Archivos De Bronconeumologia最新文献

{"title":"Analysis of Effectiveness of Clinical Psychological Care Protocol for Smoking Cessation With Cytisinicline.","authors":"Angela Ramos-Pinedo, Jose Ignacio de Granda-Orive, Maria Isabel Cristóbal-Fernández, Calos Rábade-Castedo, Elia Pérez-Fernández, Paz Vaquero-Lozano, Maria Inmaculada Gorordo-Unzueta, Lourdes Lázaro-Asegurado, Eva de Higes-Martínez, Juan Antonio Riesco-Miranda, Rosa Mirambeaux-Villalona, Gloria Francisco-Corral, Alejandro Frino-García, Jaime Signes-Costa Miñana, Cristina Villar-Laguna, Ana Maria Cicero-Guerrero, Julio Cesar Vargas-Espinal, Teresa Peña-Miguel, Jacobo Sellares, Carlos Andrés Jiménez-Ruiz","doi":"10.1016/j.arbres.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.arbres.2025.08.002","url":null,"abstract":"<p><strong>Objectives: </strong>The main objective was to analyze the short, medium, and long-term effectiveness of a clinical-psychological care protocol for smoking cessation using cytisinicline. Other secondary objectives were evaluate safety and whether the characteristics of smoking, adherence, and the intensity of craving and withdrawal syndrome at 4th week were associated with effectiveness.</p><p><strong>Methods: </strong>Observational, prospective, multicenter study that includes smokers motivated to quit evaluated in twelve Smoking Cessation Services in Spain.</p><p><strong>Results: </strong>A total of 337 smokers were studied. Effectiveness of cytisinicline was 68% at the end of treatment, but was reduced to 48.7%, 40.9% and 28.2%, at 3rd, 6th and 12th month of follow up respectively. The measurement of adherence and the intensity of craving by SRC showed statistically significant association with effectiveness at 24th week, RRadj=2.2 (p<0.001) and RRadj=0.87 (p=0.011) respectively. Common adverse effects (occurring in more than 10% of patients) were: sleep disorders, headaches, dizziness and digestive disorders.</p><p><strong>Conclusions: </strong>The effectiveness of protocol was 68% at the end of treatment, but was reduced to 48.7%, 40.9% and 28.2% at 3rd, 6th and 12th months respectively. Subjects who met more than 80% of treatment adherence doubled their chances of success at 6th month. For each point of craving intensity, measured by the SRC, at the end of the pharmacological treatment the chances of success at 6th month were reduced by 13%. Cytisinicline was safe.</p>","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoracoabdominal Asynchrony in Very Severe COPD: Clinical and Functional Correlates During Exercise","authors":"Javier Sayas Catalán ,&nbsp;Cristina Lalmolda ,&nbsp;Ana Hernández-Voth ,&nbsp;Marta Corral Blanco ,&nbsp;Patrick Murphy ,&nbsp;Laura Gonzalez-Ramos ,&nbsp;Pablo Florez-Solarana ,&nbsp;Berta Lloret-Puig ,&nbsp;Manel Lujan","doi":"10.1016/j.arbres.2025.01.010","DOIUrl":"10.1016/j.arbres.2025.01.010","url":null,"abstract":"<div><h3>Introduction</h3><div><span>Patients with severe Chronic Obstructive Pulmonary Disease<span> (COPD) often experience breathlessness and exercise limitations due to expiratory flow<span> limitation. Pulmonary rehabilitation<span> programmes, including exercise with non-invasive ventilation (NIV) or high-flow nasal therapy (HFT), aims to improve quality of life and exercise tolerance. This study investigates the relationship between thoracoabdominal </span></span></span></span>asynchrony<span> (TAA) during supported (NIV and HFT) and unsupported (conventional oxygen therapy – COT) exercise and clinical and functional parameters in severe COPD patients awaiting lung transplantation.</span></div></div><div><h3>Methods</h3><div><span>This experimental, longitudinal, prospective, controlled study included 20 severe COPD patients on the lung transplant waiting list. Patients underwent three constant load exercise tests under COT, NIV, and HFT conditions. TAA was measured using respiratory inductance plethysmography, and neurorrespiratory drive (NRD) was assessed via parasternal </span>electromyography.