1. Home Oxygen Therapy for Adults with Chronic Lung Disease. An Official American Thoracic Society Clinical Practice Guideline.
- Author
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Jacobs, Susan S., Krishnan, Jerry A., Lederer, David J., Ghazipura, Marya, Hossain, Tanzib, Tan, Ai-Yui M., Carlin, Brian, Drummond, M. Bradley, Ekström, Magnus, Garvey, Chris, Graney, Bridget A., Jackson, Beverly, Kallstrom, Thomas, Knight, Shandra L., Lindell, Kathleen, Prieto-Centurion, Valentin, Renzoni, Elisabetta A., Ryerson, Christopher J., Schneidman, Ann, and Swigris, Jeffrey
- Subjects
OBSTRUCTIVE lung disease treatment ,HOME care services ,EVIDENCE-based medicine ,INTERSTITIAL lung diseases ,MEDICAL protocols ,OXYGEN therapy ,RESEARCH funding ,MEDICAL societies - Abstract
Background: Evidence-based guidelines are needed for effective delivery of home oxygen therapy to appropriate patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD).Methods: The multidisciplinary panel created six research questions using a modified Delphi approach. A systematic review of the literature was completed, and the Grading of Recommendations Assessment, Development and Evaluation approach was used to formulate clinical recommendations.Recommendations: The panel found varying quality and availability of evidence and made the following judgments: 1) strong recommendations for long-term oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe chronic resting hypoxemia, 2) a conditional recommendation against long-term oxygen use in patients with COPD with moderate chronic resting hypoxemia, 3) conditional recommendations for ambulatory oxygen use in patients with COPD (moderate-quality evidence) or ILD (low-quality evidence) with severe exertional hypoxemia, 4) a conditional recommendation for ambulatory liquid-oxygen use in patients who are mobile outside the home and require >3 L/min of continuous-flow oxygen during exertion (very-low-quality evidence), and 5) a recommendation that patients and their caregivers receive education on oxygen equipment and safety (best-practice statement).Conclusions: These guidelines provide the basis for evidence-based use of home oxygen therapy in adults with COPD or ILD but also highlight the need for additional research to guide clinical practice. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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