Respiratory Medicine

The Global Asthma Report 2014

Posted on November 20, 2014. Filed under: Respiratory Medicine | Tags: |

The Global Asthma Report 2014

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Infection Prevention and Control of Epidemic- and Pandemic-Prone Acute Respiratory Infections in Health Care – WHO – 2014

Posted on July 8, 2014. Filed under: Infection Control, Infectious Diseases, Respiratory Medicine | Tags: , |

Infection Prevention and Control of Epidemic- and Pandemic-Prone Acute Respiratory Infections in Health Care – WHO – 2014

“Overview

This publication is an update to the World Health Organization (WHO) interim guidelines Infection prevention and control of epidemic- and pandemic-prone acute respiratory diseases in health care (2007). These updated guidelines incorporate the emergency guidance given in the WHO publication Infection prevention and control during health care for confirmed, probable, or suspected cases of pandemic (H1N1) 2009 virus infection and influenza-like illness (2009). The revision was informed by both evidence that has emerged since the first edition was published and the practical lessons learnt during the influenza pandemic in 2009.

The WHO guidelines Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care provide recommendations, best practices and principles for non-pharmacological aspects of infection prevention and control (IPC) for acute respiratory infections (ARI) in health care, with special emphasis on ARI that can present as epidemics or pandemics. The guidelines are intended to help policy-makers, administrators and health-care workers to prioritize effective IPC measures.

The document also provides guidance on the application of basic IPC precautions, such as Standard Precautions, and on the importance of maintaining appropriate IPC measures in routine circumstances to strengthen a healthcare facility’s capacity to put them into practice during outbreaks. These measures should therefore be part of the hospital’s permanent IPC strategy.”

 

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Report on the inquiry into respiratory deaths – APPG – June 2014

Posted on June 26, 2014. Filed under: Respiratory Medicine |

Report on the inquiry into respiratory deaths – APPG – June 2014

APPG on Respiratory Health is supported by a secretariat provided jointly by Asthma UK and the British Lung Foundation

“The APPG on Respiratory Health recently held a 12-month inquiry into respiratory deaths.

Respiratory disease affects one in five people in the UK, is responsible for around 1 million hospital admissions each year and is the third biggest cause of death in the UK.

The inquiry investigated why premature mortality from respiratory disease remains so high and how death rates could be improved. The inquiry focussed in particular on two conditions: COPD and asthma, which together affect around 6 million people in the UK.

The key recommendations called for:

Investment in national infrastructure for respiratory disease. This includes a funded Strategic Clinical Network for respiratory or a programme to implement the Outcomes Strategy for Asthma and COPD.
Increased investment into respiratory medical research, so that it is proportional to the burden posed by respiratory diseases.
Greater awareness of respiratory conditions, such as through a national awareness campaign for early symptoms. This campaign should be aimed at the public as well as healthcare professionals.
Lung function testing to be included as part of the NHS Health Check for those over 40.
Full access to pulmonary rehabilitation services for all COPD patients who need it and provision of post-rehabilitation exercise classes

The report on the inquiry into respiratory deaths was published in June 2014 and is now available to download.”

 

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Why asthma still kills, the National Review of Asthma Deaths (NRAD) – Royal College of Physicians – 6 May 2014

Posted on May 7, 2014. Filed under: Respiratory Medicine | Tags: , |

Why asthma still kills, the National Review of Asthma Deaths (NRAD) – Royal College of Physicians – 6 May 2014

“There are messages for doctors, nurses, patients, parents and carers in the findings and recommendations of the report. Deficiencies were found in routine asthma care and the review outlines recommendations to be taken forward by not only those who treat patients with this chronic condition but also pharmacists, NHS service managers, policy makers, commissioners and patient and professional bodies.

Why asthma still kills calls for an end to the complacency around asthma care in order to save lives and highlights four key messages:

Every hospital and GP practice should have designated, named clinician for asthma services.

Better monitoring of asthma control; where loss of control is identified, immediate action is required including escalation of responsibility, treatment change and arrangements for follow-up.

Better education is needed for doctors, nurses, patients and carers to make them aware of the risks. They need to be able to recognise the warning signs of poor asthma control and know what to do during an attack.

All patients should be provided with a personal asthma action plan (PAAP), which can help them to identify if their asthma is worsening and tell them how and when to seek help.”

… continues on the site

 

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Burden of disease from Household Air Pollution for 2012 – WHO – 25 March 2014

Posted on March 26, 2014. Filed under: Cardiol / Cardiothor Surg, Oncology, Respiratory Medicine | Tags: , |

Burden of disease from Household Air Pollution for 2012 – WHO – 25 March 2014

“In new estimates released today, WHO reports that in 2012 around 7 million people died – one in eight of total global deaths – as a result of air pollution exposure. This finding more than doubles previous estimates and confirms that air pollution is now the world’s largest single environmental health risk. Reducing air pollution could save millions of lives.”

