{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T06:52:07Z","timestamp":1777531927235,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T00:00:00Z","timestamp":1500336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"German Federal Ministry of Education and Research","award":["Reference numbers: 01GY1331 and 01KG1502"],"award-info":[{"award-number":["Reference numbers: 01GY1331 and 01KG1502"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chron Respir Dis"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>The complexity of breathlessness in advanced disease requires a diversity of measures ideally tailored to the individual patient needs. \u2018Breathlessness services\u2019 have been systematically developed and tested to provide specific interventions and support for patients and their carers. The aim of this article is (1) to identify and describe components of breathlessness services and (2) to describe the clinical model of one specific service in more detail. This article is based on a systematic review evaluating randomized controlled trials (RCTs) and quasi-RCTs which examine the effectiveness of services aiming to improve breathlessness of patients with advanced disease. The Munich Breathlessness Service (MBS) is described in detail as an example of a recently set-up specialist service. Five service models were identified which were tested in six RCTs. Services varied regarding structure and composition with face-to-face meetings, some with additional telephone contacts. Service duration was median 6 weeks (range 2\u201312 weeks). Involved professions were nurses, various therapists and, in two models, also physicians. The breathing\u2013thinking\u2013functioning model was targeted by various service components. The MBS is run by a multi-professional team mainly with physicians and physiotherapists. Patients are seen weekly over 5\u20136 weeks with an individualized management plan. Breathlessness services are a new model for patients with advanced disease integrating symptom management and early access to palliative care.<\/jats:p>","DOI":"10.1177\/1479972317721557","type":"journal-article","created":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T12:17:47Z","timestamp":1500553067000},"page":"48-59","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":48,"title":["Breathlessness services as a new model of support for patients with respiratory disease"],"prefix":"10.1177","volume":"15","author":[{"given":"Claudia","family":"Bausewein","sequence":"first","affiliation":[{"name":"Department of Palliative Medicine, Munich University Hospital, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Schunk","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, Munich University Hospital, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Schumacher","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, Munich University Hospital, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julika","family":"Dittmer","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, Munich University Hospital, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Bolzani","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, Munich University Hospital, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Booth","sequence":"additional","affiliation":[{"name":"University of Cambridge, Cambridge, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,7,18]]},"reference":[{"key":"bibr1-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.06.007"},{"key":"bibr2-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1038\/ncponc1034"},{"key":"bibr3-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1016\/j.resp.2008.07.012"},{"key":"bibr4-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1586\/17476348.2014.879530"},{"key":"bibr5-1479972317721557","first-page":"49","author":"Johnson MJ","year":"2017","journal-title":"Eur Respir J"},{"key":"bibr6-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1038\/s41533-017-0024-z"},{"key":"bibr7-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4471-4754-1"},{"key":"bibr8-1479972317721557","first-page":"CD003793","author":"McCarthy B","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr9-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1038\/npjpcrm.2014.76"},{"key":"bibr10-1479972317721557","first-page":"CD005623","author":"Bausewein C","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr11-1479972317721557","first-page":"CD011008","volume":"3","author":"Barnes H","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr12-1479972317721557","volume-title":"Thorax","author":"Ekstrom M"},{"key":"bibr13-1479972317721557","first-page":"CD007354","volume":"10","author":"Simon ST","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr14-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61346-3"},{"key":"bibr15-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0000000000000227"},{"key":"bibr16-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1177\/082585971102700106"},{"key":"bibr17-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(14)70226-7"},{"key":"bibr18-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1016\/S1462-3889(98)81276-3"},{"key":"bibr19-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7188.901"},{"key":"bibr20-1479972317721557","first-page":"12","volume":"194","author":"Farquhar MC","year":"2014","journal-title":"BMC Med"},{"key":"bibr21-1479972317721557","first-page":"12","volume":"130","author":"Farquhar MC","year":"2011","journal-title":"Trials"},{"key":"bibr22-1479972317721557","first-page":"17","volume":"185","author":"Farquhar MC","year":"2016","journal-title":"Trials"},{"key":"bibr23-1479972317721557","first-page":"12","volume":"58","author":"Bausewein C","year":"2012","journal-title":"BMC Pulm Med"},{"key":"bibr24-1479972317721557","first-page":"13","volume":"213","author":"Johnson MJ","year":"2015","journal-title":"BMC Med"},{"key":"bibr25-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2014.32.31_suppl.54"},{"key":"bibr26-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-015-2810-x"},{"key":"bibr27-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.11.008"},{"key":"bibr28-1479972317721557","first-page":"349","volume":"7617","author":"Ekstrom MP","year":"2015","journal-title":"BMJ"},{"key":"bibr29-1479972317721557","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.70.1474"}],"container-title":["Chronic Respiratory Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1479972317721557","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1479972317721557","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1479972317721557","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:46:46Z","timestamp":1777394806000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1479972317721557"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,18]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1177\/1479972317721557"],"URL":"https:\/\/doi.org\/10.1177\/1479972317721557","relation":{},"ISSN":["1479-9731","1479-9731"],"issn-type":[{"value":"1479-9731","type":"print"},{"value":"1479-9731","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,18]]}}}