European Respiratory Society guidelines for the management of adult bronchiectasis.

DOI
Publisher DOI
PubMed ID
28889110
Abstract
Bronchiectasis in adults is a chronic disorder associated with poor quality of life and frequent exacerbations in many patients. There have been no previous international guidelines.The European Respiratory Society guidelines for the management of adult bronchiectasis describe the appropriate investigation and treatment strategies determined by a systematic review of the literature.A multidisciplinary group representing respiratory medicine, microbiology, physiotherapy, thoracic surgery, primary care, methodology and patients considered the most relevant clinical questions (for both clinicians and patients) related to management of bronchiectasis. Nine key clinical questions were generated and a systematic review was conducted to identify published systematic reviews, randomised clinical trials and observational studies that answered these questions. We used the GRADE approach to define the quality of the evidence and the level of recommendations. The resulting guideline addresses the investigation of underlying causes of bronchiectasis, treatment of exacerbations, pathogen eradication, long term antibiotic treatment, anti-inflammatories, mucoactive drugs, bronchodilators, surgical treatment and respiratory physiotherapy.These recommendations can be used to benchmark quality of care for people with bronchiectasis across Europe and to improve outcomes.
Date Issued
2017-09
Publication Type
Article
Subject(s)
Language(s)
en
Author(s)
Polverino, Eva
Goeminne, Pieter C
McDonnell, Melissa J
Aliberti, Stefano
Marshall, Sara E
Loebinger, Michael R
Murris, Marlene
Cantón, Rafael
Torres, Antoni
Dimakou, Katerina
De Soyza, Anthony
Hill, Adam T
Haworth, Charles S
Vendrell, Montserrat
Ringshausen, Felix C
Subotic, Dragan
Wilson, Robert
Vilaró, Jordi
Stallberg, Bjorn
Welte, Tobias
Rohde, Gernot
Blasi, Francesco
Elborn, Stuart
Almagro, Marta
Timothy, Alan
Ruddy, Thomas
Rigau, David
Chalmers, James D
Additional Credits
Journal
European respiratory journal
Publisher
European Respiratory Society
ISSN
0903-1936
Access(Rights)
restricted
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