ERS Congress 2024: highlights from the Allied Respiratory Professionals Assembly

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This article presents the highlights of the 2024 European Respiratory Society (ERS) Congress as experienced by the early career allied respiratory professionals (Assembly 9) across the different groups. These highlights are grouped under the themes of 1) digital health and artificial intelligence (AI), 2) self-management, and 3) use of race and ethnicity in pulmonary function testing. The themes were selected by the early career members based on their novelty and attention during the congress. We combine highlights from symposia with novel findings presented in abstract presentations. The theme of the ERS Congress 2024 was “Humans and machines: getting the balance right”.

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This article summarises highlights from #ERSCongress including 1) the rapidly advancing use of digital health and AI, 2) keys to effective self-management, and 3) an update on the ongoing debate on race and ethnicity in pulmonary function testing https://bit.ly/3ZPrlZw

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Most cited references 16

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Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations.

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The aim of the Task Force was to derive continuous prediction equations and their lower limits of normal for spirometric indices, which are applicable globally. Over 160,000 data points from 72 centres in 33 countries were shared with the European Respiratory Society Global Lung Function Initiative. Eliminating data that could not be used (mostly missing ethnic group, some outliers) left 97,759 records of healthy nonsmokers (55.3% females) aged 2.5-95 yrs. Lung function data were collated and prediction equations derived using the LMS method, which allows simultaneous modelling of the mean (mu), the coefficient of variation (sigma) and skewness (lambda) of a distribution family. After discarding 23,572 records, mostly because they could not be combined with other ethnic or geographic groups, reference equations were derived for healthy individuals aged 3-95 yrs for Caucasians (n=57,395), African-Americans (n=3,545), and North (n=4,992) and South East Asians (n=8,255). Forced expiratory value in 1 s (FEV(1)) and forced vital capacity (FVC) between ethnic groups differed proportionally from that in Caucasians, such that FEV(1)/FVC remained virtually independent of ethnic group. For individuals not represented by these four groups, or of mixed ethnic origins, a composite equation taken as the average of the above equations is provided to facilitate interpretation until a more appropriate solution is developed. Spirometric prediction equations for the 3-95-age range are now available that include appropriate age-dependent lower limits of normal. They can be applied globally to different ethnic groups. Additional data from the Indian subcontinent and Arabic, Polynesian and Latin American countries, as well as Africa will further improve these equations in the future.

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Pulmonary rehabilitation is a proven, effective intervention for people with chronic respiratory diseases including chronic obstructive pulmonary disease (COPD), interstitial lung disease (ILD) and bronchiectasis. However, relatively few people attend or complete a program, due to factors including a lack of programs, issues associated with travel and transport, and other health issues. Traditionally, pulmonary rehabilitation is delivered in-person on an outpatient basis at a hospital or other healthcare facility (referred to as centre-based pulmonary rehabilitation). Newer, alternative modes of pulmonary rehabilitation delivery include home-based models and the use of telehealth. Telerehabilitation is the delivery of rehabilitation services at a distance, using information and communication technology. To date, there has not been a comprehensive assessment of the clinical efficacy or safety of telerehabilitation, or its ability to improve uptake and access to rehabilitation services, for people with chronic respiratory disease.

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Author and article information

Journal

Journal ID (nlm-ta): ERJ Open Res

Journal ID (iso-abbrev): ERJ Open Res

Journal ID (publisher-id): ERJOR

Journal ID (hwp): erjor

Title: ERJ Open Research

Publisher: European Respiratory Society

ISSN (Electronic): 2312-0541

Publication date Collection: March 2025

Publication date (Electronic): 10 March 2025

Volume: 11

Issue: 2

Electronic Location Identifier: 01145-2024

Affiliations

[1 ]Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium

[2 ]Department of Chronic Diseases and Metabolism (CHROMETA) – BREATHE, KU Leuven, Leuven, Belgium

[3 ]University of Manchester, Manchester, UK

[4 ]Health Technology and Services Research, Faculty of Behavioural, Management and Social Sciences, Technical Medical Centre, University of Twente, Enschede, The Netherlands

[5 ]Department of Pulmonary Medicine, Medisch Spectrum Twente, Enschede, The Netherlands

[6 ]ILD Center of Excellence, member of European Reference Network-Lung, St Antonius Hospital, Nieuwegein, The Netherlands

[7 ]Team Stafadviseurs Digitalisering, Meander Medisch Centrum, Amersfoort, The Netherlands

[8 ]Department of Rehabilitation Science, Ghent University, Ghent, Belgium

[9 ]These authors contributed equally

Author notes

Corresponding author: Heleen Demeyer ( heleen.demeyer@ 123456kuleuven.be )

Author information

Madeleine Driskel https://orcid.org/0000-0001-5309-4678

Lian Trapman https://orcid.org/0009-0000-3681-3140

Daniel Langer https://orcid.org/0000-0001-8738-9482

Article

Publisher ID: 01145-2024

DOI: 10.1183/23120541.01145-2024

PMC ID: 11895098

PubMed ID: 40071273

SO-VID: c1a26560-42c1-4868-8b0e-f847b7f2bdfe

License:

This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions@ 123456ersnet.org

History

Date received : 04 November 2024

Date accepted : 13 December 2024

Funding

Funded by: Fonds Wetenschappelijk Onderzoek, doi http://dx.doi.org/10.13039/501100003130;

Award ID: 12H7517N (Post-doctoral fellowship)

ERS Congress 2024: highlights from the Allied Respiratory Professionals Assembly

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