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1
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Bakerly ND, Nikitin K, Snowise NG, Cardwell G, Freeman D, Saggu R, De Soyza A. Pragmatic randomised controlled trials in COPD and asthma: how to guide clinical practice. BMJ Open Respir Res 2022; 9:9/1/e001303. [PMID: 36180103 PMCID: PMC9528570 DOI: 10.1136/bmjresp-2022-001303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 08/27/2022] [Indexed: 11/17/2022] Open
Abstract
The use of real-world evidence (RWE) studies, including pragmatic randomised controlled trials (RCTs; randomised RWE studies), to aid the development of treatment guidelines, is gradually becoming a mainstay within clinical practice. RWE is an integral part of patient-driven decision-making and offers important value to add complimentary evidence to traditional RCTs; these provide a more well-rounded view of the benefits to patient-reported outcomes and improve the external validity of a given treatment versus findings from traditional RCTs alone. Discussions in recent scientific workshops explored the importance of pragmatic RCTs in optimising guideline development and patient care in chronic obstructive pulmonary disease (COPD) and asthma. The Salford Lung Study in patients with COPD (NCT01551758) and asthma (NCT01706198) were the world’s first prelicence pragmatic RCTs that compared novel investigational treatments with existing COPD and asthma treatments and, more recently (2021), RWE studies have been used by the American Thoracic Society and the US Food and Drug Administration to support the approval of an immunosuppressant drug in patients receiving lung transplants. This highlights the importance of RWE data in supporting clinical guideline development and emphasises the advantages for the use of pragmatic RCTs in guiding clinical practice.
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Affiliation(s)
- Nawar Diar Bakerly
- School of Biological Sciences, Manchester Metropolitan University, Manchester, UK.,Salford Royal, NHS Foundation Trust, Salford, UK
| | | | - Neil G Snowise
- Institute of Pharmaceutical Science, Faculty of Life Sciences and Medicine, King's College, London, UK
| | | | - Daryl Freeman
- Norfolk Community Health and Care, Woodlands House, Norwich, UK
| | - Ravijyot Saggu
- Pharmacy Department, University College Hospital, NHS Foundation Trust, London, UK
| | - Anthony De Soyza
- Population and Health Sciences Institute, Newcastle University, Newcastle, UK
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2
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Mathioudakis AG, Osadnik C, Boots AW, Bradicich M, Bartel S, Gloeckl R, Cruz J. Inspiring stories: the impact that being part of ERS activities can have on a professional career. Breathe (Sheff) 2022; 18:210217. [PMID: 35284021 PMCID: PMC8908876 DOI: 10.1183/20734735.0217-2021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 01/18/2022] [Indexed: 11/05/2022] Open
Abstract
In this article, we provide an overview of the impact that being part of the @EuroRespSoc activities can have on a professional career, through the voices of Early Career Members (@EarlyCareerERS) https://bit.ly/32sHNW2.
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Affiliation(s)
- Alexander G Mathioudakis
- Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, The University of Manchester, Manchester, UK.,North West Lung Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.,These authors contributed equally
| | - Christian Osadnik
- Dept of Physiotherapy, Monash University, Melbourne, Australia.,These authors contributed equally
| | - Agnes W Boots
- Dept of Pharmacology and Toxicology, Maastricht University, Maastricht, The Netherlands.,These authors contributed equally
| | - Matteo Bradicich
- Dept of Pulmonology, University Hospital Zurich, Zurich, Switzerland.,Dept of Internal Medicine, Spital Zollikerberg, Zollikerberg, Switzerland.,These authors contributed equally
| | - Sabine Bartel
- Dept of Pathology and Medical Biology, University of Groningen, Groningen Research Center for Asthma and COPD (GRIAC), University Medical Center Groningen, Groningen, The Netherlands.,These authors contributed equally
| | - Rainer Gloeckl
- Institute for Pulmonary Rehabilitation Research, Schoen Klinik Berchtesgadener Land, Schoenau am Koenigssee, Germany.,Dept of Pulmonary Rehabilitation, Philipps University of Marburg, German Center for Lung Research (DZL), Marburg, Germany.,These authors contributed equally
| | - Joana Cruz
- Center for Innovative Care and Health Technology (ciTechCare), School of Health Sciences (ESSLei), Polytechnic of Leiria, Leiria, Portugal
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Chalmers JD, Kolb M. The evolution of the European Respiratory Journal: adapting in an era of change. Eur Respir J 2022; 59:59/1/2200037. [PMID: 35086842 DOI: 10.1183/13993003.00037-2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Accepted: 01/08/2022] [Indexed: 11/05/2022]
Affiliation(s)
- James D Chalmers
- Division of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
| | - Martin Kolb
- Dept of Respiratory Medicine, Pathology and Molecular Medicine, McMaster University and St Joseph's Healthcare, Hamilton, ON, Canada
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Nagavci B, Tonia T, Roche N, Genton C, Vaccaro V, Humbert M, Brightling C, Robalo Cordeiro C, Bush A. European Respiratory Society clinical practice guidelines: methodological guidance. ERJ Open Res 2022; 8:00655-2021. [PMID: 35083323 PMCID: PMC8784892 DOI: 10.1183/23120541.00655-2021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 11/23/2021] [Indexed: 11/05/2022] Open
Abstract
ERS has published official methodological guidance for clinical practice guidelines. ERS recommends this to ensure that state-of-the-art guidelines are developed. https://bit.ly/3xP5SSr.