… continues on the site

Report

 

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A portable asbestos detector that could save thousands of lives – project ALERT – European Commission – 7 March 2014

Posted on March 10, 2014. Filed under: Preventive Healthcare, Respiratory Medicine |

A portable asbestos detector that could save thousands of lives – project ALERT – European Commission – 7 March 2014

EU Research Projects – ALERT

“A European research project, ALERT, has developed an asbestos detection device that could save thousands of lives. The project team is building the first real-time, portable detector of asbestos fibres in the air. The low-cost ALERT Rapid Asbestos Detection (ARAD) tool, which will be the size of a hand-held drill, is expected to enable construction workers and surveyors to test for the mineral’s presence in building and demolition sites.”

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A Guide to Performing Quality Assured Diagnostic Spirometry – NHS – 16 April 2013

Posted on April 29, 2013. Filed under: Diagnostics, Respiratory Medicine | Tags: |

A Guide to Performing Quality Assured Diagnostic Spirometry – NHS – 16 April 2013

“Spirometry is one of the most common diagnostic tests performed in primary care but its quality can be very variable. As a result spirometry results cannot be relied on in around a quarter of all patients on GP COPD registers.

This step-by-step guide shows clinicians how to ensure that diagnostic spirometry performed in primary care and other settings is quality assured and provides valid results for patients. It details how spirometry should be performed, the interpretation and reporting of results and methods for quality assurance. The guide also illustrates common technical errors and offers a Top Ten Tips for reporting spirometry results.”

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Geographic distribution of asthma and chronic obstructive pulmonary disease hospitalisations in Australia: 2007-08 to 2009-10 – AIHW – 26 March 2013

Posted on March 26, 2013. Filed under: Health Status, Respiratory Medicine | Tags: |

Geographic distribution of asthma and chronic obstructive pulmonary disease hospitalisations in Australia: 2007-08 to 2009-10 – AIHW – 26 March 2013

“This report investigates how hospitalisation rates for asthma and chronic obstructive pulmonary disease (COPD) vary across Australia. Maps in the report show higher hospitalisation rates for both asthma and COPD in inland and rural areas of Australia. Socioeconomic status, remoteness and the proportion of the population that identifies as Indigenous all have a significant association with the hospitalisation rates for asthma and COPD by area.”

ISBN 978-1-74249-416-6; Cat. no. ACM 26; 50p

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First steps to improving chronic obstructive pulmonary disease (COPD) care – NHS Improvement – October 2012

Posted on October 24, 2012. Filed under: Respiratory Medicine | Tags: , |

First steps to improving chronic obstructive pulmonary disease (COPD) care – NHS Improvement – October 2012

“A basic guide to the key principles every area should be adopting to provide good COPD care– if you do nothing else, start with these ten things and make sure they are in place for all your patients. This may be a helpful starting point for those new to commissioning for COPD services or for a stocktake for a local respiratory team.”

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NQF Endorses Pulmonary and Critical Care Measures – National Quality Forum [US] – 31 July 2012

Posted on August 2, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Intensive Care, Respiratory Medicine | Tags: , , , , , |

NQF Endorses Pulmonary and Critical Care Measures – National Quality Forum [US] – 31 July 2012

“Washington, DC – the National Quality Forum (NQF) Board of Directors has endorsed 19 measures related to pulmonary conditions and the critical care setting. The measures focus on treatment processes and outcomes for asthma, chronic obstructive pulmonary disease (COPD), and pneumonia.”

“The measures include those that have been endorsed for at least three years and are now undergoing NQF endorsement maintenance. The ongoing evaluation and updating of endorsed measures ensures they are current and relevant to NQF’s pulmonary/critical care portfolio. In all, 35 measures were evaluated against NQF’s endorsement criteria; 19 received endorsement status. Three were new measures and 16 were maintenance measures. Further harmonization efforts are underway for a sub-set of measures. Three measures are still under review.”

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Chronic obstructive pulmonary disease (COPD) commissioning toolkit [NHS] – 1 August 2012

Posted on August 2, 2012. Filed under: Chronic Disease Mgmt, Respiratory Medicine | Tags: |

Chronic obstructive pulmonary disease (COPD) commissioning toolkit [NHS] – 1 August 2012

“The chronic obstructive pulmonary disease (COPD) commissioning toolkit is published for NHS commissioners and chief executives. It aims to make it easier to commission better outcomes for people with COPD by bringing together the clinical, financial and commercial aspects of commissioning in one place.

The toolkit does much of the hard work in the commissioning process including:

the development of best practice service specifications and costing tools
enabling a commissioner to spend more time having informed discussions with providers about service delivery
focusing on matters that will make the most difference to patients, rather than process or bureaucracy”

… continues on the site

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An Outcomes Strategy for COPD and Asthma: NHS Companion Document – 11 May 2012

Posted on May 14, 2012. Filed under: Chronic Disease Mgmt, Respiratory Medicine | Tags: , , |

An Outcomes Strategy for COPD and Asthma: NHS Companion Document – 11 May 2012

Action plan for respiratory disease treatment published

“A new action plan for treatment of respiratory problems is set out in guidance published today for the NHS.

