Pub Date : 2026-01-30DOI: 10.1016/j.arbres.2026.01.014
Javier de Miguel-Díez, Manuel Castillo-Padrós, Juan Marco Figueira-Gonçalves, Rodrigo Torres-Castro, Daniel Gainza-Miranda, Rafael Golpe, Miguel Ángel Cuervo-Pinna, Raquel Pérez-Rojo, Jesús González-Barboteo, Francisco Javier Callejas-González, Claudio Calvo-Espinós, María Teresa Río-Ramírez, Mª Ángeles Olalla-Gallo, Miren Begoñe Salinas-Lasa, Teresa Salcedo-Perís
Advanced respiratory diseases, particularly chronic obstructive pulmonary disease (COPD) and interstitial lung diseases (ILD), constitute an increasing challenge for healthcare systems due to their high prevalence, substantial symptom burden, and significant resource use. This consensus document, developed jointly by the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) and the Spanish Society of Palliative Care (SECPAL), provides recommendations for a multidisciplinary, integrated model of care. Using the SIGN methodology and a systematic literature review, a multidisciplinary panel developed 70 evidence-based recommendations addressing key domains: identification of patients with palliative care needs; management of respiratory symptoms; strategies to improve quality of life; communication and shared decision-making; caregiver support; and coordination across care settings. A needs-based approach, rather than reliance on prognosis alone, is recommended to facilitate earlier recognition of patients with advanced COPD and ILD and to enable the timely integration of palliative care alongside disease-directed therapies. Adoption of these recommendations is expected to improve quality of life, reduce symptom burden and suffering, and optimize care for patients with advanced respiratory diseases.
{"title":"Consensus Document on the Multidisciplinary Management of Advanced-Stage Respiratory Diseases.","authors":"Javier de Miguel-Díez, Manuel Castillo-Padrós, Juan Marco Figueira-Gonçalves, Rodrigo Torres-Castro, Daniel Gainza-Miranda, Rafael Golpe, Miguel Ángel Cuervo-Pinna, Raquel Pérez-Rojo, Jesús González-Barboteo, Francisco Javier Callejas-González, Claudio Calvo-Espinós, María Teresa Río-Ramírez, Mª Ángeles Olalla-Gallo, Miren Begoñe Salinas-Lasa, Teresa Salcedo-Perís","doi":"10.1016/j.arbres.2026.01.014","DOIUrl":"https://doi.org/10.1016/j.arbres.2026.01.014","url":null,"abstract":"<p><p>Advanced respiratory diseases, particularly chronic obstructive pulmonary disease (COPD) and interstitial lung diseases (ILD), constitute an increasing challenge for healthcare systems due to their high prevalence, substantial symptom burden, and significant resource use. This consensus document, developed jointly by the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) and the Spanish Society of Palliative Care (SECPAL), provides recommendations for a multidisciplinary, integrated model of care. Using the SIGN methodology and a systematic literature review, a multidisciplinary panel developed 70 evidence-based recommendations addressing key domains: identification of patients with palliative care needs; management of respiratory symptoms; strategies to improve quality of life; communication and shared decision-making; caregiver support; and coordination across care settings. A needs-based approach, rather than reliance on prognosis alone, is recommended to facilitate earlier recognition of patients with advanced COPD and ILD and to enable the timely integration of palliative care alongside disease-directed therapies. Adoption of these recommendations is expected to improve quality of life, reduce symptom burden and suffering, and optimize care for patients with advanced respiratory diseases.</p>","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146199924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.arbres.2026.01.013
Teja Narra
{"title":"Combination Antifibrotic Therapy in IPF/PPF: Feasibility is not the Same as Additive Efficacy.","authors":"Teja Narra","doi":"10.1016/j.arbres.2026.01.013","DOIUrl":"https://doi.org/10.1016/j.arbres.2026.01.013","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147316176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1016/j.arbres.2026.01.007
Mora Guardamagna, Víctor Albarrán-Artahona, Pablo González-Fernández, Dolores Martín-Rivas, Beatriz Villaescusa-González, Eduardo Zamorano-González, Andrés Mesas-Ruíz, Jose Manuel Trigo-Pérez, Lucia Oliva, Sonia Gonzalez, Roberto Mongil, Ricardo Arrabal, David Aguiar-Bujanda, Elisa González-Rodríguez, Jose Carlos Benítez
{"title":"Prognostic Value of Systemic Inflammation and Clinical Variables in Malignant Pleural Mesothelioma: A Real-World Study.","authors":"Mora Guardamagna, Víctor Albarrán-Artahona, Pablo González-Fernández, Dolores Martín-Rivas, Beatriz Villaescusa-González, Eduardo Zamorano-González, Andrés Mesas-Ruíz, Jose Manuel Trigo-Pérez, Lucia Oliva, Sonia Gonzalez, Roberto Mongil, Ricardo Arrabal, David Aguiar-Bujanda, Elisa González-Rodríguez, Jose Carlos Benítez","doi":"10.1016/j.arbres.2026.01.007","DOIUrl":"https://doi.org/10.1016/j.arbres.2026.01.007","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146194019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1016/j.arbres.2026.01.008
Carlos Baeza-Martínez, Cristina Martínez González, Sandra Dorado-Arenas
{"title":"Wildfires and Respiratory Health: Addressing an Emerging Global Epidemiological Challenge.","authors":"Carlos Baeza-Martínez, Cristina Martínez González, Sandra Dorado-Arenas","doi":"10.1016/j.arbres.2026.01.008","DOIUrl":"https://doi.org/10.1016/j.arbres.2026.01.008","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-22DOI: 10.1016/j.arbres.2026.01.005
Silvia Aguado Ibáñez, Beatriz Jara Chinarro, Ainhoa Izquierdo Pérez, Manuel Valle Falcones, María Dolors Montserrat Capella, Ernesto Gómez Cubillo, Antonia Cachinero Murillo, Carlos Almonacid Sánchez
