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Personalised pulmonary rehabilitation in COPD

Emiel F.M. Wouters, Birgit B.R.E.F. Wouters, Ingrid M.L. Augustin, Sarah Houben-Wilke, Lowie E.G.W. Vanfleteren, Frits M.E. Franssen
European Respiratory Review 2018 27: 170125; DOI: 10.1183/16000617.0125-2017
Emiel F.M. Wouters
1Maastricht University Medical Center, Dept of Respiratory Diseases, Maastricht, The Netherlands
2CIRO+, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands
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Birgit B.R.E.F. Wouters
3Dept of Health, Ethics and Society, CAPHRI School for Public Health and Primary Care, Faculty of Health Medicine and Life Science, Maastricht University Medical Center, Maastricht, The Netherlands
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Ingrid M.L. Augustin
2CIRO+, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands
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Sarah Houben-Wilke
2CIRO+, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands
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Lowie E.G.W. Vanfleteren
1Maastricht University Medical Center, Dept of Respiratory Diseases, Maastricht, The Netherlands
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Frits M.E. Franssen
1Maastricht University Medical Center, Dept of Respiratory Diseases, Maastricht, The Netherlands
2CIRO+, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands
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Abstract

This review summarises ongoing developments in personalised medicine and individualised medicine in chronic obstructive pulmonary disease (COPD). Currently applied classification systems largely ignore the complexity and heterogeneity of the COPD syndrome. Personalised medicine has to consider the influence of unique circumstances of the person, which contribute to this heterogeneity and complexity. Pulmonary rehabilitation is described as a comprehensive, individualised intervention based on thorough assessment of identifiable treatable traits. Partnership in care will become a crucial factor to improve and maintain health. Tolerating uncertainty and unpredictability will enrich future doctor–patient relationships.

Abstract

Pulmonary rehabilitation offers an integrated approach for personalised management of patients with COPD http://ow.ly/Hyog30irp1h

Footnotes

  • Number 5 in the Series “Personalised medicine in respiratory diseases” Edited by Renaud Louis and Nicolas Roche

  • Previous articles in this series: No. 1: Chung KF. Personalised medicine in asthma: time for action. Eur Respir Rev 2017; 26: 170064. No. 2: Bonsignore MR, Suarez Giron MC, Marrone O, et al. Personalised medicine in sleep respiratory disorders: focus on obstructive sleep apnoea diagnosis and treatment. Eur Respir Rev 2017; 26: 170069. No. 3: Mascaux C, Tomasini P, Greillier L, et al. Personalised medicine for nonsmall cell lung cancer. Eur Respir Rev 2017; 26: 170066. No. 4: Noell G, Faner R, Agusti A. From systems biology to P4 medicine: applications in respiratory medicine. Eur Respir Rev 2018; 27: 170110.

  • Conflict of interest: E.F.M. Wouters is a board member for Nycomed and Boehringer Ingelheim. He has received grants from AstraZeneca and GSK, and has received speakers’ fees from AstraZeneca, GlaxoSmithKline, Novartis and Chiesi.

  • Provenance: Commissioned article, peer reviewed.

  • Received November 15, 2017.
  • Accepted February 12, 2018.
  • Copyright ©ERS 2018.

ERR articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

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Vol 27 Issue 147 Table of Contents
European Respiratory Review: 27 (147)
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Personalised pulmonary rehabilitation in COPD
Emiel F.M. Wouters, Birgit B.R.E.F. Wouters, Ingrid M.L. Augustin, Sarah Houben-Wilke, Lowie E.G.W. Vanfleteren, Frits M.E. Franssen
European Respiratory Review Mar 2018, 27 (147) 170125; DOI: 10.1183/16000617.0125-2017

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Personalised pulmonary rehabilitation in COPD
Emiel F.M. Wouters, Birgit B.R.E.F. Wouters, Ingrid M.L. Augustin, Sarah Houben-Wilke, Lowie E.G.W. Vanfleteren, Frits M.E. Franssen
European Respiratory Review Mar 2018, 27 (147) 170125; DOI: 10.1183/16000617.0125-2017
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Jump To

  • Article
    • Abstract
    • Abstract
    • Introduction
    • Current COPD approach: black-and-white reductionism
    • The many faces of personalised medicine
    • Stratified medicine as a path towards personalised medicine in COPD
    • Pulmonary rehabilitation: personalised management of COPD
    • Personalised management: partnership in care
    • Conclusions
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

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  • COPD and smoking
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More in this TOC Section

Series

  • The role of vaccination in COPD
  • Pulmonary rehabilitation and physical interventions
  • The role of diet and nutrition in the management of COPD
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Personalised Medicine in Respiratory Diseases

  • Personalised medicine in ILD
  • Precision medicine and personalising therapy in PH
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