CHEST Clinical Perspectives

CHEST Clinical Perspectives™ studies are a series of compelling summaries containing insights and opinions gathered from pulmonary and critical care physicians and delivered in a series of groundbreaking white papers. Sign up to learn more.


Precision Medicine: Adoption of Emerging Methods of Evaluation and Therapy

Volume 2, Issue 3

Panel Contributor
Nichole T. Tanner, MD, MSCR, FCCP
Medical University of South Carolina

Main study themes:

  • Understand pulmonologist use of nomenclature related to the category.
  • Assess knowledge and familiarity with key facets of precision medicine.
  • Understand the utilization and the rate of adoption of biomarker testing and emerging therapies.

Delays in Diagnosis:  Barriers to Efficient and Accurate Pulmonary Evaluation 

Volume 2, Issue 2 

Patricia Rivera

Panel Contributor 
M. Patricia Rivera, MD, FCCP 
University of North Carolina at Chapel Hill

Main study themes:  

  • Understand pulmonologist’s definition of and experience with delays in pulmonary diagnoses. 
  • Assess perceptions of the prevalence of delays in pulmonary diagnoses. 
  • Assess prevalence of factors contributing to delays in pulmonary diagnoses, both at general and condition-specific levels. 
  • Prioritize actions for reducing delays in diagnoses. 

State of the Practice:  Evaluation of Patients Presenting with Chronic Dyspnea 

Volume 2, Issue 1 

Victor Test

Panel Contributor 
Victor J Test, MD, FCCP 
Texas Tech University Health Sciences Center 
School of Medicine

Main study themes:  

  • Understanding the frequency with which dyspnea is specifically evaluated. 
  • Assessing the extent to which different tools are used to assess and document chronic dyspnea. 
  • Identifying the extent to which patients’ descriptions of their symptoms are considered when making a diagnosis. 
  • Determining where dyspnea resides within the hierarchy of patient complaints. 
  • Identifying diagnostic approaches to evaluating dyspnea and the establishment of an underlying diagnosis. 

State of Practice: Evaluation and Management of Interstitial Lung Disease  

Volume 1, Issue 4 

Clay Cowl

Panel Contributor 
Clayton T Cowl, MD, MS, FCCP 
Mayo Clinic

Main study themes:  

  • EBUS-TBNA adoption and practices 
  • Attitudes toward tissue sampling and molecular testing in academic and community settings 
  • Implications of knowledge and practice gaps in academic and community institutions 

State of Practice:  Defining COPD Exacerbation  

Volume 1, Issue 3 

Nic Hanania

Panel Contributor
Nicola A Hanania, MD, MBBS, FCCP 
Baylor College of Medicine 

Nancy Collop

Panel Contributor
Nancy A Collop, MD, FCCP 
Emory

Main study themes:  

  • Understanding of how pulmonologists define and identify COPD exacerbation  
  • Assessing the extent to which different tools and strategies are used to assess and manage patients with COPD 
  • Understanding the adoption of different approaches for monitoring and assessing risk for COPD exacerbation 
  • Assessing approaches to managing acute exacerbation and reducing risk of occurrence  

State of Practice:  Tissue Sampling and Testing for Non-small Cell Lung Cancer 

Volume 1, Issue 2 

Gerard Silvestri

Panel Contributor
Gerard A Silvestri, MD, MS, FCCP 
Medical University of South Carolina

Main study themes:  

  • EBUS-TBNA adoption and practices 
  • Attitudes toward tissue sampling and molecular testing in academic and community settings 
  • Implications of knowledge and practice gaps in academic and community institutions 

Use of Biologics for the Treatment and Managements of Severe Asthma 

Volume 1, Issue 1 

Nic Hanania

Panel Contributor
Nicola A Hanania, MD, MBBS, FCCP 
Baylor College of Medicine

Main study themes:  

  • The rate at which biologics are being used relative to traditional treatment approaches for patients with severe asthma. 
  • Key barriers affecting the development of optimal treatment plans. 
  • The extent to which biomarkers are being used to plan and manage biologic therapy. 
  • Variations in adoption among different segments of pulmonologists 

Learn more about CHEST Clinical Perspectives™ and receive a copy of the discussion section of the white paper “State of Practice: Evaluation of Patients Presenting with Chronic Dyspnea”: