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Effectiveness of a specialised breathlessness service for patients with advanced disease in Germany: a pragmatic fast track randomised controlled trial (BreathEase)

Michaela Schunk, Lien Le, Zulfiya Syunyaeva, Birgit Haberland, Susanne Tänzler, Ulrich Mansmann, Larissa Schwarzkopf, Hildegard Seidl, Sabine Streitwieser, Miriam Hofmann, Thomas Müller, Tobias Weiß, Philipp Morawietz, Eva Annette Rehfuess, Rudolf Maria Huber, Ursula Berger, Claudia Bausewein
European Respiratory Journal 2021; DOI: 10.1183/13993003.02139-2020
Michaela Schunk
1Department of Palliative Medicine, LMU Hospital, LMU Munich, Munich, Germany
6Pettenkofer School of Public Health, Munich, Germany
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  • ORCID record for Michaela Schunk
  • For correspondence: michaela.schunk@med.uni-muenchen.de
Lien Le
2Institute for Medical Information Processing, Biometry and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany
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Zulfiya Syunyaeva
3Department of Medicine V, LMU Hospital, LMU Munich, Munich, Germany
8Member of the German Center of Lung Research (DZL, CPC-M), Munich, Germany
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Birgit Haberland
1Department of Palliative Medicine, LMU Hospital, LMU Munich, Munich, Germany
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Susanne Tänzler
1Department of Palliative Medicine, LMU Hospital, LMU Munich, Munich, Germany
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Ulrich Mansmann
2Institute for Medical Information Processing, Biometry and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany
6Pettenkofer School of Public Health, Munich, Germany
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Larissa Schwarzkopf
4Health Economics and Health Care Management (IGM), Helmholtz Zentrum München (GmbH), German Research Center for Environmental Health, Munich, Germany
7IFT-Institut fuer Therapieforschung, Munich, Germany
8Member of the German Center of Lung Research (DZL, CPC-M), Munich, Germany
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Hildegard Seidl
4Health Economics and Health Care Management (IGM), Helmholtz Zentrum München (GmbH), German Research Center for Environmental Health, Munich, Germany
6Pettenkofer School of Public Health, Munich, Germany
9München Klinik gGmbH, Quality Management and Gender Medicine, Munich, Germany
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Sabine Streitwieser
1Department of Palliative Medicine, LMU Hospital, LMU Munich, Munich, Germany
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Miriam Hofmann
2Institute for Medical Information Processing, Biometry and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany
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Thomas Müller
2Institute for Medical Information Processing, Biometry and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany
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Tobias Weiß
5Atem- und Physiotherapie Solln, Munich, Germany
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Philipp Morawietz
5Atem- und Physiotherapie Solln, Munich, Germany
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Eva Annette Rehfuess
2Institute for Medical Information Processing, Biometry and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany
6Pettenkofer School of Public Health, Munich, Germany
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Rudolf Maria Huber
3Department of Medicine V, LMU Hospital, LMU Munich, Munich, Germany
8Member of the German Center of Lung Research (DZL, CPC-M), Munich, Germany
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Ursula Berger
2Institute for Medical Information Processing, Biometry and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany
6Pettenkofer School of Public Health, Munich, Germany
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Claudia Bausewein
1Department of Palliative Medicine, LMU Hospital, LMU Munich, Munich, Germany
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Extract

Breathlessness is a common and distressing symptom in advanced stages of malignant and non-malignant disease [1–4]. Breathlessness is highly prevalent, occurring in up to 80% of patients with advanced cancer, in around 56–98% of patients with chronic obstructive pulmonary disease (COPD) and in up to 90% of patients with chronic heart failure (CHF) [5, 6]. Patients with chronic breathlessness resulting from advanced disease report high symptom burden, palliative care needs [7–9] and suffer from anxiety and depression [10]. Negative consequences on health and quality of life (QoL) have been shown, e.g. for COPD patients [11]. Breathlessness is one of the most common reasons for emergency department visits and hospital admissions in cancer patients [12–14].

Footnotes

This manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.

Conflict of interest: Dr. Schunk reports grants from BMBF (German Federal Ministry of Education and Research), during the conduct of the study;.

Conflict of interest: Dr. Le has nothing to disclose.

Conflict of interest: Dr. Syunyaeva has nothing to disclose.

Conflict of interest: Dr. Haberland has nothing to disclose.

Conflict of interest: Dr. Dr. med. Tänzler has nothing to disclose.

Conflict of interest: Dr. Mansmann has nothing to disclose.

Conflict of interest: Dr. Schwarzkopf has nothing to disclose.

Conflict of interest: Dr. Seidl has nothing to disclose.

Conflict of interest: Dr. Streitwieser has nothing to disclose.

Conflict of interest: M. Hofmann has nothing to disclose.

Conflict of interest: Dr. Mueller has nothing to disclose.

Conflict of interest: Dr. Weiß has nothing to disclose.

Conflict of interest: Dr. Morawietz has nothing to disclose.

Conflict of interest: Dr. Rehfuess has nothing to disclose.

Conflict of interest: Dr. Huber reports grants from German Ministry of Education and Research, during the conduct of the study;.

Conflict of interest: Dr. Berger reports grants from Federal Ministry of Education and Research Germany (BMBF), during the conduct of the study;.

Conflict of interest: Dr. Bausewein reports grants from German Ministry of Research and Education, during the conduct of the study;.

  • Received June 3, 2020.
  • Accepted January 12, 2021.
  • ©The authors 2021. For reproduction rights and permissions contact permissions{at}ersnet.org
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Effectiveness of a specialised breathlessness service for patients with advanced disease in Germany: a pragmatic fast track randomised controlled trial (BreathEase)
Michaela Schunk, Lien Le, Zulfiya Syunyaeva, Birgit Haberland, Susanne Tänzler, Ulrich Mansmann, Larissa Schwarzkopf, Hildegard Seidl, Sabine Streitwieser, Miriam Hofmann, Thomas Müller, Tobias Weiß, Philipp Morawietz, Eva Annette Rehfuess, Rudolf Maria Huber, Ursula Berger, Claudia Bausewein
European Respiratory Journal Jan 2021, 2002139; DOI: 10.1183/13993003.02139-2020

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Effectiveness of a specialised breathlessness service for patients with advanced disease in Germany: a pragmatic fast track randomised controlled trial (BreathEase)
Michaela Schunk, Lien Le, Zulfiya Syunyaeva, Birgit Haberland, Susanne Tänzler, Ulrich Mansmann, Larissa Schwarzkopf, Hildegard Seidl, Sabine Streitwieser, Miriam Hofmann, Thomas Müller, Tobias Weiß, Philipp Morawietz, Eva Annette Rehfuess, Rudolf Maria Huber, Ursula Berger, Claudia Bausewein
European Respiratory Journal Jan 2021, 2002139; DOI: 10.1183/13993003.02139-2020
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