Addressing the Challenge of Common Chronic Diseases — A View from the FDA
The New England Journal of Medicine » COPD
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2M ago
Collaboration between the FDA and other stakeholders could improve the way in which evidence is generated and interventions are developed and implemented to help address common chronic diseases ..read more
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Biologics for COPD — Finally Here
The New England Journal of Medicine » COPD
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2M ago
The use of biologic therapies, including monoclonal antibodies, has revolutionized the treatment of many human diseases. In respiratory medicine, monoclonal antibodies have already transformed the management of severe asthma. By contrast, previous trials of biologic agents targeting interleukin-5 have yielded potentially relevant but mostly inconclusive results in patients ..read more
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Biologics for COPD — Finally Here
The New England Journal of Medicine » COPD
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9M ago
The use of biologic therapies, including monoclonal antibodies, has revolutionized the treatment of many human diseases. In respiratory medicine, monoclonal antibodies have already transformed the management of severe asthma. By contrast, previous trials of biologic agents targeting interleukin-5 have yielded potentially relevant but mostly inconclusive results in patients ..read more
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Dupilumab for COPD with Type 2 Inflammation Indicated by Eosinophil Counts
The New England Journal of Medicine » COPD
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10M ago
In this randomized trial, dupilumab resulted in a lower annualized rate of exacerbations than placebo among patients with COPD and an elevated blood eosinophil count ..read more
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Fossil Fuel Pollution and Climate Change: Hydrofluorocarbons, Climate, and Health — Moving the Montreal Protocol beyond Ozone-Layer Recovery
The New England Journal of Medicine » COPD
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10M ago
HFCs were introduced as ozone-friendly substitutes for chlorofluorocarbons, but they, too, are greenhouse gases. The use of HFCs in insulation, refrigeration, and aerosols must be phased down quickly ..read more
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Longer-Term Outcomes of the ProACT Trial
The New England Journal of Medicine » COPD
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11M ago
The Procalcitonin Antibiotic Consensus Trial (ProACT) showed that a procalcitonin-guided antibiotic prescription guideline did not improve 30-day outcomes among patients with suspected lower respiratory tract infection. The investigators have now assessed mortality at 90 and 365 days and again found no evidence of benefit ..read more
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Hospitalizations and Deaths Associated with EVALI
The New England Journal of Medicine » COPD
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11M ago
This study from the CDC compared the characteristics of 60 patients who died from EVALI with those of 2558 patients who were hospitalized for the condition but survived. The deaths were reported from 27 states and the District of Columbia, and most were associated with vaping THC-containing products before symptom ..read more
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Consequences of Abrupt Cessation of Alpha1-Antitrypsin Replacement Therapy
The New England Journal of Medicine » COPD
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11M ago
In Ireland, augmentation treatment of patients with genetic alpha -antitrypsin deficiency was abruptly discontinued when government–industry price negotiations failed. After treatment was stopped, the incidence of hospitalization for COPD and mortality exceeded those observed while treatment was ongoing ..read more
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Triple Inhaled Therapy at Two Glucocorticoid Doses in Moderate-to-Very-Severe COPD
The New England Journal of Medicine » COPD
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11M ago
Patients with COPD were randomly assigned to triple inhaled therapy with either a 160-μg or 320-μg dose of budesonide or to one of two dual therapies. Both triple regimens were superior to the dual regimens with respect to the rate of moderate or severe exacerbations; no difference was observed between ..read more
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Reducing Administrative Harm in Medicine — Clinicians and Administrators Together
The New England Journal of Medicine » COPD
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11M ago
The patient-safety movement has turned clinical medicine into a team sport, but administrators have been left off the team. The effects on patients of administrative decisions and changes therefore remain obscure, unexamined, and unimprovable ..read more
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