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Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline

Background: Evidence-based guidelines are needed for effective delivery of home oxygen therapy to appropriate patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD). Methods: The multidisciplinary panel created six research questions using a modified Delphi ap...

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Autores principales: Jacobs, Susan S., Krishnan, Jerry A., Lederer, David J., Ghazipura, Marya, Hossain, Tanzib, Tan, Ai-Yui M., Carlin, Brian, Drummond, M. Bradley, Ekström, Magnus, Garvey, Chris, Graney, Bridget A., Jackson, Beverly, Kallstrom, Thomas, Knight, Shandra L., Lindell, Kathleen, Prieto-Centurion, Valentin, Renzoni, Elisabetta A., Ryerson, Christopher J., Schneidman, Ann, Swigris, Jeffrey, Upson, Dona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Thoracic Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667898/
https://www.ncbi.nlm.nih.gov/pubmed/33185464
http://dx.doi.org/10.1164/rccm.202009-3608ST
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author Jacobs, Susan S.
Krishnan, Jerry A.
Lederer, David J.
Ghazipura, Marya
Hossain, Tanzib
Tan, Ai-Yui M.
Carlin, Brian
Drummond, M. Bradley
Ekström, Magnus
Garvey, Chris
Graney, Bridget A.
Jackson, Beverly
Kallstrom, Thomas
Knight, Shandra L.
Lindell, Kathleen
Prieto-Centurion, Valentin
Renzoni, Elisabetta A.
Ryerson, Christopher J.
Schneidman, Ann
Swigris, Jeffrey
Upson, Dona
author_facet Jacobs, Susan S.
Krishnan, Jerry A.
Lederer, David J.
Ghazipura, Marya
Hossain, Tanzib
Tan, Ai-Yui M.
Carlin, Brian
Drummond, M. Bradley
Ekström, Magnus
Garvey, Chris
Graney, Bridget A.
Jackson, Beverly
Kallstrom, Thomas
Knight, Shandra L.
Lindell, Kathleen
Prieto-Centurion, Valentin
Renzoni, Elisabetta A.
Ryerson, Christopher J.
Schneidman, Ann
Swigris, Jeffrey
Upson, Dona
author_sort Jacobs, Susan S.
collection PubMed
description Background: Evidence-based guidelines are needed for effective delivery of home oxygen therapy to appropriate patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD). Methods: The multidisciplinary panel created six research questions using a modified Delphi approach. A systematic review of the literature was completed, and the Grading of Recommendations Assessment, Development and Evaluation approach was used to formulate clinical recommendations. Recommendations: The panel found varying quality and availability of evidence and made the following judgments: 1) strong recommendations for long-term oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe chronic resting hypoxemia, 2) a conditional recommendation against long-term oxygen use in patients with COPD with moderate chronic resting hypoxemia, 3) conditional recommendations for ambulatory oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe exertional hypoxemia, 4) a conditional recommendation for ambulatory liquid-oxygen use in patients who are mobile outside the home and require >3 L/min of continuous-flow oxygen during exertion (very-low-quality evidence), and 5) a recommendation that patients and their caregivers receive education on oxygen equipment and safety (best-practice statement). Conclusions: These guidelines provide the basis for evidence-based use of home oxygen therapy in adults with COPD or ILD but also highlight the need for additional research to guide clinical practice.
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spelling pubmed-76678982020-11-16 Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline Jacobs, Susan S. Krishnan, Jerry A. Lederer, David J. Ghazipura, Marya Hossain, Tanzib Tan, Ai-Yui M. Carlin, Brian Drummond, M. Bradley Ekström, Magnus Garvey, Chris Graney, Bridget A. Jackson, Beverly Kallstrom, Thomas Knight, Shandra L. Lindell, Kathleen Prieto-Centurion, Valentin Renzoni, Elisabetta A. Ryerson, Christopher J. Schneidman, Ann Swigris, Jeffrey Upson, Dona Am J Respir Crit Care Med American Thoracic Society Documents Background: Evidence-based guidelines are needed for effective delivery of home oxygen therapy to appropriate patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD). Methods: The multidisciplinary panel created six research questions using a modified Delphi approach. A systematic review of the literature was completed, and the Grading of Recommendations Assessment, Development and Evaluation approach was used to formulate clinical recommendations. Recommendations: The panel found varying quality and availability of evidence and made the following judgments: 1) strong recommendations for long-term oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe chronic resting hypoxemia, 2) a conditional recommendation against long-term oxygen use in patients with COPD with moderate chronic resting hypoxemia, 3) conditional recommendations for ambulatory oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe exertional hypoxemia, 4) a conditional recommendation for ambulatory liquid-oxygen use in patients who are mobile outside the home and require >3 L/min of continuous-flow oxygen during exertion (very-low-quality evidence), and 5) a recommendation that patients and their caregivers receive education on oxygen equipment and safety (best-practice statement). Conclusions: These guidelines provide the basis for evidence-based use of home oxygen therapy in adults with COPD or ILD but also highlight the need for additional research to guide clinical practice. American Thoracic Society 2020-11-15 2020-11-15 /pmc/articles/PMC7667898/ /pubmed/33185464 http://dx.doi.org/10.1164/rccm.202009-3608ST Text en Copyright © 2020 by the American Thoracic Society https://creativecommons.org/licenses/by-nc/4.0/You may print one copy of this document at no charge. However, if you require more than one copy, you must place a reprint order. Domestic reprint orders: amy.schriver@sheridan.com; international reprint orders: louisa.mott@springer.com.
spellingShingle American Thoracic Society Documents
Jacobs, Susan S.
Krishnan, Jerry A.
Lederer, David J.
Ghazipura, Marya
Hossain, Tanzib
Tan, Ai-Yui M.
Carlin, Brian
Drummond, M. Bradley
Ekström, Magnus
Garvey, Chris
Graney, Bridget A.
Jackson, Beverly
Kallstrom, Thomas
Knight, Shandra L.
Lindell, Kathleen
Prieto-Centurion, Valentin
Renzoni, Elisabetta A.
Ryerson, Christopher J.
Schneidman, Ann
Swigris, Jeffrey
Upson, Dona
Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline
title Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline
title_full Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline
title_fullStr Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline
title_full_unstemmed Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline
title_short Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline
title_sort home oxygen therapy for adults with chronic lung disease. an official american thoracic society clinical practice guideline
topic American Thoracic Society Documents
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667898/
https://www.ncbi.nlm.nih.gov/pubmed/33185464
http://dx.doi.org/10.1164/rccm.202009-3608ST
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