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Towards optimal patient selection for bronchial thermoplasty treatment in severe asthma

Authors :
Jouke T. Annema
Julia N S d'Hooghe
Pallav L. Shah
Elisabeth H. Bel
Els J.M. Weersink
Annika W.M. Goorsenberg
Peter I. Bonta
Nick H. T. ten Hacken
Lifestyle Medicine (LM)
Groningen Research Institute for Asthma and COPD (GRIAC)
Source :
European Respiratory Journal, 54. EUROPEAN RESPIRATORY SOC JOURNALS LTD
Publication Year :
2019

Abstract

Background: Bronchial Thermoplasty (BT) is a treatment for severe uncontrolled asthma patients. Although studies have shown clinical improvement after BT, not all patients respond equally well. Identifying optimal candidates for BT treatment is needed. Aim: To identify patient characteristic differences between BT responders and non-responders. Methods: Patients from the multicenter TASMA trial were included in this analysis. Before BT, a set of clinical, functional, inflammatory and airway biopsy data were collected (Table 1). A positive BT response was defined as a minimal clinically important change of >0.5 on asthma control questionnaire (ACQ) score, 6 months after BT. Results: 30 patients were analyzed. ACQ improved from 2.66 (±0.68) to 2.09 (±1.07) (p Conclusion: IgE and blood eosinophils before BT were higher in BT responders compared to non-responders and might therefore contribute in optimizing patient selection for BT.

Details

Language :
English
ISSN :
09031936
Volume :
54
Database :
OpenAIRE
Journal :
European Respiratory Journal
Accession number :
edsair.doi.dedup.....b402763fd730989c8aff1dca431213e9