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Change is in the air: key questions on the 'Treatable Traits' model for chronic airway diseases in primary care.
Agusti, Alvar; Gibson, Peter G; Heaney, Liam G; Thomas, Mike.
Afiliación
  • Agusti A; Respiratory Institute, Clínic Barcelona, Barcelona, Spain. aagusti@clinic.cat.
  • Gibson PG; Catedra Salud Respiratoria, University of Barcelona, Barcelona, Spain. aagusti@clinic.cat.
  • Heaney LG; FCRB-IDIBAPS, Barcelona, Spain. aagusti@clinic.cat.
  • Thomas M; CIBER Enfermedades Respiratorias, Barcelona, Spain. aagusti@clinic.cat.
NPJ Prim Care Respir Med ; 34(1): 21, 2024 Jul 18.
Article en En | MEDLINE | ID: mdl-39025870
ABSTRACT
Despite great advancements in the treatment of chronic airway diseases, improvements in morbidity and mortality have stalled in recent years. Asthma and chronic obstructive pulmonary disease are complex and heterogeneous diseases that require tailored management based on individual patient characteristics and needs. The Treatable Traits (TTs) approach aims to personalise and improve patient care through the identification and targeting of clinically relevant and modifiable pulmonary, extra-pulmonary and behavioural traits. In this article, we outline the rationale for TTs-based management and provide practical guidance for its application in primary care. To aid implementation, seven potential 'prime' traits are proposed airflow obstruction, eosinophilic inflammation, adherence, inhaler technique, smoking, low body mass index/obesity and anxiety and depression-selected for their prevalence, recognisability and feasibility of use. Some of the key questions among healthcare professionals, that may be roadblocks to widespread application of a TTs model of care, are also addressed.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Asma / Enfermedad Pulmonar Obstructiva Crónica Límite: Humans Idioma: En Revista: NPJ Prim Care Respir Med Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Asma / Enfermedad Pulmonar Obstructiva Crónica Límite: Humans Idioma: En Revista: NPJ Prim Care Respir Med Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido