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Allergy and Asthma Proceedings Nov 2016The time from symptom onset to diagnosis for patients with primary immunodeficiency diseases (PIDD) is an average of 12 years, but prompt diagnosis and treatment can...
BACKGROUND
The time from symptom onset to diagnosis for patients with primary immunodeficiency diseases (PIDD) is an average of 12 years, but prompt diagnosis and treatment can promote best outcomes.
OBJECTIVE
Because the manifestations of PIDD are often sinopulmonary in nature, patients with undiagnosed PIDD are frequently referred to pulmonologists. This study sought to identify opportunities among these specialists to improve diagnosis and clinical management of patients with PIDD.
METHODS
A survey was sent to American Medical Association and American Osteopathic Association members whose specialty was pulmonology. Responses were compared with those from a historical survey of 71 subspecialist immunologists (American Academy of Allergy, Asthma Immunology members who devoted 10% of their practice to patients with PIDD).
RESULTS
The surveys were returned by 485 pulmonologists, 49% of whom had diagnosed at least one patient with PIDD. In comparison with subspecialist immunologists, fewer pulmonologists were aware of the professional PIDD diagnosis and management guidelines and fewer followed up patients with various PIDDs. Pulmonologists and subspecialist immunologists also differed in the practice of prescribing prophylactic antibiotics and immunoglobulin replacement and in avoiding live viral vaccines.
CONCLUSION
Differences in the diagnosis and treatment of patients with PIDD between these two groups of specialists revealed areas in which PIDD-focused educational initiatives may be helpful for pulmonologists.
Topics: Clinical Competence; Disease Management; Female; Humans; Immunologic Deficiency Syndromes; Male; Practice Patterns, Physicians'; Pulmonologists; Surveys and Questionnaires
PubMed: 27931293
DOI: 10.2500/aap.2016.37.4007 -
Journal of Bronchology & Interventional... Jan 2017
Topics: Humans; Interprofessional Relations; Lung Diseases; Patient Care Team; Pulmonologists; Thoracic Surgical Procedures
PubMed: 27984387
DOI: 10.1097/LBR.0000000000000298 -
The European Respiratory Journal Jul 2018
Topics: Antihypertensive Agents; Humans; Hypertension, Pulmonary; Network Meta-Analysis; Pulmonologists; Randomized Controlled Trials as Topic; Systematic Reviews as Topic
PubMed: 29973354
DOI: 10.1183/13993003.00525-2018 -
Chest Jun 2021Despite international treaties banning torture, it is still widely practiced by state agents and private citizens alike. Pulmonologists may encounter survivors of... (Review)
Review
Despite international treaties banning torture, it is still widely practiced by state agents and private citizens alike. Pulmonologists may encounter survivors of torture in routine clinical practice or in the context of a forensic medical evaluation. The Istanbul Protocol delineates the general approach to the effective medical examination, investigation, and reporting of an individual alleging torture, but relatively little text is devoted to the specific pulmonary manifestations of torture. This review intends to address this paucity.
Topics: Forensic Medicine; Humans; Lung Diseases; Pulmonologists; Torture
PubMed: 33582098
DOI: 10.1016/j.chest.2021.02.010 -
Journal of the Formosan Medical... Jun 2021
Topics: Biopsy; Bronchoscopy; Humans; Pulmonologists; Ultrasonography; Ultrasonography, Interventional
PubMed: 33390307
DOI: 10.1016/j.jfma.2020.12.020 -
Annals of the American Thoracic Society Jul 2019The field of interventional pulmonology has grown rapidly since first being defined as a subspecialty of pulmonary and critical care medicine in 2001. The interventional... (Review)
Review
The field of interventional pulmonology has grown rapidly since first being defined as a subspecialty of pulmonary and critical care medicine in 2001. The interventional pulmonologist has expertise in minimally invasive diagnostic and therapeutic procedures involving airways, lungs, and pleura. In this review, we describe recent advances in the field as well as up-and-coming developments, chiefly from the perspective of medical practice in the United States. Recent advances include standardization of formalized training, new tools for the diagnosis and potential treatment of peripheral lung nodules (including but not limited to robotic bronchoscopy), increasingly well-defined bronchoscopic approaches to management of obstructive lung diseases, and minimally invasive techniques for maximizing patient-centered outcomes for those with malignant pleural effusion.
Topics: Airway Obstruction; Asthma; Bronchoscopes; Bronchoscopy; Cryosurgery; Electrocoagulation; Emphysema; Endosonography; Humans; Image-Guided Biopsy; Laser Therapy; Lung Diseases; Lung Neoplasms; Pleural Effusion, Malignant; Pleurodesis; Pulmonary Medicine; Pulmonologists; Stents; United States
PubMed: 31145638
DOI: 10.1513/AnnalsATS.201901-044CME -
Indian Pediatrics Feb 2014
Topics: Asthma; Female; Humans; Male; Nitric Oxide
PubMed: 24632691
DOI: 10.1007/s13312-014-0337-8 -
Indian Pediatrics Dec 2022
Topics: Humans; Child; Child, Preschool; Pilot Projects; Asthma; Oximetry; Oxygen
PubMed: 36511211
DOI: No ID Found -
Lung India : Official Organ of Indian... 2015
PubMed: 25983420
DOI: No ID Found -
MMW Fortschritte Der Medizin Oct 2019
Review
Topics: Artificial Intelligence; Humans; Physicians; Pulmonologists; Respiratory Function Tests
PubMed: 31587207
DOI: 10.1007/s15006-019-0955-0