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Affiliation(s)
- Blin Nagavci
- European Respiratory Society, Lausanne, Switzerland
- Institute for Evidence in Medicine, Medical Center – University of Freiburg, Freiburg, Germany
| | - Thomy Tonia
- European Respiratory Society, Lausanne, Switzerland
- Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
| | - Nicolas Roche
- European Respiratory Society, Lausanne, Switzerland
- Dept of Pulmonology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris (AP-HP) Centre, Université de Paris, Paris, France
| | | | | | - Marc Humbert
- European Respiratory Society, Lausanne, Switzerland
- Université Paris–Saclay, INSERM, AP-HP, Service de Pneumologie et Soins Intensifs Respiratoires, Hôpital Bicêtre, Le Kremlin Bicêtre, France
| | - Christopher Brightling
- European Respiratory Society, Lausanne, Switzerland
- Dept of Respiratory Sciences, University of Leicester, Leicester, UK
| | - Carlos Robalo Cordeiro
- European Respiratory Society, Lausanne, Switzerland
- Dept of Pneumology, Coimbra University Hospital, Coimbra, Portugal
| | - Andrew Bush
- European Respiratory Society, Lausanne, Switzerland
- Dept of Paediatric Respiratory Medicine, Imperial Centre for Paediatrics and Child Health, National Heart and Lung Institute, Imperial College and Royal Brompton Hospital, London, UK
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5
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van den Berge M, Genton C, Heuvelin E, Simonds AK, Humbert M, Nyberg A, Gosens R, Donnelly L, Fulton O, Wilkens M, Roche N, Brightling C. Success and continuous growth of the ERS clinical research collaborations. Eur Respir J 2021; 58:58/5/2102527. [PMID: 34795029 DOI: 10.1183/13993003.02527-2021] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 09/22/2021] [Indexed: 11/05/2022]
Affiliation(s)
- Maarten van den Berge
- University of Groningen, University Medical Center Groningen, Depnt of Pulmonary Diseases, Groningen, The Netherlands
| | - Céline Genton
- Scientific Activities Dept, European Respiratory Society, Lausanne, Switzerland
| | - Elise Heuvelin
- Scientific Activities Dept, European Respiratory Society, Lausanne, Switzerland
| | - Anita K Simonds
- Dept of Sleep and Ventilation, Royal Brompton & Harefield Hospital, London, UK
| | - Marc Humbert
- School of Medicine, Université Paris-Saclay, Le Kremlin-Bicêtre, France.,Université Paris-Saclay, Inserm UMR_S 999, Service de Pneumologie et Soins Intensifs Respiratoires, Assistance Publique Hôpitaux de Paris (AP-HP), Hôpital Bicêtre, Le Kremlin-Bicêtre, France
| | - Andre Nyberg
- Dept of Community Medicine and Rehabilitation, Section of Physiotherapy, Umeå University, Umeå, Sweden
| | - Reinoud Gosens
- Dept of Molecular Pharmacology, University of Groningen, Groningen, The Netherlands
| | - Louise Donnelly
- National Heart and Lung Institute - Imperial College London, London, UK
| | | | - Marion Wilkens
- Patientenorganisation Alpha1 Deutschland e.V., Gernsheim, Germany
| | - Nicolas Roche
- Dept of Pulmonology, Cochin Hospital, Assistance Publique - Hôpitaux de Paris (AP-HP), University of Paris, Paris, France
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