Perceptions and knowledge of lung volume reduction procedures for chronic obstructive pulmonary disease in the Republic of Ireland: A survey of respiratory healthcare professionals

Abstract

OBJECTIVE: Lung volume reduction (LVR) procedures can improve quality of life and survival in appropriately selected individuals with emphysema. LVR is recommended in national and international guidelines for the management of chronic obstructive pulmonary disease. Between 2016 and May 2023, less than 300 procedures were completed in the Republic of Ireland (ROI). Therefore, this survey of Irish Thoracic Society (ITS) members aimed to explore respiratory healthcare professionals’ knowledge of the LVR referral pathway and criteria. It also aimed to identify and understand any obstacles which currently limit referral and assessment for LVR procedures as well as any training needs which may exist. METHODS: An online survey was developed and distributed to ITS members in April 2023. The survey focused on respondents’ knowledge of the LVR service, perceptions of LVR procedures and understanding of the referral pathway and criteria. RESULTS: There were 84 responses from 423 potential respondents, with a response rate of 20%. Most respondents are aware of the LVR service in the Mater Misericordiae University Hospital, with 30% reporting good knowledge of the eligibility criteria and 18% reporting a good understanding of the referral pathway. Appropriate patient selection and surgical complications are the main concerns cited by respondents. CONCLUSIONS: Work is needed to develop the knowledge and understanding of LVR procedures and referral process in ROI, particularly the eligibility criteria and referral pathway. Survey responses highlight the need for educational resources around LVR and this research will help to give focus to the development of these resources.