TY - JOUR T1 - Treatment of severe stable COPD: the multidimensional approach of treatable traits JF - ERJ Open Research JO - erjor DO - 10.1183/23120541.00322-2019 VL - 6 IS - 3 SP - 00322-2019 AU - Marlies van Dijk AU - Christiaan T. Gan AU - T. David Koster AU - Peter J. Wijkstra AU - Dirk-Jan Slebos AU - Huib A.M. Kerstjens AU - Hester van der Vaart AU - Marieke L. Duiverman Y1 - 2020/07/01 UR - http://openres.ersjournals.com/content/6/3/00322-2019.abstract N2 - Now that additional treatment options for severe chronic obstructive pulmonary disease (COPD) have emerged in recent years, patients with severe COPD should not be left in the rather hopeless situation of “there is nothing to improve” any more. Inertia or fatalism is a disservice to our patients. Ranging from advanced care planning to quite intense and demanding therapies such as multidisciplinary pulmonary rehabilitation, (endoscopic) lung volume reduction, chronic noninvasive ventilation and lung transplantation, caregivers should try to provide a personalised treatment for every severe COPD patient. In this review, we aim to describe the multidimensional approach to these patients at our centre along the lines of treatable traits leading to specific additional treatment modalities on top of standard care.Severe COPD is not hopeless; in light of treatment options such as pulmonary rehabilitation, bronchoscopic lung volume reduction, chronic noninvasive ventilation and lung transplantation, every patient deserves a personalised assessment of treatable traits https://bit.ly/2TO7jxB ER -