</div></div><div><h3>Results</h3><div>Patients exhibited distinct TAA patterns during exercise. Clockwise rotation (thorax ahead) was associated with worse baseline lung function, higher peak exercise dyspnoea and higher peak exercise NRD compared to counterclockwise rotation (abdomen ahead). No significant differences in TAA were observed between the three exercise conditions (COT, NIV, HFT). However, patients with clockwise TAA were more likely to have reduction in breathlessness with NIV compared to COT than those with counterclockwise rotation.</div></div><div><h3>Conclusions</h3><div>TAA patterns during exercise in severe COPD patients can indicate the severity of lung function impairment and predict severity of exercise induced dyspnoea. Analysis of TAA may predict response to respiratory support modalities and therefore monitoring TAA and NRD should be further studied to allow better tailoring of respiratory support during rehabilitation.</div></div>","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 9","pages":"Pages 544-554"},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Whither Tuberculosis: Is the Elimination Goal Realistic After the Double Shock?","authors":"Denise Rossato Silva ,&nbsp;Fernanda Carvalho de Queiroz Mello ,&nbsp;Rosella Centis ,&nbsp;Lia D’Ambrosio ,&nbsp;Mario C. Raviglione ,&nbsp;Giovanni Battista Migliori","doi":"10.1016/j.arbres.2025.03.020","DOIUrl":"10.1016/j.arbres.2025.03.020","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 9","pages":"Pages 519-521"},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood Eosinophil Count During Severe Bronchiectasis Exacerbation and Risk of Hospital Readmission","authors":"Rafael Golpe,&nbsp;Iria Veiga,&nbsp;David Dacal-Rivas,&nbsp;Nagore Blanco-Cid,&nbsp;Eva Vázquez-Cortiñas,&nbsp;Laura Arias-Zas,&nbsp;Belén Morote-Bravo","doi":"10.1016/j.arbres.2025.04.015","DOIUrl":"10.1016/j.arbres.2025.04.015","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 9","pages":"Pages 572-574"},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PSP – A Rare Cause of Bilateral Lung Nodules","authors":"Arvindran Alaga,&nbsp;Nur Dalila Azmi","doi":"10.1016/j.arbres.2025.04.017","DOIUrl":"10.1016/j.arbres.2025.04.017","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 9","pages":"Pages 575-576"},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Features of Primary Pulmonary Artery Sarcoma: A Systematic Review and Pooled Analysis","authors":"Fumihiro Kashizaki ,&nbsp;Hao Chen ,&nbsp;Nanami Tsuchiya ,&nbsp;Sachiko Matsumoto ,&nbsp;Reeko Osada ,&nbsp;Atsushi Miyasaka ,&nbsp;Mai Kaneko ,&nbsp;Akitomo Kikuchi ,&nbsp;Yui Kojima ,&nbsp;Kentaro Yumoto ,&nbsp;Naoki Hashiyama ,&nbsp;Hiroyuki Osawa ,&nbsp;Harumi Koizumi ,&nbsp;Makoto Mo ,&nbsp;Kenichi Takahashi ,&nbsp;Takeshi Kaneko","doi":"10.1016/j.arbres.2024.12.012","DOIUrl":"10.1016/j.arbres.2024.12.012","url":null,"abstract":"<div><h3>Objectives</h3><div><span>Primary pulmonary artery sarcoma (PPAS) is a rare disease with unclear clinical manifestations. Advances in imaging devices have improved diagnostic capabilities, potentially affecting clinical characteristics and overall survival (OS); however, details remain unclear. This study conducted a pooled analysis of case reports and series to analyse the clinical characteristics and OS of PPAS in the era of advanced </span>medical devices.</div></div><div><h3>Methods</h3><div>Data were sourced from PubMed and CINAHL, focusing on studies published between 1 January 2014 and 31 December 2023. The study included patients diagnosed with PPAS, with extracted data covering demographics, diagnosis, treatments, and survival.</div></div><div><h3>Results</h3><div>Overall, 643 patients were included (mean age: 52.6<!--> <!-->±<!