Some 45 best practice actions are outlined for the treatment of Chronic Obstructive Pulmonary Disease (COPD) and asthma. The two can be confused due to similar symptoms and understanding the similarities and differences will help doctors provide better treatment. A key part of the new strategy is reducing the variation in COPD diagnosis and care around the country.

COPD kills around 23,000 people per year, and if the new guidelines are followed across the NHS then an estimated 7,800 lives could be saved annually. The NHS currently spends £1bn a year on COPD. It costs nearly ten times more to treat severe COPD than the mild disease, so improved diagnosis rates could deliver significant cost savings too.”

… continues

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Funding and performance on clinical guidelines. The cases of dementia and chronic obstructive pulmonary disease – RAND – April 2012

Posted on April 24, 2012. Filed under: Aged Care / Geriatrics, Chronic Disease Mgmt, Clin Governance / Risk Mgmt / Quality, Respiratory Medicine | Tags: , , , |

Funding and performance on clinical guidelines. The cases of dementia and chronic obstructive pulmonary disease – RAND – April 2012

by Emmanuel Hassan, Helen Ridsdale, Jonathan Grant, Susan Guthrie

“In September 2009, the United Kingdom (UK) Medical Research Council, the Wellcome Trust and the Department of Health (England) commissioned RAND Europe to investigate the characteristics of research cited in two UK clinical guidelines: Dementia and Chronic Obstructive Pulmonary Disease (COPD).

The exploratory work is part of an overall drive among funders to understand better how research reaches policy and practice.

The objectives of our exploratory study were to understand the following questions.

What are the characteristics of publications cited in these clinical guidelines?
On those papers with a UK affiliation, who funded the research cited in these clinical guidelines?

This report presents the findings of our work, based on the two guidelines.”

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COPD Online, an interactive training program for primary care nurses – Australian Lung Foundation – 22 March 2012

Posted on March 22, 2012. Filed under: Chronic Disease Mgmt, Educ for Hlth Professions, Nursing, Respiratory Medicine | Tags: , |

COPD Online, an interactive training program for primary care nurses – Australian Lung Foundation – 22 March 2012

New online training on COPD – Now available

“In an Australian first, primary care nurses now have access to Chronic Obstructive Pulmonary Disease (COPD) training, regardless of where they live. COPD Online is a new web-based interactive training program developed by The Australian Lung Foundation (Lung Foundation) especially for primary care nurses which teaches participants about COPD, how to identify and manage patients with COPD, and develop self-management plans with patients.

COPD Online has been 18 months in the making and The Lung Foundation’s Director of the COPD National Program, Heather Allan, said the training was developed for a number of reasons. “Primary care nurses have a pivotal role in driving disease management programs at general practice.  Until now, there was very little training to support that important role.  This unique ten module intensive program will support the nurse’s role in identification, diagnosis and evidence based management of their patients with COPD,” Mrs Allan said.”

COPD Online is available on The Australian Lung Foundation’s website for $250.

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Cost Risk Analysis for Chronic Lung Disease in Canada – The Conference Board of Canada – March 2012

Posted on March 16, 2012. Filed under: Health Economics, Respiratory Medicine | Tags: |

Cost Risk Analysis for Chronic Lung Disease in Canada – The Conference Board of Canada – March 2012

Report by Louis Theriault, Gregory Hermus, Danielle Goldfarb, Carole Stonebridge, Fares Bounajm

“This report provides forecasts of chronic lung disease rates and associated economic burden to the year 2030, to help policy-makers determine effective chronic lung health policies and set priorities among competing options.

Respiratory diseases are a significant cause of mortality and represent some of the most costly diseases in Canada. The growth in the number of older Canadians will contribute to the rising economic burden associated with chronic lung disease. One way to address this burden is to reduce the risk factors that encourage their development.

This report examines the cost savings from reducing six of the risk factors that contribute to the three major chronic lung diseases—lung cancer, asthma, and chronic obstructive pulmonary disease. Based on a status quo scenario and a forecast scenario, the report estimates that over the entire forecast horizon (2012–2030), the policy scenario could reduce the economic burden by a combined $12.2 billion.

The cost savings from the policy scenario would increase dramatically over time, compared with the status quo scenario, where only minimal improvement would take place. The analysis in the report suggests that investments to offset future costs associated with chronic lung disease need to be made well in advance to ensure the reduction in the economic burden actually materializes.”

