TY - JOUR T1 - Report of the European Respiratory Society/European Cystic Fibrosis Society task force on the care of adults with cystic fibrosis JF - European Respiratory Journal JO - Eur Respir J SP - 420 LP - 428 DO - 10.1183/13993003.00592-2015 VL - 47 IS - 2 AU - J. Stuart Elborn AU - Scott C. Bell AU - Susan L. Madge AU - Pierre-Regis Burgel AU - Carlo Castellani AU - Steven Conway AU - Karleen De Rijcke AU - Birgit Dembski AU - Pavel Drevinek AU - Harry G.M. Heijerman AU - J. Alistair Innes AU - Anders Lindblad AU - Bruce Marshall AU - Hanne V. Olesen AU - Andreas L. Reimann AU - Ampara Solé AU - Laura Viviani AU - Thomas O.F. Wagner AU - Tobias Welte AU - Francesco Blasi Y1 - 2016/02/01 UR - http://erj.ersjournals.com/content/47/2/420.abstract N2 - The improved survival in people with cystic fibrosis has led to an increasing number of patients reaching adulthood. This trend is likely to be maintained over the next decades, suggesting a need to increase the number of centres with expertise in the management of adult patients with cystic fibrosis. These centres should be capable of delivering multidisciplinary care addressing the complexity of the disease, in addition to addressing the psychological burden on patients and their families. Further issues that require attention are organ transplantation and end of life management.Lung disease in adults with cystic fibrosis drives most of the clinical care requirements, and major life-threatening complications, such as respiratory infection, respiratory failure, pneumothorax and haemoptysis, and the management of lung transplantation require expertise from trained respiratory physicians. The taskforce therefore strongly reccommends that medical leadership in multidisciplinary adult teams should be attributed to a respiratory physician adequately trained in cystic fibrosis management.The task force suggests the implementation of a core curriculum for trainees in adult respiratory medicine and the selection and accreditation of training centres that deliver postgraduate training to the standards of the HERMES programme.Respiratory physicians, trained in adult CF management, should lead multidisciplinary teams taking care of patients http://ow.ly/SgRgj ER -