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Review
. 2018 Mar 28;27(147):170125.
doi: 10.1183/16000617.0125-2017. Print 2018 Mar 31.

Personalised pulmonary rehabilitation in COPD

Emiel F M Wouters  1   2 , Birgit B R E F Wouters  3 , Ingrid M L Augustin  2 , Sarah Houben-Wilke  2 , Lowie E G W Vanfleteren  1 , Frits M E Franssen  1   2
Affiliations
Review

Personalised pulmonary rehabilitation in COPD

Emiel F M Wouters et al. Eur Respir Rev. .

Abstract

This review summarises ongoing developments in personalised medicine and individualised medicine in chronic obstructive pulmonary disease (COPD). Currently applied classification systems largely ignore the complexity and heterogeneity of the COPD syndrome. Personalised medicine has to consider the influence of unique circumstances of the person, which contribute to this heterogeneity and complexity. Pulmonary rehabilitation is described as a comprehensive, individualised intervention based on thorough assessment of identifiable treatable traits. Partnership in care will become a crucial factor to improve and maintain health. Tolerating uncertainty and unpredictability will enrich future doctor-patient relationships.

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Conflict of interest statement

Conflict of interest: E.F.M. Wouters is a board member for Nycomed and Boehringer Ingelheim. He has received grants from AstraZeneca and GSK, and has received speakers’ fees from AstraZeneca, GlaxoSmithKline, Novartis and Chiesi.

Figures

FIGURE 1
FIGURE 1
Examples of personal barriers and enablers that both encourage and limit participation in physical activity for patients with chronic obstructive pulmonary disease (COPD). PA: physical activity. Reproduced from [37] with permission.
FIGURE 2
FIGURE 2
The process of a tailored programme including the three core processes (baseline assessment, tailored treatment and outcome assessment). Reproduced from [41] with permission.
See this image and copyright information in PMC

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MeSH terms

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