{"title":"Impact on Clinical Management in an Intermediate Respiratory Care Unit Following Implementation of the ISO 9001:2015 Quality Management System.","authors":"Silvia Aguado Ibáñez, Beatriz Jara Chinarro, Ainhoa Izquierdo Pérez, Manuel Valle Falcones, María Dolors Montserrat Capella, Ernesto Gómez Cubillo, Antonia Cachinero Murillo, Carlos Almonacid Sánchez","doi":"10.1016/j.arbres.2026.01.005","DOIUrl":"https://doi.org/10.1016/j.arbres.2026.01.005","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-15DOI: 10.1016/j.arbres.2026.01.001
Daniel López-Padilla, Vitalii Poberezhets, Nicolas Roche, Catharina C Moor, Marie Bruyneel, Carla Ribeiro, Hilary Pinnock
This narrative review summarizes current evidence and clinical experience regarding telemonitoring across major respiratory diseases and care settings, including chronic obstructive pulmonary disease (COPD), asthma, interstitial lung diseases, obstructive sleep apnea, as well as non-invasive ventilation and pulmonary rehabilitation programmes. Advances in connectivity, artificial intelligence (AI), and wearable devices are facilitating the early detection of clinical deterioration, personalized interventions, and improved self-management, thereby optimizing the use of healthcare resources. Strong evidence supports the benefits of telemonitoring in COPD, particularly in reducing exacerbations and hospital admissions, whereas results are more heterogeneous in asthma and emerging conditions such as interstitial lung diseases. Telemonitoring systems leverage AI-driven analytical frameworks and interoperable digital platforms to process and interpret large volumes of patient data, enabling both automated responses and targeted human interventions. Key challenges include ensuring patient engagement, addressing digital literacy and inequities in access, safeguarding data privacy, and integrating digital solutions into standard care and reimbursement frameworks. The COVID-19 pandemic accelerated the adoption of telemonitoring, confirming its feasibility and acceptability, but also revealed persistent gaps in long-term cost-effectiveness and implementation strategies. Future directions should focus on integrating telemonitoring with AI-supported, coordinated clinical decision-making, enhancing system interoperability, and above all, prioritizing equitable access to digital care. Telemonitoring is poised to become a central component of respiratory patient management, although its large-scale implementation will require overcoming existing technical, ethical, and organizational barriers to fully realize its clinical potential.
{"title":"Telemonitoring in Respiratory Diseases: Current Evidence, Clinical Experience, and Future Challenges.","authors":"Daniel López-Padilla, Vitalii Poberezhets, Nicolas Roche, Catharina C Moor, Marie Bruyneel, Carla Ribeiro, Hilary Pinnock","doi":"10.1016/j.arbres.2026.01.001","DOIUrl":"https://doi.org/10.1016/j.arbres.2026.01.001","url":null,"abstract":"<p><p>This narrative review summarizes current evidence and clinical experience regarding telemonitoring across major respiratory diseases and care settings, including chronic obstructive pulmonary disease (COPD), asthma, interstitial lung diseases, obstructive sleep apnea, as well as non-invasive ventilation and pulmonary rehabilitation programmes. Advances in connectivity, artificial intelligence (AI), and wearable devices are facilitating the early detection of clinical deterioration, personalized interventions, and improved self-management, thereby optimizing the use of healthcare resources. Strong evidence supports the benefits of telemonitoring in COPD, particularly in reducing exacerbations and hospital admissions, whereas results are more heterogeneous in asthma and emerging conditions such as interstitial lung diseases. Telemonitoring systems leverage AI-driven analytical frameworks and interoperable digital platforms to process and interpret large volumes of patient data, enabling both automated responses and targeted human interventions. Key challenges include ensuring patient engagement, addressing digital literacy and inequities in access, safeguarding data privacy, and integrating digital solutions into standard care and reimbursement frameworks. The COVID-19 pandemic accelerated the adoption of telemonitoring, confirming its feasibility and acceptability, but also revealed persistent gaps in long-term cost-effectiveness and implementation strategies. Future directions should focus on integrating telemonitoring with AI-supported, coordinated clinical decision-making, enhancing system interoperability, and above all, prioritizing equitable access to digital care. Telemonitoring is poised to become a central component of respiratory patient management, although its large-scale implementation will require overcoming existing technical, ethical, and organizational barriers to fully realize its clinical potential.</p>","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146096764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-15DOI: 10.1016/j.arbres.2026.01.003
Luis Gorospe, Ana Villanueva-Campos, Luis Carlos Lomanto-Navarro
{"title":"Pulmonary Embolism Secondary to Partially Thrombosed Aneurysm of the Left Innominate Vein: A Complication of a Narrow Aortosternal Space?","authors":"Luis Gorospe, Ana Villanueva-Campos, Luis Carlos Lomanto-Navarro","doi":"10.1016/j.arbres.2026.01.003","DOIUrl":"https://doi.org/10.1016/j.arbres.2026.01.003","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146096786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-15DOI: 10.1016/j.arbres.2026.01.004
Winnifer Briceño, David Jiménez
{"title":"Reply to \"Saddle Pulmonary Embolism in Hemodynamically Stable Patients: Clinical Implications and Unresolved Questions\".","authors":"Winnifer Briceño, David Jiménez","doi":"10.1016/j.arbres.2026.01.004","DOIUrl":"https://doi.org/10.1016/j.arbres.2026.01.004","url":null,"abstract":"","PeriodicalId":8339,"journal":{"name":"Archivos De Bronconeumologia","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146096829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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