Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis?
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Pneumologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000500374 |
Resumo: | ABSTRACT The role of tuberculosis as a public health care priority and the availability of diagnostic tools to evaluate functional status (spirometry, plethysmography, and DLCO determination), arterial blood gases, capacity to perform exercise, lesions (chest X-ray and CT), and quality of life justify the effort to consider what needs to be done when patients have completed their treatment. To our knowledge, no review has ever evaluated this topic in a comprehensive manner. Our objective was to review the available evidence on this topic and draw conclusions regarding the future role of the "post-tuberculosis treatment" phase, which will potentially affect several million cases every year. We carried out a non-systematic literature review based on a PubMed search using specific keywords (various combinations of the terms "tuberculosis", "rehabilitation", "multidrug-resistant tuberculosis", "pulmonary disease", "obstructive lung disease", and "lung volume measurements"). The reference lists of the most important studies were retrieved in order to improve the sensitivity of the search. Manuscripts written in English, Spanish, and Russian were selected. The main areas of interest were tuberculosis sequelae following tuberculosis diagnosis and treatment; "destroyed lung"; functional evaluation of sequelae; pulmonary rehabilitation interventions (physiotherapy, long-term oxygen therapy, and ventilation); and multidrug-resistant tuberculosis.The evidence found suggests that tuberculosis is definitively responsible for functional sequelae, primarily causing an obstructive pattern on spirometry (but also restrictive and mixed patterns), and that there is a rationale for pulmonary rehabilitation. We also provide a list of variables that should be discussed in future studies on pulmonary rehabilitation in patients with post-tuberculosis sequelae. |
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Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis?Tuberculosis/complicationsTuberculosis/rehabilitation, Tuberculosis/therapyQuality of lifeDiagnostic imagingRespiratory function testsABSTRACT The role of tuberculosis as a public health care priority and the availability of diagnostic tools to evaluate functional status (spirometry, plethysmography, and DLCO determination), arterial blood gases, capacity to perform exercise, lesions (chest X-ray and CT), and quality of life justify the effort to consider what needs to be done when patients have completed their treatment. To our knowledge, no review has ever evaluated this topic in a comprehensive manner. Our objective was to review the available evidence on this topic and draw conclusions regarding the future role of the "post-tuberculosis treatment" phase, which will potentially affect several million cases every year. We carried out a non-systematic literature review based on a PubMed search using specific keywords (various combinations of the terms "tuberculosis", "rehabilitation", "multidrug-resistant tuberculosis", "pulmonary disease", "obstructive lung disease", and "lung volume measurements"). The reference lists of the most important studies were retrieved in order to improve the sensitivity of the search. Manuscripts written in English, Spanish, and Russian were selected. The main areas of interest were tuberculosis sequelae following tuberculosis diagnosis and treatment; "destroyed lung"; functional evaluation of sequelae; pulmonary rehabilitation interventions (physiotherapy, long-term oxygen therapy, and ventilation); and multidrug-resistant tuberculosis.The evidence found suggests that tuberculosis is definitively responsible for functional sequelae, primarily causing an obstructive pattern on spirometry (but also restrictive and mixed patterns), and that there is a rationale for pulmonary rehabilitation. We also provide a list of variables that should be discussed in future studies on pulmonary rehabilitation in patients with post-tuberculosis sequelae.Sociedade Brasileira de Pneumologia e Tisiologia2016-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000500374Jornal Brasileiro de Pneumologia v.42 n.5 2016reponame:Jornal Brasileiro de Pneumologia (Online)instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)instacron:SBPT10.1590/S1806-37562016000000226info:eu-repo/semantics/openAccessMuñoz-Torrico,MarcelaRendon,AdrianCentis,RosellaD'Ambrosio,LiaFuentes,ZheniaTorres-Duque,CarlosMello,FernandaDalcolmo,MargarethPérez-Padilla,RogelioSpanevello,AntonioMigliori,Giovanni Battistaeng2016-10-28T00:00:00Zoai:scielo:S1806-37132016000500374Revistahttp://www.jornaldepneumologia.com.br/default.aspONGhttps://old.scielo.br/oai/scielo-oai.php||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br1806-37561806-3713opendoar:2016-10-28T00:00Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)false |
