Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce
Background: Home oxygen therapy (HOT) improves survival in patients with hypoxaemic chronic respiratory disease. Most patients evaluated for HOT are former or active smokers. Oxygen accelerates combustion and smoking may increase the risk of burn injuries and fire hazards; therefore, it is considere...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2024-01-01
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| Series: | European Respiratory Review |
| Online Access: | http://err.ersjournals.com/content/33/171/230194.full |
| _version_ | 1797223633945362432 |
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| author | Zainab Ahmadi Joar Björk Hans Gilljam Madhuri Gogineni Torbjörn Gustafsson Michael Runold Thomas Ringbæk Josefin Wahlberg Lotta Wendel Magnus Ekström |
| author_facet | Zainab Ahmadi Joar Björk Hans Gilljam Madhuri Gogineni Torbjörn Gustafsson Michael Runold Thomas Ringbæk Josefin Wahlberg Lotta Wendel Magnus Ekström |
| author_sort | Zainab Ahmadi |
| collection | DOAJ |
| description | Background:
Home oxygen therapy (HOT) improves survival in patients with hypoxaemic chronic respiratory disease. Most patients evaluated for HOT are former or active smokers. Oxygen accelerates combustion and smoking may increase the risk of burn injuries and fire hazards; therefore, it is considered a contraindication for HOT in many countries. However, there is variability in the practices and policies regarding this matter. This multidisciplinary Swedish taskforce aimed to review the potential benefits and risks of smoking in relation to HOT, including medical, practical, legal and ethical considerations.
Methods:
The taskforce of the Swedish Respiratory Society comprises 15 members across respiratory medicine, nursing, medical law and ethics. HOT effectiveness and adverse risks related to smoking, as well as practical, legal and ethical considerations, were reviewed, resulting in five general questions and four PICO (population–intervention–comparator–outcome) questions. The strength of each recommendation was rated according to the GRADE (grading of recommendation assessment, development and evaluation) methodology.
Results:
General questions about the practical, legal and ethical aspects of HOT were discussed and summarised in the document. The PICO questions resulted in recommendations about assessment, management and follow-up of smoking when considering HOT, if HOT should be offered to people that meet the eligibility criteria but who continue to smoke, if a specific length of time of smoking cessation should be considered before assessing eligibility for HOT, and identification of areas for further research.
Conclusions:
Multiple factors need to be considered in the benefit/risk evaluation of HOT in active smokers. A systematic approach is suggested to guide healthcare professionals in evaluating HOT in relation to smoking. |
| first_indexed | 2024-04-24T13:40:20Z |
| format | Article |
| id | doaj.art-0057550fd1e94a1ab5c77abd0a430c73 |
| institution | Directory Open Access Journal |
| issn | 0905-9180 1600-0617 |
| language | English |
| last_indexed | 2024-04-24T13:40:20Z |
| publishDate | 2024-01-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | European Respiratory Review |
| spelling | doaj.art-0057550fd1e94a1ab5c77abd0a430c732024-04-04T08:47:47ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172024-01-013317110.1183/16000617.0194-20230194-2023Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforceZainab Ahmadi0Joar Björk1Hans Gilljam2Madhuri Gogineni3Torbjörn Gustafsson4Michael Runold5Thomas Ringbæk6Josefin Wahlberg7Lotta Wendel8Magnus Ekström9 Department of Clinical Sciences Lund, Respiratory Medicine, Allergology and Palliative Medicine, Lund University, Lund, Sweden Centre for Research Ethics and Bioethics (CRB), Uppsala University, Uppsala, Sweden Department of Global Public Health, Karolinska Institute, Stockholm, Sweden Stockholms Sjukhem, Palliative Home Care and Hospice Wards, Stockholm, Sweden Department of Respiratory Medicine and Allergy, University Hospital of Umeå, Umeå, Sweden Department of Respiratory Medicine and Allergy, Karolinska University Hospital, Stockholm, Sweden Allergy and Lung Clinic, Elsinore, Denmark Department of Medicine, Blekinge Hospital, Karlskrona, Sweden Faculty of Health and Society, Malmö University, Malmö, Sweden Department of Clinical Sciences Lund, Respiratory Medicine, Allergology and Palliative Medicine, Lund University, Lund, Sweden Background: Home oxygen therapy (HOT) improves survival in patients with hypoxaemic chronic respiratory disease. Most patients evaluated for HOT are former or active smokers. Oxygen accelerates combustion and smoking may increase the risk of burn injuries and fire hazards; therefore, it is considered a contraindication for HOT in many countries. However, there is variability in the practices and policies regarding this matter. This multidisciplinary Swedish taskforce aimed to review the potential benefits and risks of smoking in relation to HOT, including medical, practical, legal and ethical considerations. Methods: The taskforce of the Swedish Respiratory Society comprises 15 members across respiratory medicine, nursing, medical law and ethics. HOT effectiveness and adverse risks related to smoking, as well as practical, legal and ethical considerations, were reviewed, resulting in five general questions and four PICO (population–intervention–comparator–outcome) questions. The strength of each recommendation was rated according to the GRADE (grading of recommendation assessment, development and evaluation) methodology. Results: General questions about the practical, legal and ethical aspects of HOT were discussed and summarised in the document. The PICO questions resulted in recommendations about assessment, management and follow-up of smoking when considering HOT, if HOT should be offered to people that meet the eligibility criteria but who continue to smoke, if a specific length of time of smoking cessation should be considered before assessing eligibility for HOT, and identification of areas for further research. Conclusions: Multiple factors need to be considered in the benefit/risk evaluation of HOT in active smokers. A systematic approach is suggested to guide healthcare professionals in evaluating HOT in relation to smoking.http://err.ersjournals.com/content/33/171/230194.full |
| spellingShingle | Zainab Ahmadi Joar Björk Hans Gilljam Madhuri Gogineni Torbjörn Gustafsson Michael Runold Thomas Ringbæk Josefin Wahlberg Lotta Wendel Magnus Ekström Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce European Respiratory Review |
| title | Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce |
| title_full | Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce |
| title_fullStr | Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce |
| title_full_unstemmed | Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce |
| title_short | Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce |
| title_sort | smoking and home oxygen therapy a review and consensus statement from a multidisciplinary swedish taskforce |
| url | http://err.ersjournals.com/content/33/171/230194.full |
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