The Impact of a Newly Established Multidisciplinary Team on the Interventional Treatment of Patients With Emphysema.
EBV
LVRS
MDT
emphysema
Journal
Clinical medicine insights. Circulatory, respiratory and pulmonary medicine
ISSN: 1179-5484
Titre abrégé: Clin Med Insights Circ Respir Pulm Med
Pays: United States
ID NLM: 101537753
Informations de publication
Date de publication:
2019
2019
Historique:
received:
27
11
2018
accepted:
22
04
2019
entrez:
2
7
2019
pubmed:
2
7
2019
medline:
2
7
2019
Statut:
epublish
Résumé
The emphysema interventional treatment involves mainly lung volume reduction surgery (LVRS) and endobronchial valve (EBV) implantation. Few institutes discuss these cases at a dedicated emphysema multidisciplinary team (MDT) meeting. To investigate the impact of a newly established dedicated emphysema MDT meeting on the interventional treatment of such patients. During a study period of 4 years, the outcome of 44 patients who underwent intervention according to the proposal of the emphysema MDT (group A) was compared with the outcome of 44 propensity score matched patients (group B) treated without the emphysema MDT proposal. More LVRS and less EBV insertions were performed in group A ( Interventional treatment for patients with chronic obstructive pulmonary disease (COPD) after discussion at a dedicated MDT involved more LVRS performed, required fewer interventions for their disease, and had longer re-intervention-free intervals and better breathing improvement.
Sections du résumé
BACKGROUND
BACKGROUND
The emphysema interventional treatment involves mainly lung volume reduction surgery (LVRS) and endobronchial valve (EBV) implantation. Few institutes discuss these cases at a dedicated emphysema multidisciplinary team (MDT) meeting.
OBJECTIVES
OBJECTIVE
To investigate the impact of a newly established dedicated emphysema MDT meeting on the interventional treatment of such patients.
METHODS
METHODS
During a study period of 4 years, the outcome of 44 patients who underwent intervention according to the proposal of the emphysema MDT (group A) was compared with the outcome of 44 propensity score matched patients (group B) treated without the emphysema MDT proposal.
RESULTS
RESULTS
More LVRS and less EBV insertions were performed in group A (
CONCLUSIONS
CONCLUSIONS
Interventional treatment for patients with chronic obstructive pulmonary disease (COPD) after discussion at a dedicated MDT involved more LVRS performed, required fewer interventions for their disease, and had longer re-intervention-free intervals and better breathing improvement.
Identifiants
pubmed: 31258344
doi: 10.1177/1179548419852063
pii: 10.1177_1179548419852063
pmc: PMC6585241
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1179548419852063Déclaration de conflit d'intérêts
Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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