Open Respiratory Archives最新文献_第3页

CARABELA-COPD: A Novel Approach for the Transformation and Improvement of the Healthcare Process in COPD Management in Spain CARABELA-COPD：西班牙COPD管理中医疗保健过程的转变和改进的新方法。

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2024.100387

Javier de Miguel-Diez , Jesús Diez Manglano , Inmaculada Mediavilla , Luciano Escudero , the CARABELA-COPD Committee

{"title":"CARABELA-COPD: A Novel Approach for the Transformation and Improvement of the Healthcare Process in COPD Management in Spain","authors":"Javier de Miguel-Diez , Jesús Diez Manglano , Inmaculada Mediavilla , Luciano Escudero , the CARABELA-COPD Committee","doi":"10.1016/j.opresp.2024.100387","DOIUrl":"10.1016/j.opresp.2024.100387","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic obstructive pulmonary disease (COPD) is a serious global health problem that is ranked third among the leading causes of death worldwide. However, underdiagnosis remains common, especially in Spain. The CARABELA-COPD initiative aims to address these issues by optimizing processes across the diverse healthcare settings in Spain.</div></div><div><h3>Material and methods</h3><div>CARABELA-COPD employs lean methodology and fosters partnership between scientific societies, industry, clinicians, and managers to improve COPD care. The methodology consists of 4 phases: Phase 1 involved experts analyzing COPD care models and unmet needs; Phase 2, validation and priorization of improvement areas in 7 pilot hospitals, selecting healthcare quality indicators (QIs) in a national meeting; Phase 3, cocreation and refinement of results from a regional perspective; and Phase 4 is ongoing, disseminating the results and implementing them locally.</div></div><div><h3>Results</h3><div>Initial phases of the initiative have defined a generic patient journey for COPD management from a multidisciplinary approach, identified 7 improvement areas for optimal COPD care, developed 4 care models tailored to different settings, and established QIs that have been validated in national and regional meetings.</div></div><div><h3>Discussion</h3><div>CARABELA-COPD is a novel practical approach to COPD management in Spain that acts as catalyst for a system transformation to boost overall system efficiency and enhance patient outcomes. It provides a clear framework for improvement, emphasizing interdisciplinary collaboration and communication. The ongoing implementation phase will require flexibility and constant evaluation to further enhance COPD care, ultimately improving patient quality of life and healthcare effectiveness.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 1","pages":"Article 100387"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changing Patterns of Lung Cancer Mortality in Andalusia: Insights From Age-period-cohort Analysis and Historical Smoking Trends 安达卢西亚肺癌死亡率的变化模式：来自年龄、时期队列分析和历史吸烟趋势的见解。

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2024.100390

Lucía Cayuela , Anna Michela Gaeta , Javier Piury-Pinzón , Manuel Ortega-Calvo , Aurelio Cayuela

{"title":"Changing Patterns of Lung Cancer Mortality in Andalusia: Insights From Age-period-cohort Analysis and Historical Smoking Trends","authors":"Lucía Cayuela , Anna Michela Gaeta , Javier Piury-Pinzón , Manuel Ortega-Calvo , Aurelio Cayuela","doi":"10.1016/j.opresp.2024.100390","DOIUrl":"10.1016/j.opresp.2024.100390","url":null,"abstract":"<div><h3>Introduction</h3><div>Lung cancer remains one of the leading causes of cancer death worldwide. This study examines lung cancer mortality trends in Andalusia, Spain, from 2003 to 2022, focusing on gender differences and the influence of age, period and cohort effects.</div></div><div><h3>Material and methods</h3><div>This longitudinal ecological study analyzed lung cancer mortality data in Andalusia from 2003 to 2022, using age-period-cohort (A-P-C) and joinpoint regression models. Mortality rates were calculated by sex, age group, and standardized to the 2013 European Standard Population.</div></div><div><h3>Results</h3><div>Between 2003 and 2022, Andalusia recorded 68,480 lung cancer deaths, with a significant gender disparity. Male mortality decreased (−1.9%), while female mortality increased (3.5%). Joinpoint analysis revealed a notable rise in female mortality rates after 2015. Age-specific analyses showed decreasing rates for men across all age groups, with a sharper decline for younger men. Women experienced increasing rates, particularly among those aged 35–64. The A-P-C model identified significant cohort effects, with decreasing rate ratios for men and increasing ones for women, reflecting historical smoking patterns.</div></div><div><h3>Conclusions</h3><div>Lung cancer mortality in Andalusia has exhibited a stark gender divide, reflecting the region's historical smoking patterns. While declining rates among men and younger women indicate the efficacy of tobacco control measures, the persistent rise in female mortality underscores the enduring effects of past smoking habits. These findings emphasize the imperative for ongoing public health initiatives and gender-specific interventions to mitigate the burden of lung cancer in Andalusia.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 1","pages":"Article 100390"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Propuesta para un futuro consenso en la derivación de pacientes con asma grave en el ámbito de la atención especializada. Coordinación entre hospitales con y sin unidades acreditadas de asma [建议未来就重症哮喘患者转诊到专科护理机构达成共识。]医院之间的协调，有和没有认可的哮喘单位]。