dc.title.none.fl_str_mv |
Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? |
title |
Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? |
spellingShingle |
Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? Muñoz-Torrico,Marcela Tuberculosis/complications Tuberculosis/rehabilitation, Tuberculosis/therapy Quality of life Diagnostic imaging Respiratory function tests |
title_short |
Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? |
title_full |
Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? |
title_fullStr |
Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? |
title_full_unstemmed |
Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? |
title_sort |
Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? |
author |
Muñoz-Torrico,Marcela |
author_facet |
Muñoz-Torrico,Marcela Rendon,Adrian Centis,Rosella D'Ambrosio,Lia Fuentes,Zhenia Torres-Duque,Carlos Mello,Fernanda Dalcolmo,Margareth Pérez-Padilla,Rogelio Spanevello,Antonio Migliori,Giovanni Battista |
author_role |
author |
author2 |
Rendon,Adrian Centis,Rosella D'Ambrosio,Lia Fuentes,Zhenia Torres-Duque,Carlos Mello,Fernanda Dalcolmo,Margareth Pérez-Padilla,Rogelio Spanevello,Antonio Migliori,Giovanni Battista |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Muñoz-Torrico,Marcela Rendon,Adrian Centis,Rosella D'Ambrosio,Lia Fuentes,Zhenia Torres-Duque,Carlos Mello,Fernanda Dalcolmo,Margareth Pérez-Padilla,Rogelio Spanevello,Antonio Migliori,Giovanni Battista |
dc.subject.por.fl_str_mv |
Tuberculosis/complications Tuberculosis/rehabilitation, Tuberculosis/therapy Quality of life Diagnostic imaging Respiratory function tests |
topic |
Tuberculosis/complications Tuberculosis/rehabilitation, Tuberculosis/therapy Quality of life Diagnostic imaging Respiratory function tests |
description |
ABSTRACT The role of tuberculosis as a public health care priority and the availability of diagnostic tools to evaluate functional status (spirometry, plethysmography, and DLCO determination), arterial blood gases, capacity to perform exercise, lesions (chest X-ray and CT), and quality of life justify the effort to consider what needs to be done when patients have completed their treatment. To our knowledge, no review has ever evaluated this topic in a comprehensive manner. Our objective was to review the available evidence on this topic and draw conclusions regarding the future role of the "post-tuberculosis treatment" phase, which will potentially affect several million cases every year. We carried out a non-systematic literature review based on a PubMed search using specific keywords (various combinations of the terms "tuberculosis", "rehabilitation", "multidrug-resistant tuberculosis", "pulmonary disease", "obstructive lung disease", and "lung volume measurements"). The reference lists of the most important studies were retrieved in order to improve the sensitivity of the search. Manuscripts written in English, Spanish, and Russian were selected. The main areas of interest were tuberculosis sequelae following tuberculosis diagnosis and treatment; "destroyed lung"; functional evaluation of sequelae; pulmonary rehabilitation interventions (physiotherapy, long-term oxygen therapy, and ventilation); and multidrug-resistant tuberculosis.The evidence found suggests that tuberculosis is definitively responsible for functional sequelae, primarily causing an obstructive pattern on spirometry (but also restrictive and mixed patterns), and that there is a rationale for pulmonary rehabilitation. We also provide a list of variables that should be discussed in future studies on pulmonary rehabilitation in patients with post-tuberculosis sequelae. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000500374 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000500374 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1806-37562016000000226 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pneumologia e Tisiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pneumologia e Tisiologia |
dc.source.none.fl_str_mv |
Jornal Brasileiro de Pneumologia v.42 n.5 2016 reponame:Jornal Brasileiro de Pneumologia (Online) instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT) instacron:SBPT |
instname_str |
Sociedade Brasileira de Pneumologia e Tisiologia (SBPT) |
instacron_str |
SBPT |
institution |
SBPT |
reponame_str |
Jornal Brasileiro de Pneumologia (Online) |
collection |
Jornal Brasileiro de Pneumologia (Online) |
repository.name.fl_str_mv |
Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT) |
repository.mail.fl_str_mv |
||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br |
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1750318346742530048 |