The missions of the Yale COPD Program are to serve as a locally, regionally and nationally recognized center of excellence for comprehensive, state-of-the-art, evidence-based care of COPD patients with the full spectrum of disease severity, clinical phenotypes and comorbidities across the trajectory of illness and across healthcare venues. Additional aims are to educate trainees in the discipline of COPD, and to collaborate with investigators within and outside Yale on research in the field of COPD.
The Yale COPD program provides comprehensive and multidisciplinary treatment to patients with the full spectrum of disease severity, clinical phenotypes and comorbidities associated with COPD. We care for individuals with emphysema, chronic bronchitis, COPD with associated bronchiectasis, asthma/COPD overlap, COPD/obstructive sleep apnea overlap, combined emphysema and pulmonary fibrosis (in conjunction with our interstitial lung disease team), as well as people who experience frequent disease exacerbations and/or hospitalizations, those under consideration for surgical therapies for emphysema (such as bullectomy, lung volume reduction surgery and lung transplantation), those in need of pre-operative respiratory assessment for other forms of surgery, those with suspected genetic basis for their disease (such as alpha-1-antitrypsin deficiency) and those with chronic respiratory failure related to COPD.
The program is staffed by 2 pulmonologists, a pulmonary specialist nurse practitioner, nurses and respiratory therapists with special expertise in COPD. We collaborate closely with and arrange visits for patients with other specialist providers as needed, including (but not limited to) cardiologists, thoracic surgeons, thoracic oncologists, palliative care specialists, otolaryngologists, allergist/immunologists, sleep medicine specialists, and health psychologists.
Particularly appropriate referrals to the Yale COPD Program include people with difficult-to-control symptoms and/or frequent acute disease exacerbations, those who have suboptimal responses to routine medical therapies, complex medical comorbidities or overlap syndromes (as detailed above), those who may require surgical therapies and those who have advanced disease with chronic respiratory failure. Providers in the COPD Program perform thorough and comprehensive evaluations and develop individualized care plans for all patients, with a goal of partnering closely with individuals’ primary care and other specialist providers. Opportunities to participate in clinical research trials of new therapies in COPD are often available through our collaboration with the Yale Center for Asthma and Airways Disease (203-500-3808).
A broad range of services are also available from members of Yale PCCSM at VA Connecticut Healthcare System (West Haven and Newington Campuses). Dr. Rochester also directs the Pulmonary Rehabilitation Program at the VA, to improve the symptoms, functional capacity, exercise tolerance and quality of life of people with COPD and other forms of chronic respiratory disease.
COPD-Related Events at/near Yale:
COPD CME Course, April 2016
State-wide Readmissions Summit sponsored by the COPD Foundation, New Haven, CT, March 2017
West Haven Collaborative Breathe-Strong Rally, West Haven CT, November 2017
West-Haven Collaborative Breathe-Strong Rally, November 2018
Helpful Links for Patients:
American Thoracic Society (patient information and pulmonary rehabilitation assembly):
Patient information: www.livingwellwithcopd.org
The COPD Foundation: COPD360social (patient community and patient information): copdfoundation.org
Lung life Pulmonary Rehabilitation Program, Yale New Haven Health: 203-789-3995; ynhh.org, pulmonary outpatient services
Alpha-1 Foundation: information and links to patient support groups: alpha1.org
Better breathers Clubs, Patient support groups: www.lung.org
Smilow Smoking Cessation/Tobacco Treatment Program: email@example.com or 203-688-1378
Connecticut Quit Line: www.quitnow.net or portal.ct.gov (Tobacco Control Program)
American Lung Association: Information and Tobacco Cessation: www.lung.org
COPD In the News
The updated 2018 WHO/NIH GOLD Report is now available via the weblink: www.goldcopd.com
The recently published National Action Plan for COPD is available at the weblink: COPD.NIH.gov
COPD Program Team
Research in COPD
Chronic obstructive pulmonary disease (COPD) is a major focus of both scientific and clinical interest in the Yale Section of Pulmonary, Critical Care and Sleep Medicine (PCCSM). Drs. Patty Lee, Naftali Kaminski, Charles Dela Cruz, Maor Sauler and Min-Jong Kang have recently identified novel mechanisms that likely contribute to the pathogenesis of pulmonary emphysema using transgenic and other mouse models of emphysema and airways inflammation.