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IMPRESS Guide to Pulmonary Rehabilitation – Improving and Integrating Respiratory Services – December 2011

Posted on December 19, 2011. Filed under: Rehabilitation, Respiratory Medicine | Tags: |

IMPRESS Guide to Pulmonary Rehabilitation – Improving and Integrating Respiratory Services – December 2011

“IMPRESS was set up in 2007 as a joint initiative between the British Thoracic Society (BTS) and the Primary Care Respiratory Society-UK (PCRS-UK) to provide clinical leadership to the NHS to stimulate improvement and integration in respiratory services. The IMPRESS team now works closely with representatives from  primary and secondary care, nursing and medicine, public health, social care, providing and commissioning and the public.”

“Executive Summary

• Pulmonary rehabilitation (PR) reduces morbidity, mortality and hospital attendances in people with COPD disabled by their disease.
• PR should receive commissioning priority given its proven clinical and cost effectiveness and relative value compared to many of our other interventions
for COPD.
• The more components of the COPD pathway working together in an integrated multi-faceted programme, including an interface with self-management support, quit smoking support and oxygen assessment, the more likely there is to be a positive effect.
• This paper reviews the evidence, explains what PR is, how it works, its value and why it should be commissioned.
• It supplements the Commissioning Pack for COPD to be issued by the DH England, including a section on PR (due early 2012).
• It answers the questions asked by commissioners who may have no current service, a service with insufficient capacity, one that does not meet patient’s expectations, or one that is failing to achieve acceptable completion rates.”

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Health Survey for England – 2010: Respiratory health – NHS Information Centre – 15 December 2011

Posted on December 19, 2011. Filed under: Health Status, Respiratory Medicine |

Health Survey for England – 2010: Respiratory health – NHS Information Centre – 15 December 2011

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NHS Improvement – lung: national improvement projects – December 2011

Posted on December 13, 2011. Filed under: Respiratory Medicine | Tags: , |

NHS Improvement – lung: national improvement projects – December 2011

Improving earlier diagnosis and the long term management of COPD: testing the case for change – December 2011

Improving end of life care in chronic obstructive pulmonary disease (COPD): testing the case for change – December 2011

Transforming acute care in chronic obstructive pulmonary disease (COPD): testing the case for change – December 2011

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National Thoracic Surgery Activity & Outcomes Report 2011 – Royal College of Surgeons – 3 November 2011

Posted on November 14, 2011. Filed under: Oncology, Respiratory Medicine, Surgery |

National Thoracic Surgery Activity & Outcomes Report 2011 – Royal College of Surgeons – 3 November 2011

“The number of lung cancer patients benefiting from life-saving surgery has shot up by 60 per cent while the operative mortality rate has halved in recent years as a new generation of specialist lung surgeons start to come through into the NHS. In the last year alone the number of lung cancer operations has increased by more than 17 per cent. These are among the findings of a comprehensive new audit from the Society for Cardiothoracic surgery (SCTS). The study also finds that new scanning technology has led to more accurate decisions on which patients could benefit from an operation; but points to the need for more training in minimally-invasive techniques.

The report, the National Thoracic Surgery Activity & Outcomes Report 2011, tracks the results of more than 400,000 operations from 1980 to 2010 and includes hospital-specific data for the past three years. Among the findings are:”

… continues on the site

The report in full text

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Lung cancer in Australia in 2011: an overview – AIHW – 4 November 2011

Posted on November 4, 2011. Filed under: Oncology, Respiratory Medicine | Tags: |

Lung cancer in Australia in 2011: an overview – AIHW – 4 November 2011

“Data in this report provide a comprehensive picture of lung cancer in Australia including how lung cancer rates differ by geographical area, socioeconomic status, Indigenous status and country of birth.”

ISBN 978-1-74249-222-3; Cat. no. CAN 58; 194pp

Media release: Lung cancer rates up for women, down for men, survival slightly better

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Asthma in Australia 2011: with a focus chapter on chronic obstructive pulmonary disease – AIHW – 18 October 2011

Posted on October 18, 2011. Filed under: Respiratory Medicine | Tags: , |

Asthma in Australia 2011: with a focus chapter on chronic obstructive pulmonary disease – AIHW – 18 October 2011
Australian Centre for Asthma Monitoring

“Asthma is an important health problem in Australia. This report brings together data from a wide range of sources to describe the current status of asthma in Australia. It includes information on the number of people who have asthma and who visit their general practitioner, are hospitalised or die due to asthma. Time trends and profiles of people who receive various treatments for asthma are also presented, along with information on those who have written asthma action plans. In addition, comorbidities and quality of life among people with asthma are also investigated. This report also includes a chapter that focuses on chronic obstructive pulmonary diseases in Australians aged 55 years and over.”

ISSN 1448-7594; ISBN 978-1-74249-215-5; Cat. no. ACM 22; 291pp

Media release – Asthma rates drop among Australian children and young people

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Asthmapolis: Tools to Track, Manage, and Research Asthma – September 2011

Posted on September 14, 2011. Filed under: Respiratory Medicine |

Asthmapolis: Tools to Track, Manage, and Research Asthma – September 2011

“GPS Sensors and Mobile App Track Asthma Symptoms, Triggers, and Inhaler Use

CHCF invests in Asthmapolis, a technology-based innovation that combines sensors with asthma inhalers to provide tailored information through mobile phones to people living with asthma.

