Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis?

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 justi...

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Main Authors: Marcela Muñoz-Torrico, Adrian Rendon, Rosella Centis, Lia D'Ambrosio, Zhenia Fuentes, Carlos Torres-Duque, Fernanda Mello, Margareth Dalcolmo, Rogelio Pérez-Padilla, Antonio Spanevello, Giovanni Battista Migliori
Format: Article
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia
Series:Jornal Brasileiro de Pneumologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000500374&lng=en&tlng=en
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author Marcela Muñoz-Torrico
Adrian Rendon
Rosella Centis
Lia D'Ambrosio
Zhenia Fuentes
Carlos Torres-Duque
Fernanda Mello
Margareth Dalcolmo
Rogelio Pérez-Padilla
Antonio Spanevello
Giovanni Battista Migliori
author_facet Marcela Muñoz-Torrico
Adrian Rendon
Rosella Centis
Lia D'Ambrosio
Zhenia Fuentes
Carlos Torres-Duque
Fernanda Mello
Margareth Dalcolmo
Rogelio Pérez-Padilla
Antonio Spanevello
Giovanni Battista Migliori
author_sort Marcela Muñoz-Torrico
collection DOAJ
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.
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spelling doaj.art-2d89c6687e234dd7b49a00c20d5861db2022-12-21T23:28:35ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-375642537438510.1590/S1806-37562016000000226S1806-37132016000500374Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis?Marcela Muñoz-TorricoAdrian RendonRosella CentisLia D'AmbrosioZhenia FuentesCarlos Torres-DuqueFernanda MelloMargareth DalcolmoRogelio Pérez-PadillaAntonio SpanevelloGiovanni Battista MiglioriABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000500374&lng=en&tlng=enTuberculosis/complicationsTuberculosis/rehabilitation, Tuberculosis/therapyQuality of lifeDiagnostic imagingRespiratory function tests
spellingShingle Marcela Muñoz-Torrico
Adrian Rendon
Rosella Centis
Lia D'Ambrosio
Zhenia Fuentes
Carlos Torres-Duque
Fernanda Mello
Margareth Dalcolmo
Rogelio Pérez-Padilla
Antonio Spanevello
Giovanni Battista Migliori
Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis?
Jornal Brasileiro de Pneumologia
Tuberculosis/complications
Tuberculosis/rehabilitation, Tuberculosis/therapy
Quality of life
Diagnostic imaging
Respiratory function tests
title 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_short 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
topic Tuberculosis/complications
Tuberculosis/rehabilitation, Tuberculosis/therapy
Quality of life
Diagnostic imaging
Respiratory function tests
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000500374&lng=en&tlng=en
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