Clinical standards for the assessment, management and rehabilitation of post-TB lung disease

Giovanni Battista Migliori; F. M. Marx; N. Ambrosino; E. Zampogna; H. S. Schaaf; M. M. van der Zalm; B. Allwood; A. L. Byrne; Kevin Mortimer; R. S. Wallis; G. J. Fox; C. C. Leung; J. M. Chakaya; B. Seaworth; A. Rachow; B. J. Marais; J. Furin; O. W. Akkerman; F. Al Yaquobi; A. F.S. Amaral; S. Borisov; J. A. Caminero; A. C.C. Carvalho; D. Chesov; L. R. Codecasa; R. C. Teixeira; M. P. Dalcolmo; Sumona Datta; A. T. Dinh-Xuan; R. Duarte; C. A. Evans; J. M. García-García; G. Günther; G. Hoddinott; S. Huddart; O. Ivanova; R. Laniado-Laborín; S. Manga; K. Manika; A. Mariandyshev; F. C.Q. Mello; S. G. Mpagama; M. Muñoz-Torrico; P. Nahid; C. W.M. Ong; D. J. Palmero; A. Piubello; E. Pontali; D. R. Silva; R. Singla; A. Spanevello; S. Tiberi; Z. F. Udwadia; M. Vitacca; R. Centis; L. D'Ambrosio; G. Sotgiu; C. Lange; D. Visca

doi:10.5588/ijtld.21.0425

Clinical standards for the assessment, management and rehabilitation of post-TB lung disease

Giovanni Battista Migliori
, F. M. Marx
, N. Ambrosino
, E. Zampogna
, H. S. Schaaf
, M. M. van der Zalm
, B. Allwood
, A. L. Byrne
, Kevin Mortimer
, R. S. Wallis
, G. J. Fox
, C. C. Leung
, J. M. Chakaya
, B. Seaworth
, A. Rachow
, B. J. Marais
, J. Furin
, O. W. Akkerman
, F. Al Yaquobi
, A. F.S. Amaral

S. Borisov, J. A. Caminero, A. C.C. Carvalho, D. Chesov, L. R. Codecasa, R. C. Teixeira, M. P. Dalcolmo, Sumona Datta, A. T. Dinh-Xuan, R. Duarte, C. A. Evans, J. M. García-García, G. Günther, G. Hoddinott, S. Huddart, O. Ivanova, R. Laniado-Laborín, S. Manga, K. Manika, A. Mariandyshev, F. C.Q. Mello, S. G. Mpagama, M. Muñoz-Torrico, P. Nahid, C. W.M. Ong, D. J. Palmero, A. Piubello, E. Pontali, D. R. Silva, R. Singla, A. Spanevello, S. Tiberi, Z. F. Udwadia, M. Vitacca, R. Centis, L. D'Ambrosio, G. Sotgiu, C. Lange, D. Visca

Clinical Sciences

IRCCS Istituti Clinici Scientifici Maugeri S.p.A. SB - Pavia
Stellenbosch University
University of New South Wales
Partners in Health
Aurum Institute for Health Research
University of Sydney
Chest and Heart Diseases Association
Kenyatta University
Liverpool School of Tropical Medicine
Heartland National TB Center
University of Texas Health Center at Tyler
Ludwig Maximilian University of Munich
Partner Site Munich
Harvard University
University of Groningen
Ministry of Health, Oman
Imperial College London
Moscow Healthcare Department
University General Hospital of Gran Canaria ''Dr Negrin''
ALOSA TB ACADEMY
Fundação Oswaldo Cruz
State University of Medicine and Pharmacy "Nicolae Testemiţanu"
Research Center Borstel - Leibniz Lung Center
Asst Grande Ospedale Metropolitano Niguarda
National Institute of Respiratory Diseases and the Environment (INERAM)
Radboud University Nijmegen
Universidad Peruana Cayetano Heredia
Asociación Benéfica Prisma
Université Paris Cité
University of Porto
Tuberculosis Research Programme SEPAR
University of Bern
University of California at San Francisco
San Francisco Department of Public Health
Universidad Autonoma de Baja California
Medecins Sans Frontieres
Aristotle University of Thessaloniki
Northern State Medical Academy
Universidade Federal do Rio de Janeiro
Kilimanjaro Christian Medical College
Instituto Nacional de Enfermedades Respiratorias
National University of Singapore
Hospital de Infecciosas Francisco Javier Muñiz
Damien Foundation
Galliera Hospital
Universidade Federal do Rio Grande do Sul
National Institute of Tuberculosis & Respiratory Diseases
University of Insubria
Barts Health NHS Trust
Queen Mary University of London
P.D. Hinduja National Hospital and Medical Research Centre
Public Health Consulting Group SAGL
University of Sassari
German Center for Infection Research, Borstel Partner Site
University of Lübeck

