Report of the European Respiratory Society/European Cystic Fibrosis Society task force on the care of adults with cystic fibrosis
2016
The improved survival in people with
cystic fibrosishas led to an increasing number of patients reaching adulthood. This trend is likely to be maintained over the next decades, suggesting a need to increase the number of centres with expertise in the management of adult patients with
cystic fibrosis. These centres should be capable of delivering multidisciplinary care addressing the complexity of the disease, in addition to addressing the psychological burden on patients and their families. Further issues that require attention are organ transplantation and end of life management. Lung disease in adults with
cystic fibrosisdrives most of the clinical care requirements, and major life-threatening complications, such as respiratory infection, respiratory failure, pneumothorax and haemoptysis, and the management of
lung transplantationrequire expertise from trained
respiratory physicians. The taskforce therefore strongly reccommends that medical leadership in multidisciplinary adult teams should be attributed to a
respiratory physicianadequately trained in
cystic fibrosismanagement. The task force suggests the implementation of a core curriculum for trainees in adult
respiratory medicineand the selection and accreditation of training centres that deliver postgraduate training to the standards of the HERMES programme.
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