabetes mellitus; metabolic syndrome and associated mental disturbances (anxiety-depression and altered behavioral patterns leading to unhealthy life styles).
Collapse
Affiliation(s)
- Josep Roca
- Hospital Clínic, IDIBAPS, Facultat de Medicina , Universitat de Barcelona , Barcelona, Catalunya , Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES) , Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0 , 28029, Madrid, Catalunya , Spain , Phone: +34-932275747, Fax: +34-932275455
| | - Akos Tenyi
- Hospital Clínic, IDIBAPS, Facultat de Medicina , Universitat de Barcelona , Barcelona, Catalunya , Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES) , Madrid, Catalunya , Spain
| | - Isaac Cano
- Hospital Clínic, IDIBAPS, Facultat de Medicina , Universitat de Barcelona , Barcelona, Catalunya , Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES) , Madrid, Catalunya , Spain
| |
Collapse
|
4
|
Pinnock H, Sheikh A. Standards for reporting implementation studies (StaRI): enhancing reporting to improve care. NPJ Prim Care Respir Med 2017; 27:42. [PMID: 28652602 PMCID: PMC5484688 DOI: 10.1038/s41533-017-0045-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Revised: 05/20/2017] [Accepted: 05/31/2017] [Indexed: 11/15/2022] Open
Affiliation(s)
- Hilary Pinnock
- Asthma UK Centre for Applied Research, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, EH* 9AG, UK.
| | - Aziz Sheikh
- Asthma UK Centre for Applied Research, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, EH* 9AG, UK
| |
Collapse
|