Several members of Yale PCCSM are currently collaborating in translational research studies that are testing the applicability of their findings to human disease. Topics under investigation are molecular mechanisms underlying the clinical heterogeneity of COPD and the factors that affect the rate of decline in lung function among individuals with COPD.
Spruit MA, Rochester C, Pitta F, Kenn K, Schols AMWJ, Hart N, Wouters E, Nava S, Dreher M, Janssen DJA, Johnson MJ, Curtis JR, Sastry M, Franssen F: Pulmonary rehabilitation, physical activity, respiratory failure and palliative respiratory care. Thorax. 2019 Mar 14; 2019 Mar 14. PMID: 30872364
Rochester CL, Vogiatzis I, Powell P, Masefield S, Spruit MA: Patients' perspective on pulmonary rehabilitation: experiences of European and American individuals with chronic respiratory diseases. ERJ Open Res. 2018 Oct; 2018 Dec 3. PMID: 30519564
Donner CF, Raskin J, ZuWallack R, Nici L, Ambrosino N, Balbi B, Blackstock F, Casaburi R, Dreher M, Effing T, Goldstein R, Krishnan J, Lareau SC, Make BJ, Maltais F, Meek P, Morgan M, Pépin JL, Rabbito C, Rochester CL, Silverman AR, Singh S, Spruit MA, Vitacca M, Williams L: Incorporating telemedicine into the integrated care of the COPD patient a summary of an interdisciplinary workshop held in Stresa, Italy, 7-8 September 2017. Respir Med. 2018 Oct; 2018 Sep 8. PMID: 30261999
Spruit MA, Singh SJ, Rochester CL, Greening NJ, Franssen FME, Pitta F, Troosters T, Nolan C, Vogiatzis I, Clini EM, Man WD, Burtin C, Goldstein RS, Vanfleteren LEGW, Kenn K, Nici L, Janssen DJA, Casaburi R, Shioya T, Garvey C, Carlin BW, ZuWallack RL, Steiner M, Wouters EFM, Puhan MA: Pulmonary rehabilitation for patients with COPD during and after an exacerbation-related hospitalisation: back to the future? Eur Respir J. 2018 Jan; 2018 Jan 11. PMID: 29326328
Korde A, Jin L, Zhang JG, Ramaswamy A, Hu B, Kolahian S, Guardela BJ, Herazo-Maya J, Siegfried JM, Stabile L, Pisani MA, Herbst RS, Kaminski N, Elias JA, Puchalski JT, Takyar SS: Lung Endothelial MicroRNA-1 Regulates Tumor Growth and Angiogenesis. Am J Respir Crit Care Med. 2017 Dec 1. PMID: 28853613
Rochester CL, Spruit MA: Maintaining the Benefits of Pulmonary Rehabilitation. The Holy Grail. Am J Respir Crit Care Med. 2017 Mar 1. PMID: 28248138
Vogiatzis I, Rochester CL, Spruit MA, Troosters T, Clini EM, American Thoracic Society/European Respiratory Society Task Force on Policy in Pulmonary Rehabilitation.: Increasing implementation and delivery of pulmonary rehabilitation: key messages from the new ATS/ERS policy statement. Eur Respir J. 2016 May. PMID: 27132269
Takyar S, Zhang Y, Haslip M, Jin L, Shan P, Zhang X, Lee PJ: An endothelial TLR4-VEGFR2 pathway mediates lung protection against oxidant-induced injury. FASEB J. 2016 Mar; 2015 Dec 11. PMID: 26655705
Pimienta G, Fok V, Haslip M, Nagy M, Takyar S, Steitz JA: Proteomics and Transcriptomics of BJAB Cells Expressing the Epstein-Barr Virus Noncoding RNAs EBER1 and EBER2. PLoS One. 2015; 2015 Jun 29. PMID: 26121143
