Advances in the Diagnosis and Management of Respiratory Illnesses

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 30 November 2024 | Viewed by 800

Special Issue Editors


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Guest Editor
Perioperative and Critical Care Theme, NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, Hampshire, UK
Interests: lung injury; ARDS; mechanical ventilation; ICU; non-invasive ventilation; oxygen
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Guest Editor
1. NIHR Southampton Biomedical Research Centre, Respiratory and Critical Care, University Hospital Southampton, Southampton SO16 6YD, UK
2. Academic School of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UK
Interests: respiratory; critical care and general medicine

Special Issue Information

Dear Colleagues,

Respiratory illnesses, acute or chronic, impose a significant health burden and are responsible for a large number of hospitalizations. Despite the recent focus on acute respiratory infections due to the COVID-19 pandemic, chronic respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD) remain significant health challenges. Acute respiratory tract infections can lead to pneumonia and the subsequent development of acute respiratory distress syndrome (ARDS), which can result in a mortality rate of around 30–50%. COPD, lower respiratory tract infections and cancers related to the respiratory tract are among the top 10 causes of death worldwide. Therefore, improving our ability to diagnose and manage patients with respiratory illnesses is a critical research priority. This will enable us to target specific clinical phenotypes and improve patient stratification, leading to better clinical trial methodology and individualized patient management.

Dr. Ahilanandan Dushianthan
Dr. Anna T. Freeman
Guest Editors

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Keywords

  • asthma
  • COPD
  • pneumonia
  • viral infection
  • ARDS
  • respiratory

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Published Papers (1 paper)

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11 pages, 547 KiB  
Systematic Review
Real-World and Patient-Reported Outcomes of Dupilumab and Other Biological Drugs for Chronic Obstructive Pulmonary Disease—A Systematic Review
by Ophir Freund, Ori Wand, Sara Kutzkel, Boaz Tiran, Irina Pumin, Inbal Friedman Regev, Liran Levy and Amir Bar-Shai
Diagnostics 2024, 14(21), 2390; https://doi.org/10.3390/diagnostics14212390 - 26 Oct 2024
Viewed by 517
Abstract
Background: Over the last few decades, the efficacy of biological therapies for COPD has been evaluated by different randomized controlled trials (RCTs). Still, the evaluation of real-world data and patient-reported outcome measures (PROMs) have not been performed in this field before. In the [...] Read more.
Background: Over the last few decades, the efficacy of biological therapies for COPD has been evaluated by different randomized controlled trials (RCTs). Still, the evaluation of real-world data and patient-reported outcome measures (PROMs) have not been performed in this field before. In the current work, we present a systematic literature review of the real-world data and PROMs of biological treatments for COPD. Methods: Three large databases (MEDLINE/PubMed, Scopus, and ScienceDirect) were utilized for the systematic literature review. Clinical studies (RCT, cohorts, case series/reports) assessing patients with COPD treated by any biological therapy were included. Results: The review resulted in twelve eligible studies (nine randomized controlled trials and three “real-world” case series/reports). The evaluation of PROMs in the included studies was mainly limited to the severity and burden of respiratory symptoms. Most biological therapies were associated with improved PROMs compared to the baseline, although not for the placebo. Dupilumab was the only biologic therapy with proven efficacy in RCT for both objective and subjective measures. One prior study reported patients’ self-perceived drug effects, and none evaluated patients’ perceived disease status. Only 25 patients were assessed in a real-world setting for all biologic therapies combined. Real-world data were retrospective in the form of case reports or series. Conclusions: There are limited data on patients’ experience with biological therapies for COPD. While real-world data and PROMs are missing, biases such as a placebo effect must be considered, requiring their incorporation with objective outcomes from prospective controlled trials. Full article
(This article belongs to the Special Issue Advances in the Diagnosis and Management of Respiratory Illnesses)
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