--> <span>13.1 years; 50.4% were female). Initially, 70.6% were diagnosed with pulmonary thromboembolism<span><span> (PTE), and 15.4% were suspected of having PPAS. Among these, 93.9% and 55.2% showed suggestive findings on computed tomography (CT)-integrated </span>positron emission tomography with 2-deoxy-2-18F-fluoro-</span></span><span>d</span>-glucose (18F-FDG PET/CT) and CT, respectively, with 98.2% confirmed before death. The right main pulmonary artery was the most affected site on CT (72.3%). Surgery and chemotherapy were performed in 81.4% and 66.4% of patients, respectively. The median OS was 31 months, with surgery extending OS across all stages and chemotherapy benefiting stages III–IV. Longer OS was achieved in patients who underwent complete surgical resection.</div></div><div><h3>Conclusions</h3><div>18F-FDG PET/CT and multi-detector-row CT can differentiate PTE from PPAS. These medical devices may contribute to improved OS.</div></div>","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 9","pages":"Pages 536-543"},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mucolytics in Chronic Obstructive Pulmonary Disease: The Return of a Long-forgotten Therapy?","authors":"Juan José Soler-Cataluña ,&nbsp;Marta Solé Delgado","doi":"10.1016/j.arbres.2025.04.009","DOIUrl":"10.1016/j.arbres.2025.04.009","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 9","pages":"Pages 517-518"},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Should We Treat COPD Exacerbations in the Future? By Endophenotyping, Of Course!","authors":"Clarus Leung ,&nbsp;Don D. Sin","doi":"10.1016/j.arbres.2025.03.017","DOIUrl":"10.1016/j.arbres.2025.03.017","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 9","pages":"Pages 522-524"},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CO1","authors":"","doi":"10.1016/S0300-2896(25)00274-1","DOIUrl":"10.1016/S0300-2896(25)00274-1","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":"61 9","pages":"Page CO1"},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SEPAR and SEEN Consensus Document on Nutritional Assessment and Management in Patients with COPD.","authors":"Javier de Miguel-Díez, José Pablo Suárez-Llanos, Juan Marco Figueira-Gonçalves, Irene Bretón-Lesmes, Rodrigo Torres-Castro, Rafael Golpe, Natalia Covadonga Iglesias-Hernández, Carlos Antonio Amado-Diago, Yaiza García-Delgado, Amaia Aramburu-Ojembarrena, María Dolores Andreu-Gosálbez, Pilar Cejudo-Ramos, María Riestra-Fernández","doi":"10.1016/j.arbres.2025.08.009","DOIUrl":"https://doi.org/10.1016/j.arbres.2025.08.009","url":null,"abstract":"<p><p>Malnutrition and sarcopenia are prevalent and often underdiagnosed in individuals with chronic obstructive pulmonary disease (COPD), with significant implications for morbidity, mortality, and quality of life. Despite their clinical relevance, current COPD guidelines provide limited direction regarding nutritional assessment and intervention. This consensus document, developed jointly by the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) and the Spanish Society of Endocrinology and Nutrition (SEEN), offers evidence-based recommendations for the nutritional assessment and management of patients with COPD. A multidisciplinary panel of experts identified three key clinical issues relating to the prevalence and impact of malnutrition, appropriate assessment strategies, and the effectiveness of nutritional interventions. Systematic reviews were conducted in accordance with PRISMA guidelines, and the quality of evidence was assessed using SIGN and GRADE methodologies. These recommendations aim to support clinical decision-making and promote early, structured, and individualized nutritional strategies to improve outcomes in patients with COPD.</p>","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145051523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}