 Despite dramatic advances in medication effectiveness, many people with asthma experience episodes of uncontrolled disease, causing them to be at greater risk for acute exacerbations. Historically health care providers have had inadequate tools to understand the severity of a patient’s asthma, limiting their ability to predict and prevent serious and costly asthma attacks. To address this problem Asthmapolis developed GPS sensors that record exactly when and where patients use their inhalers and a digital interface to display the information captured. The patient-level data may then help physicians make more informed clinical interventions and help patients track and manage their condition. “

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Managing COPD as a Long Term Condition: Emerging Learning from the National [NHS] Improvement Projects – August 2011

Posted on August 29, 2011. Filed under: Chronic Disease Mgmt, Respiratory Medicine | Tags: |

Managing COPD as a Long Term Condition: Emerging Learning from the National [NHS] Improvement Projects – August 2011

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National strategy to transform care for millions with respiratory disease – NHS – 18 July 2011

Posted on August 8, 2011. Filed under: Respiratory Medicine |

National strategy to transform care for millions with respiratory disease – NHS – 18 July 2011

“UK has second highest death rate in Europe from respiratory diseases

Plans to transform the care, quality of life and health outcomes for millions of people with respiratory disease were announced today by Health Secretary Andrew Lansley.

Respiratory diseases represent a major problem in England for patients and the NHS. Chronic Obstructive Pulmonary Disease (COPD) is thought to affect more than three million people in England and more than five million people currently receive treatment for Asthma.

The UK has the second highest mortality rate from COPD and asthma in Europe (1). However, if the UK was performing at the EU average for respiratory disease then we would save over 2,000 extra lives a year. Further if all parts of the country could reduce death rates to those areas with the lowest death rates, then up to 8,000 lives a year would be saved from COPD alone.

Due to a lack of recognition of symptoms this leads to late diagnosis and poor outcomes – one in eight adults aged over 35 has COPD that has not been diagnosed. More people are admitted to hospital in an emergency for respiratory diseases than anything else (12 per cent of all emergency admissions) and COPD is the fifth biggest killer in the UK.

It also represents a huge cost for the NHS and for patients – together COPD and asthma cost the NHS more than £2 billion a year and COPD alone is responsible for 24 million lost working days.

The Outcomes Strategy for COPD and Asthma will drive improvements in outcomes for patients through the new REACT approach. This coordinates the efforts of the NHS, patients, social care and voluntary organisations can help people avoid lung disease and to lead longer and healthier lives:”

… continues on the site

 

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Consultation on a Strategy for Services for Chronic Obstructive Pulmonary Disease (COPD) in England – A response to the consultation – July 2011

Posted on August 8, 2011. Filed under: Respiratory Medicine | Tags: |

Consultation on a Strategy for Services for Chronic Obstructive Pulmonary Disease (COPD) in England – A response to the consultation – July 2011

“This documents sets out the Government’s response to the Consultation on a Strategy for Services for Chronic Obstructive Pulmonary Disease (COPD) in England. It is based on the many stakeholders responses to the consultation which took place between February and April 2010. The Government’s response is accompanied by the following documents, published individually: An Outcomes Strategy for Chronic Obstructive Pulmonary Disease (COPD) and Asthma in England; An Outcomes Strategy for Chronic Obstructive Pulmonary Disease (COPD) and Asthma in England: Assessment of Impact on Equality”

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A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases – Institute of Medicine – released 22 July 2011

Posted on July 25, 2011. Filed under: Cardiol / Cardiothor Surg, Chronic Disease Mgmt, Health Status, Public Hlth & Hlth Promotion, Respiratory Medicine | Tags: |

A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases – Institute of Medicine – released 22 July 2011
full text

“Chronic diseases, such as cardiovascular disease and chronic lung disease, are common and costly, yet they also are among the most preventable health problems. Surveillance systems focused on chronic diseases have a potentially key role in reducing this health toll. Currently, surveillance data are collected from a variety of sources, often with beneficial results. But a critical link is missing: There is no surveillance system that operates on a national basis and in a coordinated manner to integrate current and emerging data on chronic diseases and generate timely guidance for stakeholders at the local, state, regional, and national levels. To help close this gap, two federal health agencies—the National Heart, Lung, and Blood Institute of the National Institutes of Health, and the Division for Heart Disease and Stroke Prevention of the Centers for Disease Control and Prevention—asked the IOM to develop a framework for building a national chronic disease surveillance system focused primarily on cardiovascular and chronic lung disease.

