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Teamwork: Who Cares? The Value of Multidisciplinary Respiratory Care for Patients, Clinicians and Healthcare Systems Recent successes & Conference highlights Dr. Jiska Snoeck-Stroband IPCRG 2016 Programme Chair Prof. Dr. Niels Chavannes IPCRG 2016 Conference Chair UNLOCK: using real life primary care population data • UNLOCK - Uncovering and Noting Long-term Outcomes in COPD and asthma to enhance Knowledge • Protocol summary published in Primary Care Respiratory Journal (2010); 19(4): 408 • An international collaboration between primary care researchers to coordinate and share datasets of relevant diagnostic and follow-up variables for COPD and asthma management in primary care Achievements: UNLOCK • • • • • • 6 years of active collaboration of researchers and clinicians from 15 different countries 9 studies using data from different countries to explore COPD and asthma management in primary care Instigated new national datasets Developed and shared learning on how to undertake international primary care research Raised the profile of real life primary care research Demonstrated that international primary care research is possible Data now available through UNLOCK members • 14 datasets now active • Data from 9 countries (Sweden, Spain, Ukraine, Canada, Greece, UK, Netherlands, Portugal, India) • 3.8M primary care patients • 800,000 patients with asthma • 216,000 patients with COPD • Three broad types of datasets held by UNLOCK members: 1 Routine primary care datasets 2. Real-life cohort studies: 3. Pragmatic clinical trials in primary care Tobacco smoke epidemic 6 Kitchen smoke epidemic 7 Achievements: FRESH AIR Free Respiratory Evaluation and Smoke-exposure reduction by primary Health cAre Integrated gRoups • • • • 8 Horizon 2020 project International research Non-communicable lung disease Low-resource settings FRESH AIR aim • Overall aim: to improve health outcomes for people at risk of or suffering from non-communicable lung diseases in low-resource settings by developing capacity for implementation of evidence-based interventions for prevention, diagnosis and treatment in these contexts. • 7 work packages • Activities over 36 months • Budget of €2.99M 9 FRESH AIR concept 10 Different settings 11 FRESH AIR Consortium 12 Early bird Highlights: recent trends in asthma • Patient-centred care • Nurse as coach • Receiving better control in children with asthma 14 Highlights: innovative technology • Using technology to get active • Telemedicine Spire X-Halo NIOX Vero PIKO Fitbit 15 Highlights: innovative technology e-Nose and database Breathprints BreathCloud Highlights: innovative technology Breath Cloud analysis Patient x Asthma Asthma eosinofiic BLWI COPD Hyperventilation www.breathcloud.org 0 50 100 Highlights: Personalized medicine 1. Agusti et al. Am J Respir Crit Care Med 2015;191:391-401 2. Agusti et al. Eur Respir J 2016;47:410-419 19 Highlights: end of life care 20 Highlights: exacerbations National care pathway COPD lung attack with hospitalization Main goal 25% reduction of admission days within 5 years To be achieved with equal or higher Quality of Life and patient satisfaction Highlights: The Assessment of Burden of COPD (ABC)-tool 22 23 24 IPCRG conference • • • • • Dr Jiska Snoeck-Stroband, Chair Netherlands Dr Stephen Brunton, USA Prof Niels Chavannes, Netherlands Dr Tjard Schermer, Netherlands Prof Aziz Sheikh, Nature Partner Journals Primary Care Respiratory Medicine Dr Ioanna Tsiligianni, Greece Dr Frederik van Gemert, Netherlands Prof Thys van der Molen, Netherlands Prof Onno van Schayck, Netherlands • • • • • Prof Niels Chavannes, Conference Chair Dr Anders Østrem, Conference Executive Ms Siân Williams, IPCRG Executive Officer Mrs Sam Louw, IPCRG Business Manager Ms Christine Lawson, IPCRG Conference Director • 25 All over the world !! WELCOME in AMSTERDAM