Open AccessClinical standards for the assessment, management and rehabilitation of post-TB lung disease
Author(s) -
Giovanni Battista Migliori,
Florian M. Marx,
Nicolino Ambrosino,
Elisabetta Zampogna,
H. Simon Schaaf,
Marieke M. van der Zalm,
Brian Allwood,
Anthony Byrne,
Kevin Mortimer,
Robert S. Wallis,
Greg J. Fox,
Chi Chiu Leung,
Jeremiah Chakaya,
Barbara Seaworth,
Andrea Rachow,
Ben Marais,
Jennifer Furin,
Onno W. Akkerman,
Fatma Al Yaquobi,
André Amaral,
Sergey Borisov,
José A. Caminero,
Anna Cristina Calçada Carvalho,
Dumitru Chesov,
Luigi Codecasa,
Rute Teixeira,
Margareth Pretti Dalcolmo,
Sumona Datta,
Anh Tuan Dinh-Xuan,
Raquel Duarte,
Carlton A. Evans,
José-María García-García,
Gunar Günther,
Graeme Hoddinott,
Sophie Huddart,
O Ivanova,
Rafael Laniado-Laborı́n,
Selene Manga,
K. Manika,
А О Марьяндышев,
Fernanda C. Q. Mello,
Stellah Mpagama,
Marcela Muñoz-Torrico,
Payam Nahid,
Catherine W.M. Ong,
Domingo Palmero,
Alberto Piubello,
Emanuele Pontali,
D R Silva,
Rupak Singla,
Antonio Spanevello,
Simon Tiberi,
Z F Udwadia,
Michele Vitacca,
Rosella Centis,
Leire Ambrosio,
Giovanni Sotgiu,
Christoph Lange,
Dina Visca
Publication year - 2021
Publication title -
the international journal of tuberculosis and lung disease/the international journal of tuberculosis and lung disease. articles traduits en français ...
Language(s) - English
Resource type - Journals
eISSN - 1815-7920
pISSN - 1027-3719
DOI - 10.5588/ijtld.21.0425
Subject(s) - medicine , likert scale , delphi method , rehabilitation , public health , gold standard (test) , lung disease , quality of life (healthcare) , health care , family medicine , physical therapy , nursing , lung , statistics , mathematics , economic growth , economics
BACKGROUND: Increasing evidence suggests that post-TB lung disease (PTLD) causes significant morbidity and mortality. The aim of these clinical standards is to provide guidance on the assessment and management of PTLD and the implementation of pulmonary rehabilitation (PR). METHODS: A panel of global experts in the field of TB care and PR was identified; 62 participated in a Delphi process. A 5-point Likert scale was used to score the initial ideas for standards and after several rounds of revision the document was approved (with 100% agreement). RESULTS: Five clinical standards were defined: Standard 1, to assess patients at the end of TB treatment for PTLD (with adaptation for children and specific settings/situations); Standard 2, to identify patients with PTLD for PR; Standard 3, tailoring the PR programme to patient needs and the local setting; Standard 4, to evaluate the effectiveness of PR; and Standard 5, to conduct education and counselling. Standard 6 addresses public health aspects of PTLD and outcomes due to PR. CONCLUSION: This is the first consensus-based set of Clinical Standards for PTLD. Our aim is to improve patient care and quality of life by guiding clinicians, programme managers and public health officers in planning and implementing adequate measures to assess and manage PTLD.