Treatment of severe stable COPD: the multidimensional approach of treatable traits

Marlies van Dijk; Christiaan T Gan; T David Koster; Peter J Wijkstra; Dirk-Jan Slebos; Huib A M Kerstjens; Hester van der Vaart; Marieke L Duiverman

doi:10.1183/23120541.00322-2019

Treatment of severe stable COPD: the multidimensional approach of treatable traits

ERJ Open Res. 2020 Sep 21;6(3):00322-2019. doi: 10.1183/23120541.00322-2019. eCollection 2020 Jul.

Authors

Marlies van Dijk^{1

2}, Christiaan T Gan^{1

2}, T David Koster^{1

2}, Peter J Wijkstra^{1

2}, Dirk-Jan Slebos^{1

2}, Huib A M Kerstjens^{1

2}, Hester van der Vaart^{1

2

3}, Marieke L Duiverman^{1

2}

Affiliations

¹ Dept of Pulmonary Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
² Groningen Research Institute of Asthma and COPD (GRIAC), University of Groningen, Groningen, The Netherlands.
³ Centre of Rehabilitation Beatrixoord, Haren, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Abstract

Now that additional treatment options for severe chronic obstructive pulmonary disease (COPD) have emerged in recent years, patients with severe COPD should not be left in the rather hopeless situation of "there is nothing to improve" any more. Inertia or fatalism is a disservice to our patients. Ranging from advanced care planning to quite intense and demanding therapies such as multidisciplinary pulmonary rehabilitation, (endoscopic) lung volume reduction, chronic noninvasive ventilation and lung transplantation, caregivers should try to provide a personalised treatment for every severe COPD patient. In this review, we aim to describe the multidimensional approach to these patients at our centre along the lines of treatable traits leading to specific additional treatment modalities on top of standard care.

Publication types

Review