In this report, the IOM presents a conceptual framework for national surveillance of cardiovascular and chronic lung disease and calls on the Department of Health and Human Services (HHS) to adopt it. The IOM recommends that HHS take the lead in overseeing and coordinating development and implementation efforts of a national surveillance system using this framework. In its design, HHS should work to develop a system that can provide various types of data that individually and collectively can be used to understand the continuum of disease prevention, progression, treatment, and outcomes. Without a national surveillance system, the gaps in current monitoring approaches will continue to exist, making it more difficult to track the nation’s health status despite advances in technology and data collection. The framework put forth by the IOM not only could help with tracking and monitoring cardiovascular and chronic lung disease but might well become a building block for an integrated surveillance system for the broad spectrum of chronic diseases.”

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COPD and other respiratory diseases – Skills for Health [UK] – June 2011

Posted on June 29, 2011. Filed under: Educ for Hlth Professions, Respiratory Medicine, Workforce | Tags: |

COPD and other respiratory diseases – Skills for Health [UK] – June 2011

“It is estimated that over 3 million people in the UK are living with Chronic Obstructive Pulmonary Disease (COPD) and other related respiratory disease but of those only approximately 835,000 have been diagnosed and are being treated. With better awareness, and clearer pathways to treatment, there will be implications for workforce planning, and commissioning of respiratory care services.

Skills for Health, in collaboration with the Respiratory Programme in the Department of Health, has led on the development of a respiratory disease competence framework that describes the knowledge, skills and attitudes that are required to deliver patient centred respiratory care. Competence frameworks are focused on outcomes and are an indispensible tool for those managing and developing a highly skilled workforce. They inform the development of education and training programmes as well as assessment strategies, all of which are going to be vital in implementing the Respiratory Disease Outcomes Framework.

The purpose of this work is to provide an underpinning framework of National Occupational Standards (NOS) and Units of Learning for the respiratory care workforce, so that people can plan and develop their services more effectively. The NOS and units of learning were identified following much consultation with the members of the development group, and with input from healthcare professionals as well as professional bodies and other national groups.

The suite of resources includes:

Main report – this outlines the rationale and uses for the Units of Learning for COPD
Mapping document – shows how the Units of Learning relate to the COPD Spectrum
Case Studies – demonstrates how services will use the NOS and Units of Learning.
Case study 1
Case study 2
Units of Learning – zipped folder of all 57 units can be downloaded here. (2.48MB)”

… continues on the site

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Chronic Disease Care: A piece of the picture, July 2009 to June 2010 – NSW Bureau of Health Information – June 2011

Posted on June 24, 2011. Filed under: Cardiol / Cardiothor Surg, Chronic Disease Mgmt, Respiratory Medicine | Tags: , |

Chronic Disease Care: A piece of the picture, July 2009 to June 2010 – NSW Bureau of Health Information – June 2011

Chronic Disease Care provides information about potentially avoidable admissions for chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF) in NSW public hospitals, July 2009 to June 2010.

Bureau of Health Information. Chronic Disease Care: A piece of the picture.
2(1). Sydney (NSW); 2011.    The Insights Series

State Health Publication Number: (BHI) 110135
ISSN 1839-1680 ISBN 978-1-74187-604-8

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Time trends and geographical variation in re-admissions for asthma in Australia – AIHW – 7 March 2011

Posted on March 24, 2011. Filed under: Respiratory Medicine | Tags: , , |

Time trends and geographical variation in re-admissions for asthma in Australia – AIHW – 7 March 2011

“Re-admissions for asthma can be considered an indicator of health system performance in relation to the management of patients with asthma. This bulletin examines the overall rate of re-admissions for asthmas in Australian and investigates time trends in re-admissions for asthmas as well as differences according to age, sex, socioeconomic status and remoteness of residence.”

ISBN 978-1-74249-123-3

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Effectiveness of Recombinant Human Growth Hormone in the Treatment of Cystic Fibrosis – AHRQ – 4 October 2010

Posted on October 15, 2010. Filed under: Respiratory Medicine | Tags: , |

Effectiveness of Recombinant Human Growth Hormone in the Treatment of Cystic Fibrosis

AHRQ = Agency for Healthcare Research & Quality [US]

Press release: 4 October 2010

“Human growth hormone can be used successfully to treat some symptoms of cystic fibrosis, but its impact on the disease itself remains unknown, according to a new report funded by HHS’ Agency for Healthcare Research and Quality (AHRQ).”  …continues

Full Report: Research Review Oct. 4, 2010 PDF 1.1 MB

Appendixes Oct. 4, 2010  PDF 583 KB

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Multi-City Mortality & Morbidity Study – Environmental Protection and Heritage Council – reports dated 9 September 2010

Posted on September 14, 2010. Filed under: Cardiol / Cardiothor Surg, Environmental Health, Respiratory Medicine | Tags: , , |

Multi-City Mortality & Morbidity Study – Environmental Protection and Heritage Council – reports dated 9 September 2010

“In May 2003, the Environment Protection and Heritage Council approved a research study which examined the effects of air pollution of human health in Sydney, Melbourne, Brisbane, Perth, and Canberra in Australia, and from Auckland and Christchurch in New Zealand.

