Cough and dyspnea management in pulmonary fibrosis Article Swipe
Anna van Veelen
,
Marlies Wijsenbeek
,
Thomas Koudstaal
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1097/spc.0000000000000753
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1097/spc.0000000000000753
Purpose of the review Pulmonary fibrosis (PF) is characterized by relentless scarring of the lungs, declining lung function, and increasing symptom burden. In PF, dyspnea and cough are the most common symptoms, severely impacting quality of life. This review highlights recent advances in understanding their mechanisms and explores evolving strategies for management of these symptoms. Recent findings Advances in non-pharmacologic approaches, including hand-held fans, dyspnea services and pulmonary rehabilitation are playing a vital role in dyspnea management. Opioids, while effective in reducing exertional dyspnea in controlled settings, show limited benefit for daily life breathlessness and are associated with significant adverse events, highlighting the need for cautious, individualized use. For refractory cough, promising studies are investigating the role of opioids and neuromodulatory therapies. Non-pharmacologic approaches, including speech therapy, and behavioral interventions, provide complementary approaches. A multidisciplinary approach and individualized care plans to address the multifactorial nature of dyspnea and cough are key. Summary Effective management of dyspnea and cough can importantly improve patients' quality of life. Further research is required to refine treatment protocols, optimize palliative care interventions, and identify and test novel therapeutics. Translation of these findings into clinical practice requires a focus on evidence-based, patient-centered care.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1097/spc.0000000000000753
- OA Status
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- References
- 81
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4408884801
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4408884801Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/spc.0000000000000753Digital Object Identifier
- Title
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Cough and dyspnea management in pulmonary fibrosisWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-03-25Full publication date if available
- Authors
-
Anna van Veelen, Marlies Wijsenbeek, Thomas KoudstaalList of authors in order
- Landing page
-
https://doi.org/10.1097/spc.0000000000000753Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1097/spc.0000000000000753Direct OA link when available
- Concepts
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Medicine, Intensive care medicine, Pulmonary rehabilitation, Quality of life (healthcare), Psychological intervention, Palliative care, Rehabilitation, Adverse effect, Multidisciplinary approach, MEDLINE, Physical therapy, Nursing, Internal medicine, Sociology, Political science, Social science, LawTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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81Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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