Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Sep 25;5(3):00126-2019.
doi: 10.1183/23120541.00126-2019. eCollection 2019 Jul.

ERS Presidential Summit 2018: multimorbidities and the ageing population

Mina Gaga  1 , Pippa Powell  2 , Marta Almagro  3 , Ioanna Tsiligianni  4 , Stelios Loukides  5 , Josep Roca  6 , Matthew Cullen  2 , Anita K Simonds  7 , Brian Ward  8 , Isabel Saraiva  2 , Thierry Troosters  9 , Carlos Robalo Cordeiro  10
Affiliations
Review

ERS Presidential Summit 2018: multimorbidities and the ageing population

Mina Gaga et al. ERJ Open Res. .

Abstract

As the average age of the population increases, so will the prevalence of chronic respiratory diseases and associated multimorbidity. This will result in a more complex clinical environment. Part of the solution will be to allow patients to be co-creators in the design of their care. It will also require clinicians to shift in their current approaches to care, step out of the disease- or pathology-oriented approach and embrace new ideas. In an effort to prepare the respiratory community for the challenge, we reflect on concepts to empower patients via multidisciplinary systems, new technologies and transition from end-of-life care to advanced care planning.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: M. Gaga has received departmental grants and honoraria from AZ, GSK, Menarini, Chiesi, Novartis, BMS, MSD, Roche, Elpen and Pharmaten outside of this work. Conflict of interest: P. Powell is an employee of the European Lung Foundation. Conflict of interest: M. Almagro reports nonfinancial support from Polyphor outside the submitted work. Conflict of interest: I. Tsiligianni reports personal fees from Novartis, grants and personal fees from GSK, and personal fees and other support from Boehringer Ingelheim, outside the submitted work. Conflict of interest: Dr. Loukides has nothing to disclose. Conflict of interest: Dr. Roca has nothing to disclose. Conflict of interest: M. Cullen has nothing to disclose. Conflict of interest: A.K. Simonds has nothing to disclose. Conflict of interest: B. Ward is an employee of the European Respiratory Society. Conflict of interest: I. Saraiva has nothing to disclose. Conflict of interest: T. Troosters has nothing to disclose. Conflict of interest: C. Robalo Cordeiro has nothing to disclose.

Figures

FIGURE 1
FIGURE 1
Proportion of patients with COPD who had other comorbidities. Values in parentheses are 2007 prevalence. CV: cardiovascular; GORD: gastro-oesophageal reflux disease. Reproduced and modified from [6] with permission.
FIGURE 2
FIGURE 2
International Classification for Functioning, Disability and Health concept as proposed by the World Health Organization in 2001. Reproduced and modified from [8], and published under a Creative Commons Attribution Non-Commercial ShareAlike 3.0 licence.
FIGURE 3
FIGURE 3
Need for palliative care in chronically ill patients. Reproduced and modified from [31] with permission from the publisher.
FIGURE 4
FIGURE 4
The part that end-of-life care plays in palliative care.
FIGURE 5
FIGURE 5
The integration of palliative care in idiopathic pulmonary fibrosis (IPF). ILD: interstitial lung disease; QoL: quality of life. Reproduced and modified from [37] with permission from the publisher.
See this image and copyright information in PMC

Comment in

Similar articles

See all similar articles

References

    1. Foreman KJ, Marquez N, Dolgert A, et al. . Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016–40 for 195 countries and territories. Lancet 2018; 392: 2052–2090. - PMC - PubMed
    1. Gaga M. ERS Presidential Summit: redesigning the future of patient care. ERJ Open Res 2019; 5: 00139-2018. - PMC - PubMed
    1. MacNee W, Rabinovich RA, Choudhury G. Ageing and the border between health and disease. Eur Respir J 2014; 44: 1332–1352. - PubMed
    1. Barnett K, Mercer SW, Norbury M, et al. . Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 2012; 380: 37–43. - PubMed
    1. Gellad WF, Grenard JL, Marcum ZA. A systematic review of barriers to medication adherence in the elderly: looking beyond cost and regimen complexity. Am J Geriatr Pharmacother 2011; 9: 11–23. - PMC - PubMed

LinkOut - more resources