Austin Health

Title
Treatable traits: a comprehensive precision medicine in interstitial lung disease.
Publication Date
2023-07
Author(s)
Khor, Yet H
Cottin, Vincent
Holland, Anne E
Inoue, Yoshikazu
McDonald, Vanessa M
Oldham, Justin
Renzoni, Elisabetta A
Russell, Anne Marie
Strek, Mary E
Ryerson, Christopher J
Type of document
Journal Article
OrcId
0000-0002-5434-9342
0000-0002-5591-0955
0000-0003-2061-845X
0000-0003-3994-874X
#PLACEHOLDER_PARENT_METADATA_VALUE#
#PLACEHOLDER_PARENT_METADATA_VALUE#
#PLACEHOLDER_PARENT_METADATA_VALUE#
0000-0002-0468-3537
#PLACEHOLDER_PARENT_METADATA_VALUE#
#PLACEHOLDER_PARENT_METADATA_VALUE#
DOI
10.1183/13993003.00404-2023
Abstract
Interstitial lung disease (ILD) is a diverse group of inflammatory and fibrotic lung conditions causing significant morbidity and mortality. A multitude of factors beyond the lungs influence symptoms, health-related quality of life, disease progression, and survival in patients with ILD. Despite an increasing emphasis on multidisciplinary management in ILD, the absence of a framework for assessment and delivery of comprehensive patient care poses challenges in clinical practice. The treatable traits approach is a precision medicine care model that operates on the premise of individualised multidimensional assessment for distinct traits that can be targeted by specific interventions. The potential utility of this approach has been described in airway diseases but has not been adequately considered in ILD. Given the similar disease heterogeneity and complexity between ILD and airway diseases, we explore the concept and potential application of the treatable traits approach in ILD. A framework of aetiological, pulmonary, extra-pulmonary, and behavioural and lifestyle treatable traits relevant to clinical care and outcomes for patients with ILD is proposed. We further describe key research directions to evaluate the application of the treatable traits approach towards advancing patient care and health outcomes in ILD.
Link
Citation
The European Respiratory Journal 2023-07; 62(1)
Jornal Title
The European Respiratory Journal
ISSN
1399-3003

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