Best Practices for the Management of Patients with Non-Tuberculous Mycobacterial Pulmonary Disease According to a German Nationwide Analysis of Expert Centers
Non-tuberculous mycobacterial pulmonary disease (NTM-PD) is a chronic inflammatory lung disease caused by infection with non-tuberculous mycobacteria (NTM). International guidelines provide evidence-based recommendations on appropriate diagnosis and treatment strategies, but there is a need for shar...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/19/2610 |
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| author | Gernot Rohde Monika Eichinger Sven Gläser Marion Heiß-Neumann Jan Kehrmann Claus Neurohr Marko Obradovic Tim Kröger-Kilian Tobias Loebel Christian Taube |
| author_facet | Gernot Rohde Monika Eichinger Sven Gläser Marion Heiß-Neumann Jan Kehrmann Claus Neurohr Marko Obradovic Tim Kröger-Kilian Tobias Loebel Christian Taube |
| author_sort | Gernot Rohde |
| collection | DOAJ |
| description | Non-tuberculous mycobacterial pulmonary disease (NTM-PD) is a chronic inflammatory lung disease caused by infection with non-tuberculous mycobacteria (NTM). International guidelines provide evidence-based recommendations on appropriate diagnosis and treatment strategies, but there is a need for sharing day-to-day best practice between treatment centers to optimize patient care. This is particularly valuable for rare diseases like NTM-PD. In this cross-sectional analysis of NTM-PD management in Germany, medical and administrative staff from seven treatment centers were interviewed to identify best practice in the diagnosis, treatment, and ongoing management of patients with NTM-PD, including related hospital infrastructure and administration processes. A prioritization led to a collection of best practices for the management of patients with NTM-PD in Germany, which is presented here. Selected current best practices included performance of regular sputum tests for diagnosis, use of medical reports, and regular follow-up visits as well as increased interaction between physicians across different specialties. Future best practices that may be implemented to overcome current barriers comprised disease awareness activities, patient empowerment, and new approaches to enhance physician interaction. Challenges related to their implementation are also discussed and will help to raise disease awareness. The presented best practices may guide and optimize patient management in other centers. |
| first_indexed | 2024-03-10T21:45:11Z |
| format | Article |
| id | doaj.art-e4247a30933e4a7c8987eea0bb948b94 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T21:45:11Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-e4247a30933e4a7c8987eea0bb948b942023-11-19T14:24:47ZengMDPI AGHealthcare2227-90322023-09-011119261010.3390/healthcare11192610Best Practices for the Management of Patients with Non-Tuberculous Mycobacterial Pulmonary Disease According to a German Nationwide Analysis of Expert CentersGernot Rohde0Monika Eichinger1Sven Gläser2Marion Heiß-Neumann3Jan Kehrmann4Claus Neurohr5Marko Obradovic6Tim Kröger-Kilian7Tobias Loebel8Christian Taube9Pneumologie/Allergologie, Medizinische Klinik 1, Universitätsklinikum Frankfurt, Goethe-Universität, 60590 Frankfurt am Main, GermanyTranslational Lung Research Center Heidelberg (TLRC), German Center for Lung Research (DZL), 69120 Heidelberg, GermanyVivantes Klinikum Neukölln und Spandau, Klinik für Innere Medizin-Pneumologie und Infektiologie, 13585 Berlin, GermanyDepartment of Pneumology, Asklepios Lungenfachklinik München-Gauting, 82131 Gauting, GermanyInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, 45147 Essen, GermanyRobert-Bosch-Krankenhaus Klinik Schillerhöhe—Lungenzentrum Stuttgart, 70376 Stuttgart, GermanyInsmed Germany GmbH, 60549 Frankfurt am Main, GermanyInsmed Germany GmbH, 60549 Frankfurt am Main, GermanyInsmed Germany GmbH, 60549 Frankfurt am Main, GermanyDepartment of Pulmonary Medicine, Ruhrlandklinik, University Hospital Essen, 45239 Essen, GermanyNon-tuberculous mycobacterial pulmonary disease (NTM-PD) is a chronic inflammatory lung disease caused by infection with non-tuberculous mycobacteria (NTM). International guidelines provide evidence-based recommendations on appropriate diagnosis and treatment strategies, but there is a need for sharing day-to-day best practice between treatment centers to optimize patient care. This is particularly valuable for rare diseases like NTM-PD. In this cross-sectional analysis of NTM-PD management in Germany, medical and administrative staff from seven treatment centers were interviewed to identify best practice in the diagnosis, treatment, and ongoing management of patients with NTM-PD, including related hospital infrastructure and administration processes. A prioritization led to a collection of best practices for the management of patients with NTM-PD in Germany, which is presented here. Selected current best practices included performance of regular sputum tests for diagnosis, use of medical reports, and regular follow-up visits as well as increased interaction between physicians across different specialties. Future best practices that may be implemented to overcome current barriers comprised disease awareness activities, patient empowerment, and new approaches to enhance physician interaction. Challenges related to their implementation are also discussed and will help to raise disease awareness. The presented best practices may guide and optimize patient management in other centers.https://www.mdpi.com/2227-9032/11/19/2610NTMinterviewsGermanytreatment centerspulmonarymanagement |
| spellingShingle | Gernot Rohde Monika Eichinger Sven Gläser Marion Heiß-Neumann Jan Kehrmann Claus Neurohr Marko Obradovic Tim Kröger-Kilian Tobias Loebel Christian Taube Best Practices for the Management of Patients with Non-Tuberculous Mycobacterial Pulmonary Disease According to a German Nationwide Analysis of Expert Centers Healthcare NTM interviews Germany treatment centers pulmonary management |
| title | Best Practices for the Management of Patients with Non-Tuberculous Mycobacterial Pulmonary Disease According to a German Nationwide Analysis of Expert Centers |
| title_full | Best Practices for the Management of Patients with Non-Tuberculous Mycobacterial Pulmonary Disease According to a German Nationwide Analysis of Expert Centers |
| title_fullStr | Best Practices for the Management of Patients with Non-Tuberculous Mycobacterial Pulmonary Disease According to a German Nationwide Analysis of Expert Centers |
| title_full_unstemmed | Best Practices for the Management of Patients with Non-Tuberculous Mycobacterial Pulmonary Disease According to a German Nationwide Analysis of Expert Centers |
| title_short | Best Practices for the Management of Patients with Non-Tuberculous Mycobacterial Pulmonary Disease According to a German Nationwide Analysis of Expert Centers |
| title_sort | best practices for the management of patients with non tuberculous mycobacterial pulmonary disease according to a german nationwide analysis of expert centers |
| topic | NTM interviews Germany treatment centers pulmonary management |
| url | https://www.mdpi.com/2227-9032/11/19/2610 |
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