Optimal NIV Medicare Access Promotion: Patients With Thoracic Restrictive Disorders: A Technical Expert Panel Report From the American College of Chest Physicians, the American Association for Respiratory Care, the American Academy of Sleep Medicine, and the American Thoracic Society.
Blood Gas Analysis
/ methods
Continuous Positive Airway Pressure
/ instrumentation
Home Care Services
/ organization & administration
Humans
Medicare
/ organization & administration
Neuromuscular Diseases
/ complications
Noninvasive Ventilation
/ instrumentation
Patient Selection
Respiratory Insufficiency
/ blood
Thoracic Diseases
/ complications
United States
neuromuscular
noninvasive
ventilations
Journal
Chest
ISSN: 1931-3543
Titre abrégé: Chest
Pays: United States
ID NLM: 0231335
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
received:
12
04
2021
revised:
26
05
2021
accepted:
27
05
2021
pubmed:
3
8
2021
medline:
14
1
2022
entrez:
2
8
2021
Statut:
ppublish
Résumé
The existing coverage criteria for noninvasive ventilation (NIV) do not recognize the benefits of early initiation of NIV for those with thoracic restrictive disorders and do not address the unique needs for daytime support as the patients progress to ventilator dependence. This document summarizes the work of the thoracic restrictive disorder Technical Expert Panel working group. The most pressing current coverage barriers identified were: (1) delays in implementing NIV treatment; (2) lack of coverage for many nonprogressive neuromuscular diseases; and (3) lack of clear policy indications for home mechanical ventilation (HMV) support in thoracic restrictive disorders. To best address these issues, we make the following key recommendations: (1) given the need to encourage early initiation of NIV with bilevel positive airway pressure devices, we recommend that symptoms be considered as a reason to initiate therapy even at mildly reduced FVCs; (2) broaden CO
Identifiants
pubmed: 34339688
pii: S0012-3692(21)01488-4
doi: 10.1016/j.chest.2021.05.075
pmc: PMC8828932
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e399-e408Subventions
Organisme : NHLBI NIH HHS
ID : T32 HL134632
Pays : United States
Organisme : NHLBI NIH HHS
ID : K24 HL132105
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL085188
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG063925
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL154926
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL148436
Pays : United States
Investigateurs
Peter C Gay
(PC)
Robert L Owens
(RL)
Lisa F Wolfe
(LF)
Joshua O Benditt
(JO)
Loutfi S Aboussouan
(LS)
John M Coleman
(JM)
Dean R Hess
(DR)
Nicholas S Hill
(NS)
Gerard J Criner
(GJ)
Richard D Branson
(RD)
Bartolome R Celli
(BR)
Neil R MacIntyre
(NR)
Amen Sergew
(A)
Timothy I Morgenthaler
(TI)
Atul Malhotra
(A)
Richard B Berry
(RB)
Karin G Johnson
(KG)
Marc I Raphaelson
(MI)
Babak Mokhlesi
(B)
Christine H Won
(CH)
Bernardo J Selim
(BJ)
Barry J Make
(BJ)
Bernie Y Sunwoo
(BY)
Nancy A Collop
(NA)
Susheel P Patil
(SP)
Alejandro D Chediak
(AD)
Eric J Olson
(EJ)
Kunwar Praveen Vohra
(KP)
Informations de copyright
Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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