Optimizing Home Oxygen Therapy An Official American Thoracic Society Workshop Report

April 21, 2020

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Publicated to:Annals Of The American Thoracic Society. 15 (12): 1369-1381 - 2018-01-01 15(12), DOI: 10.1513/AnnalsATS.201809-627WS

Authors: Jacobs, SS; Lederer, DJ; Garvey, CM; Hernandez, C; Lindell, KO; McLaughlin, S; Schneidman, AM; Casaburi, R; Chang, V; Cosgrove, GP; Devitt, L; Erickson, KL; Ewart, GW; Giordano, SP; Harbaugh, M; Kallstrom, TJ; Kroner, K; Krishnan, JA; Lamberti, JP; Porte, P; Prieto-Centurion, V; Sherman, SE; Sullivan, JL; Sward, E; Swigris, JJ; Upson, DJ

Affiliations

Alpha 1 Fdn, Coral Gables, FL USA - Author

Amer Assoc Resp Care, Irving, TX USA - Author

Amer Lung Assoc, Washington, DC USA - Author

Amer Thorac Soc, Govt Affairs, Washington, DC USA - Author

Apria Healthcare, Littleton, CO USA - Author

Columbia Univ, New York, NY USA - Author

COPD Fdn, Washington, DC USA - Author

Ctr Medicare & Medicaid Serv, Baltimore, MD USA - Author

Harbor UCLA Med Ctr, Los Angeles Biomed Res Inst, Torrance, CA 90509 USA - Author

Hawaii COPD Coalit, Honolulu, HI USA - Author

Hosp Valley, Phoenix, AZ USA - Author

Inova Fairfax Med Ctr, Fairfax, VA USA - Author

LAM Fdn, Cincinnati, OH USA - Author

Natl Assoc Med Directors Resp Care, Vienna, VA USA - Author

Natl Jewish Hlth, Denver, CO USA - Author

New Mexico Vet Affairs Hlth Care Serv, Albuquerque, NM USA - Author

Pulm Fibrosis Fdn, Chicago, IL USA - Author

Pulm Hypertens Assoc, Silver Spring, MD USA - Author

Stanford Univ, Stanford, CA 94305 USA - Author

Univ Barcelona, Hosp Clin Barcelona, Barcelona, Spain - Author

Univ Calif San Francisco, San Francisco, CA 94143 USA - Author

Univ Illinois, Chicago, IL USA - Author

Univ New Mexico, Hlth Sci Ctr, Albuquerque, NM 87131 USA - Author

Univ Pittsburgh, Pittsburgh, PA USA - Author

US COPD Coalit, Washington, DC USA - Author

US FDA, Silver Spring, MD USA - Author

Abstract

More than 1.5 million adults in the United States use supplemental oxygen for a variety of respiratory disorders to improve their quality of life and prolong survival. This document describes recommendations from a multidisciplinary workshop convened at the ATS International Conference in 2017 with the goal of optimizing home oxygen therapy for adults. Ideal supplemental oxygen therapy is patient-specific, provided by a qualified clinician, includes an individualized prescription and therapeutic education program, and offers oxygen systems that are safe, promote mobility, and treat hypoxemia. Recently, patients and clinicians report a growing number of problems with home oxygen in the United States. Oxygen users experience significant functional, mechanical, and financial problems and a lack of education related to their oxygen equipment-problems that impact their quality of life. Health care providers report a lack of readily accessible resources needed to prescribe oxygen systems correctly and efficiently. Patients with certain lung diseases are affected more than others because of physically unmanageable or inadequate portable systems. Analysis is needed to quantify the unintended impact that the Centers for Medicare and Medicaid Services Competitive Bidding Program has had on patients receiving supplemental oxygen from durable medical equipment providers. Studies using effectiveness and implementation research designs are needed to develop and evaluate new models for patient education, identify effective ways for stakeholders to interface, determine the economic benefit of having respiratory therapists perform in-home education and follow-up testing, and collaborate with technology companies to improve portable oxygen devices. Generation of additional evidence of the benefit of supplemental oxygen across the spectrum of advanced lung diseases and the development of clinical practice guidelines should both be prioritized.

Keywords

advocacycompetitive biddingcopddurable medical equipmentinterstitial lung-diseasemobilityoxygensupplemental oxygenAdvocacyArticleCompetitive biddingDelivery of health careDurable medical equipmentEducationFinancial managementFollow upHealth care deliveryHealth care personnelHealth care policyHealth educationHealth policyHome careHome care servicesHome oxygen therapyHumanHumansHypoxemiaKnowledgeLong-term oxygenLung diseaseMobilityOrganization and managementOxygenOxygen inhalation therapyOxygen therapyPatient advocacyPatient educationPractice guidelinePrescriptionQuality of lifeRespiratory therapistSystem analysisUnited states

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Annals Of The American Thoracic Society due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2018, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Pulmonary and Respiratory Medicine.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.12. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

Field Citation Ratio (FCR) from Dimensions: 22.71 (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-16, the following number of citations:

WoS: 26
Scopus: 20

Impact and social visibility

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Mexico; Timor-Leste; United States of America.

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