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...
Main Authors: | , , , , , , , , , , |
---|---|
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 |
_version_ | 1818367442411323392 |
---|---|
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. |
first_indexed | 2024-12-13T22:52:07Z |
format | Article |
id | doaj.art-2d89c6687e234dd7b49a00c20d5861db |
institution | Directory Open Access Journal |
issn | 1806-3756 |
language | English |
last_indexed | 2024-12-13T22:52:07Z |
publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
record_format | Article |
series | Jornal Brasileiro de Pneumologia |
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 |
work_keys_str_mv | AT marcelamunoztorrico istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT adrianrendon istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT rosellacentis istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT liadambrosio istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT zheniafuentes istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT carlostorresduque istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT fernandamello istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT margarethdalcolmo istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT rogelioperezpadilla istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT antoniospanevello istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis AT giovannibattistamigliori istherearationaleforpulmonaryrehabilitationfollowingsuccessfulchemotherapyfortuberculosis |