Bronchial thermoplasty: implementing best practice in the era of cost containment

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Bronchial thermoplasty: implementing best practice in the era of cost containment

Increasing dependence on advanced technologies in the 21st century has created a dilemma between the practice and business of medicine. From information technology to robotic surgery, new technologies have expanded treatment possibilities and have potentially improved patient outcomes and safety. Simultaneously, their escalating costs limit access for certain patients and health care facilities...

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Bronchial thermoplasty.

Asthma severity was defi ned according to recognized standards at the time the Asthma Intervention Research (AIR)-2 trial was designed. Th us, in response to the authors’ question, 86% of the BT group and 88% of the sham group were indeed severe per American Th oracic Society criteria for severe refractory asthma 3 and had, on average, only 17% symptom-free days, further demonstrating poor asth...

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Bronchial thermoplasty in asthma.

In this review we discuss the potential of a new procedure, termed Bronchial Thermoplasty to prevent serious consequences resulting from excessive airway narrowing. The most important factor in minimizing an asthmatic attack is limiting the degree of smooth muscle shortening. The premise that airway smooth muscle can be either inactivated or obliterated without any long-term alteration of other...

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Bronchial thermoplasty: Quo vadis?

I ntroduction: In recent years a number of emerging new therapies have become available for the treatment of severe asthma among which bronchial ther-moplasty is the only nonpharmacologic intervention that has been approved by the United States Food and Drug Administration in 2010. 1 Although bronchial thermoplasty has great promise for the patient with severe asthma and is now within the thera...

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Bronchial thermoplasty: activations predict response

BACKGROUND Bronchial thermoplasty (BT) is an emerging bronchoscopic intervention for the treatment of severe asthma. The predictive factors for clinical response to BT are unknown. We examined the relationship between the number of radiofrequency activations applied and the treatment response observed. METHODS Data were collected from 24 consecutive cases treated at three Australian centres f...

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ژورنال

عنوان ژورنال: Journal of Asthma and Allergy

سال: 2017

ISSN: 1178-6965

DOI: 10.2147/jaa.s135291