Research output: Contribution to journal › Article › peer-review

170 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	797-813
Number of pages	17
Journal	International Journal of Tuberculosis and Lung Disease
Volume	25
Issue number	10
DOIs	https://doi.org/10.5588/ijtld.21.0425
Publication status	Published - 1 Oct 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Clinical standards
Post-TB lung disease
Pulmonary rehabilitation
Sequelae
Tuberculosis

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s6Final published version, 176 KBLicence: CC BY

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Migliori, G. B., Marx, F. M., Ambrosino, N., Zampogna, E., Schaaf, H. S., van der Zalm, M. M., Allwood, B., Byrne, A. L., Mortimer, K., Wallis, R. S., Fox, G. J., Leung, C. C., Chakaya, J. M., Seaworth, B., Rachow, A., Marais, B. J., Furin, J., Akkerman, O. W., Al Yaquobi, F., ... Visca, D. (2021). Clinical standards for the assessment, management and rehabilitation of post-TB lung disease. International Journal of Tuberculosis and Lung Disease, 25(10), 797-813. https://doi.org/10.5588/ijtld.21.0425

@article{f68f71ffe232471c894b291417fdd6ea,

title = "Clinical standards for the assessment, management and rehabilitation of post-TB lung disease",

abstract = "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.",

keywords = "Clinical standards, Post-TB lung disease, Pulmonary rehabilitation, Sequelae, Tuberculosis",

author = "Migliori, \{Giovanni Battista\} and Marx, \{F. M.\} and N. Ambrosino and E. Zampogna and Schaaf, \{H. S.\} and \{van der Zalm\}, \{M. M.\} and B. Allwood and Byrne, \{A. L.\} and Kevin Mortimer and Wallis, \{R. S.\} and Fox, \{G. J.\} and Leung, \{C. C.\} and Chakaya, \{J. M.\} and B. Seaworth and A. Rachow and Marais, \{B. J.\} and J. Furin and Akkerman, \{O. W.\} and \{Al Yaquobi\}, F. and Amaral, \{A. F.S.\} and S. Borisov and Caminero, \{J. A.\} and Carvalho, \{A. C.C.\} and D. Chesov and Codecasa, \{L. R.\} and Teixeira, \{R. C.\} and Dalcolmo, \{M. P.\} and Sumona Datta and Dinh-Xuan, \{A. T.\} and R. Duarte and Evans, \{C. A.\} and Garc{\'i}a-Garc{\'i}a, \{J. M.\} and G. G{\"u}nther and G. Hoddinott and S. Huddart and O. Ivanova and R. Laniado-Labor{\'i}n and S. Manga and K. Manika and A. Mariandyshev and Mello, \{F. C.Q.\} and Mpagama, \{S. G.\} and M. Mu{\~n}oz-Torrico and P. Nahid and Ong, \{C. W.M.\} and Palmero, \{D. J.\} and A. Piubello and E. Pontali and Silva, \{D. R.\} and R. Singla and A. Spanevello and S. Tiberi and Udwadia, \{Z. F.\} and M. Vitacca and R. Centis and L. D'Ambrosio and G. Sotgiu and C. Lange and D. Visca",

