European Respiratory Society clinical practice guideline on symptom management for adults with serious respiratory illness

作者：Anne Elizabeth Holland, Anna Spathis, Kristoffer Marsaa, Claudia Bausewein, Zainab Ahmadi, Angela T. Burge, Amy Pascoe, Adelle M. Gadowski, Phil Collis, Tessa Jelen, Charles C. Reilly, Lynn F. Reinke, Lorena Romero, Anne‐Marie Russell, Ravijyot Saggu, John Solheim, Guido Vagheggini, Chantal Vandendungen, Marlies S Wijsenbeek, Thomy Tonia, Natasha Smallwood, Magnus Per Ekström · 发表于：European Respiratory Journal · 年份：2024 · DOI：10.1183/13993003.00335-2024 · 被引用次数：84 · 研究领域：Chronic Obstructive Pulmonary Disease (COPD) Research、Respiratory and Cough-Related Research、Respiratory Support and Mechanisms

Respiratory symptoms are ubiquitous and impair health-related quality of life in people with respiratory disease. This European Respiratory Society (ERS) task force aimed to provide recommendations for symptomatic treatment in people with serious respiratory illness. The ERS task force comprised 16 members, including representatives of people with serious respiratory illness and informal caregivers. Seven questions were formulated, six in the PICO (Population, Intervention, Comparison, Outcome) format, which were addressed with full systematic reviews and evidence assessed using GRADE (Grading of Recommendations Assessment, Development and Evaluation). One question was addressed narratively. An "evidence-to-decision" framework was used to formulate recommendations. To treat symptoms in people with serious respiratory illness, the task force suggests the use of graded exercise therapy (conditional recommendation, low certainty of evidence); and suggests the use of a multicomponent services, handheld fan and breathing techniques (conditional recommendations, very low certainty of evidence). The task force suggests not to use opioids (conditional recommendation, very low certainty of evidence); and suggests either administering or not administering supplemental oxygen therapy (conditional recommendation, low certainty of evidence). The task force suggests that needs assessment tools may be used as part of a comprehensive needs assessment, but do not replace patient-centred care ...