The study included an analysis of data from these cities on mortality and hospital admissions for respiratory and cardiovascular disease using a standardised statistical approach consistent with large multi-city studies in the USA and Europe. The study also included an analysis of the health effects attributed to PM2.5 and PM10. The principal investigators were the University of the Sunshine Coast in association with the School of Population Health, University of Queensland, and associate investigators include New South Wales Health, Queensland Health, Environment Protection Victoria, West Australian Department of Environment Protection, Environment ACT, and the New Zealand Ministry for the Environment.

A final report of the study was presented by the investigators in 2006. A peer review of the study was initiated in 2007, focusing on the study design, the soundness and reliability of the statistical methods used and whether the methods employed had been applied appropriately.

The peer review was conducted by international experts (Prof Ross Anderson and Dr Richard Atkinson, St Georges Hospital, London; Dr Lucas Neas, US EPA; and, Dr Annette Peters, GSF Germany). All reviewers provided positive responses to the report and did not identify any issues with the method used in the analysis. Most comments focused on interpretation and presentation of the results. These issues were relayed to the researchers and were addressed in the finalisation of the report for the EPHC in July 2010.

The study will provide useful information for the review of the Ambient Air Quality NEPM.”

Expansion of the Multi-City Mortality and Morbidity Study – Executive Summary & Summary Report – Sept 2010 222KB

Multi-city – Volume 1 – Expansion of the Multi-City Mortality and Morbidity Study – Sept 2010 183KB

Multi-city – Volume 2 – Expansion of the Multi-City Mortality and Morbidity Study – Sept 2010 1.69MB

Multi-city – Volume 3 – Expansion of the Multi-City Mortality and Morbidity Study – Sept 2010 1.81MB

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Motor neurone disease – non-invasive ventilation – NICE Guidance – July 2010

Posted on August 12, 2010. Filed under: Neurology, Respiratory Medicine | Tags: , |

Motor neurone disease – non-invasive ventilation – NICE Guidance – July 2010

The use of non-invasive ventilation in the management of motor neurone disease

Description

This clinical guideline offers evidence-based advice on the use of non-invasive ventilation for people with motor neurone disease. It is the full guideline and contains all the recommendations, details of how they were developed, and reviews of the evidence they were based on.

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COPD Uncovered – July 2010 – New Model Showing £1.2billion Impact to UK Economy in Patients of Working Age

Posted on July 22, 2010. Filed under: Health Economics, Respiratory Medicine |

COPD Uncovered – July 2010 – Latest Data – Education for Health Presents New Model Showing £1.2billion Impact to UK Economy due to COPD in Patients of Working Age

Authors: Monica Fletcher, Thys van der Molen, Marianella Salapatas, John Walsh

full text of the report in pdf

“A new economic impact model presented at the the International Conference COPD7 on 1st July 2010 has shown that as the disease heads towards being the third biggest cause of death globally by 2020, the cost implication to country healthcare systems and lost productivity within those of the working age group is significant.”

Chronic obstructive pulmonary disease

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Monitoring the impact of air pollution on asthma in Australia: a methods paper – AIHW – 22 March 2010

Posted on March 23, 2010. Filed under: Respiratory Medicine | Tags: , , , |

Monitoring the impact of air pollution on asthma in Australia: a methods paper – AIHW – 22 March 2010

Australian Institute of Health and Welfare

“Air pollution can trigger asthma and, in severe cases, has been associated with hospitalisation and death. How much of a problem is air pollution though? What proportion of asthma exacerbations are due to air pollution each year? How much does this vary with extreme events such as bushfires and dust storms? This paper discusses the challenges associated with this type of monitoring, outlines the work that has so far been done in Australia in this area and presents a method for estimating the contribution of air pollution to asthma hospitalisations. The method has been applied to a particular case study ‘Melbourne in 2006’ to test its potential usefulness.”

ISBN-13 978-1-74249-000-14; AIHW cat. no. ACM 18; 40pp.

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The Human and Economic Burden of COPD: A Leading Cause of Hospital Admission in Canada – Canadian Thoracic Society – 2 February 2010

Posted on February 5, 2010. Filed under: Chronic Disease Mgmt, Health Economics, Respiratory Medicine | Tags: , |

The Human and Economic Burden of COPD: A Leading Cause of Hospital Admission in Canada – Canadian Thoracic Society – 2 February 2010
By Susannah Benady

Extract from the press release:

“Many Canadians unaware of heavy price of COPD on patients and the healthcare system
February 2, 2010 – Ottawa, ON – A review of Canadian data by the nation’s leading lung specialists has provided the factual evidence to support what respirologists across the country have been suspecting for some time. Shockingly, more people are being admitted to Canadian hospitals each year with chronic obstructive pulmonary disease (COPD) than any other major chronic illness (including heart attacks) and that number has been increasing dramatically in recent years.i A new report released today by the Canadian Thoracic Society (CTS), entitled The Human and Economic Burden of COPD: A Leading Cause of Hospital Admission in Canada, is timely given the annual spike in hospitalizations due to lung infections each winter.” … continues