year = "2021",

month = oct,

day = "1",

doi = "10.5588/ijtld.21.0425",

language = "English",

volume = "25",

pages = "797--813",

journal = "International Journal of Tuberculosis and Lung Disease",

issn = "1027-3719",

publisher = "International Union Against Tuberculosis and Lung Disease ",

number = "10",

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Migliori, GB, Marx, FM, Ambrosino, N, Zampogna, E, Schaaf, HS, van der Zalm, MM, Allwood, B, Byrne, AL, Mortimer, K, Wallis, RS, Fox, GJ, Leung, CC, Chakaya, JM, Seaworth, B, Rachow, A, Marais, BJ, Furin, J, Akkerman, OW, Al Yaquobi, F, Amaral, AFS, Borisov, S, Caminero, JA, Carvalho, ACC, Chesov, D, Codecasa, LR, Teixeira, RC, Dalcolmo, MP, Datta, S, Dinh-Xuan, AT, Duarte, R, Evans, CA, García-García, JM, Günther, G, Hoddinott, G, Huddart, S, Ivanova, O, Laniado-Laborín, R, Manga, S, Manika, K, Mariandyshev, A, Mello, FCQ, Mpagama, SG, Muñoz-Torrico, M, Nahid, P, Ong, CWM, Palmero, DJ, Piubello, A, Pontali, E, Silva, DR, Singla, R, Spanevello, A, Tiberi, S, Udwadia, ZF, Vitacca, M, Centis, R, D'Ambrosio, L, Sotgiu, G, Lange, C & Visca, D 2021, 'Clinical standards for the assessment, management and rehabilitation of post-TB lung disease', International Journal of Tuberculosis and Lung Disease, vol. 25, no. 10, pp. 797-813. https://doi.org/10.5588/ijtld.21.0425

TY - JOUR

T1 - Clinical standards for the assessment, management and rehabilitation of post-TB lung disease

AU - Migliori, Giovanni Battista

AU - Marx, F. M.

AU - Ambrosino, N.

AU - Zampogna, E.

AU - Schaaf, H. S.

AU - van der Zalm, M. M.

AU - Allwood, B.

AU - Byrne, A. L.

AU - Mortimer, Kevin

AU - Wallis, R. S.

AU - Fox, G. J.

AU - Leung, C. C.

AU - Chakaya, J. M.

AU - Seaworth, B.

AU - Rachow, A.

AU - Marais, B. J.

AU - Furin, J.

AU - Akkerman, O. W.

AU - Al Yaquobi, F.

AU - Amaral, A. F.S.

AU - Borisov, S.

AU - Caminero, J. A.

AU - Carvalho, A. C.C.

AU - Chesov, D.

AU - Codecasa, L. R.

AU - Teixeira, R. C.

AU - Dalcolmo, M. P.

AU - Datta, Sumona

AU - Dinh-Xuan, A. T.

AU - Duarte, R.

AU - Evans, C. A.

AU - García-García, J. M.

AU - Günther, G.

AU - Hoddinott, G.

AU - Huddart, S.

AU - Ivanova, O.

AU - Laniado-Laborín, R.

AU - Manga, S.

AU - Manika, K.

AU - Mariandyshev, A.

AU - Mello, F. C.Q.

AU - Mpagama, S. G.

AU - Muñoz-Torrico, M.

AU - Nahid, P.

AU - Ong, C. W.M.

AU - Palmero, D. J.

AU - Piubello, A.

AU - Pontali, E.

AU - Silva, D. R.

AU - Singla, R.

AU - Spanevello, A.

AU - Tiberi, S.

AU - Udwadia, Z. F.

AU - Vitacca, M.

AU - Centis, R.

AU - D'Ambrosio, L.

AU - Sotgiu, G.

AU - Lange, C.

AU - Visca, D.

PY - 2021/10/1

Y1 - 2021/10/1

N2 - 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.

AB - 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.

KW - Clinical standards

KW - Post-TB lung disease

KW - Pulmonary rehabilitation

KW - Sequelae

KW - Tuberculosis

U2 - 10.5588/ijtld.21.0425

DO - 10.5588/ijtld.21.0425

M3 - Article

SN - 1027-3719

VL - 25

SP - 797

EP - 813

JO - International Journal of Tuberculosis and Lung Disease

JF - International Journal of Tuberculosis and Lung Disease

IS - 10

ER -

Clinical standards for the assessment, management and rehabilitation of post-TB lung disease

Abstract

UN SDGs

Keywords

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