Treatable traits: a new paradigm for 21st century management of chronic airway diseases: Treatable Traits Down Under International Workshop report

被引:239
作者
McDonald, Vanessa M. [1 ,2 ,3 ]
Fingleton, James [4 ,5 ]
Agusti, Alyar [6 ]
Hiles, Sarah A. [1 ,2 ]
Clark, Vanessa L. [1 ,2 ]
Holland, Anne E. [7 ]
Marks, Guy B. [8 ,9 ]
Bardin, Philip P. [10 ,11 ]
Beasley, Richard [4 ,5 ]
Pavord, Ian D. [12 ,13 ]
Wark, Peter A. B. [1 ,2 ,3 ]
Gibson, Peter G. [1 ,2 ,3 ]
Agusti, Alvar
Anderson, Gary
Cheng, Allen
Chung, Li Ping
Dabscheck, Eli
Dharmage, Shyamali
Gibson, Peter
Hardy, Jo
Hew, Mark
James, Alan
Lam, Krystle
Jayaram, Lata
Katelaris, Connie
Leong, Paul
MacDonald, Martin
Mangan, Niamh
Marks, Guy B. [8 ,9 ]
McDonald, Christine
Morgan, Lucy
Osadnik, Christian
Pavord, Ian D. [12 ,13 ]
Plank, Maximilian
Roberts, Mary
Searles, Andrew
See, Hayley
Spencer, Aislin
Upham, John
机构
[1] Univ Newcastle, Fac Hlth & Med, Prior Res Ctr Hlth Lungs, Newcastle, NSW, Australia
[2] Univ Newcastle, Fac Hlth & Med, Ctr Excellence Severe Asthma, Newcastle, NSW, Australia
[3] John Hunter Hosp, Dept Resp & Sleep Med, Newcastle, NSW, Australia
[4] Capital & Coast Dist Hlth Board, Resp Med Dept, Wellington, New Zealand
[5] Med Res Inst New Zealand, Asthma & COPD Programme, Wellington, New Zealand
[6] Univ Barcelona, IDIBAPS, CIBERES, Resp Inst,Hosp Clin, Barcelona, Spain
[7] La Trobe Univ, Dept Physiotherapy, Alfred Hlth, Inst Breathing & Sleep,Discipline Physiotherapy, Melbourne, Vic, Australia
[8] UNSW, South Western Sydney Clin Sch, Sydney, NSW, Australia
[9] Univ Sydney, Woolcock Inst Med Res, Sydney, NSW, Australia
[10] Monash Univ, Lung & Sleep Med, Clayton, Vic, Australia
[11] Med Ctr, Clayton, Vic, Australia
[12] Univ Oxford, Nuffield Dept Med, Resp Med Unit, Oxford, England
[13] Univ Oxford, Nuffield Dept Med, NIHR Oxford Resp BRC, Oxford, England
关键词
OBSTRUCTIVE PULMONARY-DISEASE; SEVERE ASTHMA; MULTIDIMENSIONAL ASSESSMENT; CYSTIC-FIBROSIS; COPD PREVALENCE; MEDICINE; REHABILITATION; CARE; EXACERBATIONS; THERAPIES;
D O I
10.1183/13993003.02058-2018
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
100201 [内科学];
摘要
"Treatable traits" have been proposed as a new paradigm for the management of airway diseases, particularly complex disease, which aims to apply personalised medicine to each individual to improve outcomes. Moving new treatment approaches from concepts to practice is challenging, but necessary. In an effort to accelerate progress in research and practice relating to the treatable traits approach, the Treatable Traits Down Under International Workshop was convened in Melbourne, Australia in May 2018. Here, we report the key concepts and research questions that emerged in discussions during the meeting. We propose a programme of research that involves gaining international consensus on candidate traits, recognising the prevalence of traits, and identifying a potential hierarchy of traits based on their clinical impact and responsiveness to treatment. We also reflect on research methods and designs that can generate new knowledge related to efficacy of the treatable traits approach and consider multidisciplinary models of care that may aid its implementation into practice.
引用
收藏
页数:16
相关论文
共 66 条
[1]
Do we really need a new classification of airway diseases? [J].
Agusti, Alvar ;
Pavord, Ian D. .
LANCET RESPIRATORY MEDICINE, 2018, 6 (12) :891-893
[2]
Inhaled corticosteroids in COPD: friend or foe? [J].