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Refining national asthma indicators: Delphi survey and correlation analysis – AIHW – 21 July 2009

Posted on July 22, 2009. Filed under: Respiratory Medicine | Tags: , , , |

Refining national asthma indicators: Delphi survey and correlation analysis – published by the Australian Institute of Health and Welfare

“This report is the result of a systematic review undertaken by the Australian Centre for Asthma Monitoring (ACAM) to refine and simplify asthma monitoring in Australia. A Delphi survey and correlation analysis were used to review the currently recommended list of 24 national asthma indicators in order to identify a smaller set of core indicators, which provide the most important and relevant information and which are more effective at signalling change for future asthma monitoring activities. ”

Authored by Australian Centre for Asthma Monitoring.

Published 21 July 2009; ISSN 1448-7594; ISBN-13 978 1 74024 938 6; AIHW cat. no. ACM 15; 42pp.; INTERNET ONLY

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Sensitive Choice program – an initiative of the National Asthma Council Australia (NAC)

Posted on June 30, 2009. Filed under: Respiratory Medicine | Tags: , , , |

“The Sensitive Choice program helps you identify companies that are committed to reducing asthma and allergy triggers.

The National Asthma Council Australia (NAC) receives many enquiries from families and people with asthma wanting to know how to reduce their asthma symptoms.

With over 12% of the population suffering from asthma and 40% of the population from allergy, the Sensitive Choice program has been launched to help Australians make better lifestyle choices that may help manage asthma and allergies more effectively.

In response to the big demand from Australians for guidance about managing their asthma and allergy, the Sensitive Choice butterfly logo has been launched. ”  … continues on the website

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Mesothelioma in Australia: Incidence 1982 to 2005, Deaths 1997 to 2006- – Safe Work Australia Report – June 2009

Posted on June 18, 2009. Filed under: Occupational Hlth Safety, Respiratory Medicine | Tags: , |

Mesothelioma in Australia: Incidence 1982 to 2005, Deaths 1997 to 2006.  Safe Work Australia Report, June 2009
ISBN: 978-0-642-32771-0 19 p.

“Mesothelioma in Australia reports on the number of new cases and the number of deaths from mesothelioma over time. The report is based on data collected by the National Cancer Statistics Clearing House and the National Morbidity Database, provided to Safe Work Australia by the Australian Institute of Health and Welfare.”

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Heat treatment eases severe asthma: study – report from ABC Science 19 May 2009

Posted on May 20, 2009. Filed under: Respiratory Medicine | Tags: |

Heat treatment eases severe asthma: study

Info copied from the ABC Science report:
Tuesday, 19 May 2009

“An experimental asthma treatment that uses heat to reduce airway constriction provided some relief from severe asthma, say US researchers.

The device cut the rates of extreme asthma attacks by 32% and reduced trips to the emergency room by 84% in patients with severe asthma, according to results of the late-stage clinical trial, which was presented at a meeting of the American Thoracic Society in San Diego.

The procedure, known as bronchial thermoplasty, uses a thin tube to gently heat the walls of the lung’s air passages, killing off some of the muscle tissue to reduce narrowing of the airways.

“In asthma, what happens is these patients develop enlarged smooth muscles surrounding their bronchial tubes. That contributes to asthma attacks. The idea is to decrease that,” says Dr Mario Castro of Washington University in St Louis, who led the study.

Glen French, chief executive officer of Asthmatx, which manufactures the device used in the trial, says the treatment uses radiofrequency-generated heat.

“We are warming the tissue and the target tissue is dying, but it is about 65° C, which is like a warm cup of coffee.”

He says smooth muscle tissue in the lungs is sensitive to heat. Burning the tissue at high temperatures can cause excessive scarring and inflammation.” …. continues on the ABC Science website

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Transforming respiratory and sleep diagnostic services to deliver 18 weeks – a Good Practice Guide [UK]

Posted on April 8, 2009. Filed under: Respiratory Medicine | Tags: , , , |

Transforming respiratory and sleep diagnostic services to deliver 18 weeks – a Good Practice Guide

Author:  UK  Department of Health
Published date:      9 February 2009
Pages:      62

This guide accompanies other recently published good practice guidance for physiological measurement services including audiology, cardiac physiology and neurophysiology.

This guide supports the continued delivery of low wait planned care services associated with the 18 week target and the clinical visions outlined by each of the 10 SHAs in England as part of Lord Darzi’s Next Stage Review of the NHS. Including evidence and new pathways, it aims to help commissioners understand where respiratory and sleep services fit into their local strategy for clinical care and providers by suggesting innovative ways in which these services can be improved and delivered for the benefit of patients.

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