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2024.100376

José Ángel Carretero Gracia , Pilar Cebollero Rivas

引用次数: 0

Fires and Explosions Due to Tobacco: Let's Call it Fifth Hand Tobacco. New Concept

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2025.100409

José Ignacio de Granda-Orive , Segismundo Solano-Reina , Carlos A. Jiménez-Ruiz

引用次数: 0

Evolution of Radiologic Alterations in Patients With Covid-19 Pneumonia and Fibrosis at 6 Months

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2025.100407

Selene Cuenca Peris , Margarita Marín Royo , Santiago F. Marco Domenech

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Bilateral Diaphragmatic Paralysis Requiring Non-Invasive Ventilatory Support as a Consequence of Hepatitis E Virus-Associated Neuralgic Amyotrophy

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2025.100412

Daniel Ramos , Maider Iza , Galo Granados , Sergi Martí

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Bilateral Organizing Pneumonia Secondary to Rhinovirus Infection in a Patient With a Solid Organ Transplant 实体器官移植患者继发于鼻病毒感染的双侧组织性肺炎1例。

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2024.100386

Marina Utrero Rico, Cristina María Carrasco Carrasco, Jose Gregorio Soto Campos

引用次数: 0

Effect of Funding Medications for Nicotine Dependence on Tobacco Control: A Narrative Review

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2025.100410

Carlos Rábade-Castedo , António Morais , Sofía Ravara , Jose Ignacio de Granda-Orive , Jose Pedro Boléo-Tomé , Juan Antonio Riesco-Miranda , Angela Ramos Pinedo , Eva de Higes Martinez , Manuel Ángel Martínez Muñiz , Ruth Pitti Pérez , Maribel Cristóbal Fernández , Carlos A. Jiménez-Ruiz

{"title":"Effect of Funding Medications for Nicotine Dependence on Tobacco Control: A Narrative Review","authors":"Carlos Rábade-Castedo , António Morais , Sofía Ravara , Jose Ignacio de Granda-Orive , Jose Pedro Boléo-Tomé , Juan Antonio Riesco-Miranda , Angela Ramos Pinedo , Eva de Higes Martinez , Manuel Ángel Martínez Muñiz , Ruth Pitti Pérez , Maribel Cristóbal Fernández , Carlos A. Jiménez-Ruiz","doi":"10.1016/j.opresp.2025.100410","DOIUrl":"10.1016/j.opresp.2025.100410","url":null,"abstract":"<div><div>Pharmacological treatments for smoking associated with psychological counseling triple the chances of quitting. However, the accessibility of these drugs is limited by their financial cost. With this review we aim to demonstrate the effect of partial or full funding in terms of efficacy, effectiveness, cost-effectiveness and quality of life. We conducted a literature search for articles related to the issues mentioned above: analysis of the efficacy, effectiveness and cost-effectiveness of pharmacological treatments for nicotine dependence and the effect of their funding. It is shown that the funding of pharmacological treatment can increase the efficacy and effectiveness of smoking cessation interventions. Such funding increases motivation to make a quit attempt. In addition, these strategies can increase self-efficacy, generate social influence and change attitudes toward quitting. Although the funding of pharmacological treatment benefits all smokers, there are certain populations of smokers who are more sensitive to funding strategies such as social groups with lower incomes and lower educational attainment. These funding strategies for smoking cessation interventions have been shown to improve the health and quality of life of the population, as well as the economy, while reducing tobacco use.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 1","pages":"Article 100410"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Agradecimientos revisores 2024

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2025.100423

引用次数: 0

Home Hospitalisation: A Polyhedric Approach to Healthcare in Acute Respiratory Patients 家庭住院治疗：急性呼吸道病人的多面体治疗方法。

Open Respiratory Archives Pub Date : 2025-01-01 DOI: 10.1016/j.opresp.2024.100377

Antia Ferreiro-Posse , Ignacio Novo-Veleiro , Placido Mayan-Conesa , Francisco-Javier Gonzalez-Barcala

引用次数: 0