European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis.

Herrero-Cortina, Beatriz; Lee, Annemarie L; Oliveira, Ana; O'Neill, Brenda; Jácome, Cristina; Dal Corso, Simone; Poncin, William; Muñoz, Gerard; Inal-Ince, Deniz; Alcaraz-Serrano, Victoria; Reychler, Gregory; Bellofiore, Angela; Tonia, Thomy; Chalmers, James D; Spinou, Arietta (2023). European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis. European respiratory journal, 62(1), p. 2202053. European Respiratory Society 10.1183/13993003.02053-2022

[img]
Preview
Text
13993003.02053-2022.full.pdf - Accepted Version
Available under License Publisher holds Copyright.

Download (2MB) | Preview
[img] Text
Herrero-Cortina_EurRespirJ_2023.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (937kB)

Airway clearance techniques (ACTs) are part of the main management strategy for patients with bronchiectasis. Despite being a priority for patients, accessibility, implementation, and reporting of ACTs are variable in clinical settings and research studies. This European Respiratory Society statement summarises current knowledge about the ACTs in adults with bronchiectasis and makes recommendations to improve future evidence base. A task force of 14 experts and two patient representatives (10 countries) determined the scope of this statement through consensus and defined six questions. The questions were answered based on systematic searches of the literature.The statement provides a comprehensive review of the physiological rationale for ACTs in adults with bronchiectasis, and the mechanisms of action along with the advantages and disadvantages of each ACT. Evidence on the ACTs in clinical practice indicates that active cycle of breathing techniques, positive expiratory pressure devices and gravity assisted drainage technique are the most frequently used techniques, although there is limited evidence on the type of ACTs used in specific countries. A review of 30 randomised trials for the effectiveness of the ACTs shows that these interventions increase sputum clearance during or after treatment, reduce the impact of cough and the risk of exacerbations, and improve health-related quality of life. Furthermore, strategies for reducing the risk of bias in future studies are proposed. Finally, an exploration of patientś perceptions, barriers and enablers related to this treatment is also included to facilitate implementation and adherence to ACTs.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Tonia, Thomai

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0903-1936

Publisher:

European Respiratory Society

Language:

English

Submitter:

Pubmed Import

Date Deposited:

09 May 2023 11:08

Last Modified:

06 May 2024 00:25

Publisher DOI:

10.1183/13993003.02053-2022

PubMed ID:

37142337

BORIS DOI:

10.48350/182342

URI:

https://boris.unibe.ch/id/eprint/182342

Actions (login required)

Edit item Edit item
Provide Feedback