Patient perceptions of the re-usable Respimat® Soft MistTM inhaler in current users and those switching to the device : a real-world, non-interventional COPD study

Acknowledgements: Medical writing assistance, in the form of the preparation and revision of the manuscript, was supported financially by Boehringer Ingelheim and provided by Paul Todd, PhD, at MediTech Media, UK under the authors’ conceptual direction and based on feedback from the authors. Funding: Support for this project, medical writing support and in the study and collection, analysis, and interpretation of data was provided by Boehringer Ingelheim International GmBH.Peer reviewedPublisher PD

The Effect of A Geriatric Assessment on Treatment Decisions for Patients with Lung Cancer

BACKGROUND: Decision-making for older patients with lung cancer can be complex and challenging. A geriatric assessment (GA) may be helpful and is increasingly being used since 2005 when SIOG advised to incorporate this in standard work-up for the elderly with cancer. Our aim was to evaluate the value of a geriatric assessment in decision-making for patients with lung cancer. METHODS: Between January 2014 and April 2016, data on patients with lung cancer from two teaching hospitals in the Netherlands were entered in a prospective database. Outcome of geriatric assessment, non-oncologic interventions, and suggested adaptations of oncologic treatment proposals were evaluated. RESULTS: 83 patients (median age 79 years) were analyzed with a geriatric assessment, of which 59% were treated with a curative intent. Half of the patients were classified as ECOG PS 0 or 1. The majority of the patients (78%) suffered from geriatric impairments and 43% (n = 35) of the patients suffered from three or more geriatric impairments (out of eight analyzed domains). Nutritional status was most frequently impaired (52%). Previously undiagnosed impairments were identified in 58% of the patients, and non-oncologic interventions were advised for 43%. For 33% of patients, adaptations of the oncologic treatment were proposed. Patients with higher number of geriatric impairments more often were advised a reduced or less intensive treatment (p < 0.001). CONCLUSION: A geriatric assessment uncovers previously unknown health impairments and provides important guidance for tailored treatment decisions in patients with lung cancer. More research on GA-stratified treatment decisions is needed

Keelklachten:Tumor, tuberculose of beide?

De incidentie van tuberculose neemt in Nederland sterk af. Weinig artsen hebben het klinisch beeld van laryngitis tuberculosa ooit nog zelf gezien; tuberculose van de keel kan sprekend lijken op een maligniteit. Niet alleen is een verkeerde diagnose ongewenst, maar tuberculose van de keel kan besmettelijk zijn, ook voor zorgverleners. Hoe lastig het onderscheid is, willen wij aan de hand van 3 ziektegeschiedenissen demonstreren