Personalized approaches to bronchiectasis

• Published in: Expert review of respiratory medicine Vol. 15; no. 4; p. 477
• Main Authors: Girón Moreno, Rosa Maria, Martínez-Vergara, Adrián, Martínez-García, Miguel Ángel
• Format: Journal Article
• Language: English
• Published: England 03-04-2021
• Subjects: Biomarkers; Bronchiectasis - diagnosis; Bronchiectasis - epidemiology; Bronchiectasis - therapy; Humans; Phenotype; Precision Medicine; Tomography, X-Ray Computed; severity; cluster; phenotypes; activity; impact; fingerprint; Bronchiectasis; treatable features; dimensions; non-cystic fibrosis; personalized medicine
• ISSN: 1747-6356
• DOI: 10.1080/17476348.2021.1882853

: Interest in bronchiectasis is increasing due to its rising prevalence, associated with aging populations and the extended use of high-resolution chest tomography (HRCT), and the resulting high morbidity, mortality, and demand for resources.
: This article provides an extensive review of bronchiectasis as a complex and heterogeneous disease, as well as examining the difficulty of establishing useful clinical phenotypes. In keeping with the aims of 'precision medicine', we address the disease of bronchiectasis from three specific perspectives: severity, activity, and impact. We used PubMed to search the literature for articles including the following keywords: personalized medicine, bronchiectasis, biomarkers, phenotypes, precision medicine, treatable traits. We reviewed the most relevant articles published over the last 5 years.
: This article reflects on the usefulness of these three dimensions in 'control panels' and clinical fingerprinting, as well as approaches to personalized medicine and the treatable features of bronchiectasis non-cystic fibrosis.