Agusti, Alvar ;
Fabbri, Leonardo M. ;
Singh, Dave ;
Vestbo, Jorgen ;
Celli, Bartolome ;
Franssen, Frits M. E. ;
Rabe, Klaus F. ;
Papi, Alberto .
EUROPEAN RESPIRATORY JOURNAL, 2018, 52 (06)
[3]
Precision medicine in airway diseases: moving to clinical practice [J].
Agusti, Alvar ;
Bafadhel, Mona ;
Beasley, Richard ;
Bel, Elisabeth H. ;
Faner, Rosa ;
Gibson, Peter G. ;
Louis, Renaud ;
McDonald, Vanessa M. ;
Sterk, Peter J. ;
Thomas, Mike ;
Vogelmeier, Claus ;
Pavord, Ian D. .
EUROPEAN RESPIRATORY JOURNAL, 2017, 50 (04)
[4]
Treatable traits: toward precision medicine of chronic airway diseases [J].
Agusti, Alvar ;
Bel, Elisabeth ;
Thomas, Mike ;
Vogelmeier, Claus ;
Brusselle, Guy ;
Holgate, Stephen ;
Humbert, Marc ;
Jones, Paul ;
Gibson, Peter G. ;
Vestbo, Jorgen ;
Beasley, Richard ;
Pavord, Ian D. .
EUROPEAN RESPIRATORY JOURNAL, 2016, 47 (02) :410-419
[5]
Biomarkers, the control panel and personalized COPD medicine [J].
Agusti, Alvar ;
Gea, Joaquim ;
Faner, Rosa .
RESPIROLOGY, 2016, 21 (01) :24-33
[6]
Personalized Respiratory Medicine: Exploring the Horizon, Addressing the Issues Summary of a BRN-AJRCCM Workshop Held in Barcelona on June 12, 2014 [J].
Agusti, Alvar ;
Anto, Josep Maria ;
Auffray, Charles ;
Barbe, Ferran ;
Barreiro, Esther ;
Dorca, Jordi ;
Escarrabill, Joan ;
Faner, Rosa ;
Furlong, Laura I. ;
Garcia-Aymerich, Judith ;
Gea, Joaquim ;
Lindmark, Bertil ;
Monso, Eduard ;
Plaza, Vicente ;
Puhan, Milo A. ;
Roca, Josep ;
Ruiz-Manzano, Juan ;
Sampietro-Colom, Laura ;
Sanz, Ferran ;
Serrano, Luis ;
Sharpe, James ;
Sibila, Oriol ;
Silverman, Edwin K. ;
Sterk, Peter J. ;
Sznajder, Jacob I. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2015, 191 (04) :391-401
[7]
Lungs, Bone Marrow, and Adipose Tissue A Network Approach to the Pathobiology of Chronic Obstructive Pulmonary Disease [J].
Agusti, Alvar ;
Barbera, Joan A. ;
Wouters, Emiel F. M. ;
Peinado, Victor I. ;
Jeffery, Peter K. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2013, 188 (12) :1396-1406
[8]
Addressing the Complexity of Chronic Obstructive Pulmonary Disease From Phenotypes and Biomarkers to Scale-Free Networks, Systems Biology, and P4 Medicine [J].
Agusti, Alvar ;
Sobradillo, Patricia ;
Celli, Bartolome .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2011, 183 (09) :1129-1137
[9]
Australian and New Zealand Pulmonary Rehabilitation Guidelines [J].
Alison, Jennifer A. ;
McKeough, Zoe J. ;
Johnston, Kylie ;
McNamara, Renae J. ;
Spencer, Lissa M. ;
Jenkins, Sue C. ;
Hill, Catherine J. ;
McDonald, Vanessa M. ;
Frith, Peter ;
Cafarella, Paul ;
Brooke, Michelle ;
Cameron-Tucker, Helen L. ;
Candy, Sarah ;
Cecins, Nola ;
Chan, Andrew S. L. ;
Dale, Marita T. ;
Dowman, Leona M. ;
Granger, Catherine ;
Halloran, Simon ;
Jung, Peter ;
Lee, Annemarie L. ;
Leung, Regina ;
Matulick, Tamara ;
Osadnik, Christian ;
Roberts, Mary ;
Walsh, James ;
Wootton, Sally ;
Holland, Anne E. .
RESPIROLOGY, 2017, 22 (04) :800-819
[10]
Endotyping asthma: new insights into key pathogenic mechanisms in a complex, heterogeneous disease [J].
Anderson, Gary P. .
LANCET, 2008, 372 (9643) :1107-1119