Ahangari F, Sood A, Ma B, Takyar S, Schuyler M, Qualls C, Dela Cruz CS, Chupp GL, Lee CG, Elias JA: Chitinase 3-like-1 regulates both visceral fat accumulation and asthma-like Th2 inflammation. Am J Respir Crit Care Med. 2015 Apr 1. PMID: 25629580
Rochester CL, Fairburn C, Crouch RH: Pulmonary rehabilitation for respiratory disorders other than chronic obstructive pulmonary disease. Clin Chest Med. 2014 Jun. PMID: 24874132
Rochester CL, Spanevello A: Heterogeneity of pulmonary rehabilitation: like apples and oranges - both healthy fruit. Eur Respir J. 2014 May. PMID: 24789943
Franssen FM, Rochester CL: Comorbidities in patients with COPD and pulmonary rehabilitation: do they matter? Eur Respir Rev. 2014 Mar 1. PMID: 24591670
Takyar S, Vasavada H, Zhang JG, Ahangari F, Niu N, Liu Q, Lee CG, Cohn L, Elias JA: VEGF controls lung Th2 inflammation via the miR-1-Mpl (myeloproliferative leukemia virus oncogene)-P-selectin axis. J Exp Med. 2013 Sep 23; 2013 Sep 16. PMID: 24043765
Lee CG, Ma B, Takyar S, Ahangari F, Delacruz C, He CH, Elias JA: Studies of vascular endothelial growth factor in asthma and chronic obstructive pulmonary disease. Proc Am Thorac Soc. 2011 Nov. PMID: 22052929
Ma B, Dela Cruz CS, Hartl D, Kang MJ, Takyar S, Homer RJ, Lee CG, Elias JA: RIG-like helicase innate immunity inhibits vascular endothelial growth factor tissue responses via a type I IFN-dependent mechanism. Am J Respir Crit Care Med. 2011 May 15; 2011 Jan 28. PMID: 21278304
Lee CG, Da Silva CA, Dela Cruz CS, Ahangari F, Ma B, Kang MJ, He CH, Takyar S, Elias JA: Role of chitin and chitinase/chitinase-like proteins in inflammation, tissue remodeling, and injury. Annu Rev Physiol. 2011. PMID: 21054166
Vaz Fragoso CA, Concato J, McAvay G, Van Ness PH, Rochester CL, Yaggi HK, Gill TM: Chronic obstructive pulmonary disease in older persons: A comparison of two spirometric definitions. Respir Med. 2010 Aug; 2010 Mar 3. PMID: 20199857
Vaz Fragoso CA, Concato J, McAvay G, Van Ness PH, Rochester CL, Yaggi HK, Gill TM: The ratio of FEV1 to FVC as a basis for establishing chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2010 Mar 1; 2009 Dec 17. PMID: 20019341
Rochester CL: Rehabilitation in the intensive care unit. Semin Respir Crit Care Med. 2009 Dec; 2009 Nov 25. PMID: 19941223
Vaz Fragoso CA, Concato J, McAvay G, Van Ness PH, Rochester CL, Yaggi HK, Gill TM: Defining chronic obstructive pulmonary disease in older persons. Respir Med. 2009 Oct; 2009 May 21. PMID: 19464159
Rochester CL: Pulmonary rehabilitation for patients who undergo lung-volume-reduction surgery or lung transplantation. Respir Care. 2008 Sep. PMID: 18718039
Kang MJ, Homer RJ, Gallo A, Lee CG, Crothers KA, Cho SJ, Rochester C, Cain H, Chupp G, Yoon HJ, Elias JA: IL-18 is induced and IL-18 receptor alpha plays a critical role in the pathogenesis of cigarette smoke-induced pulmonary emphysema and inflammation. J Immunol. 2007 Feb 1. PMID: 17237446
Rochester CL: Clinical year in review IV: asthma, chronic obstructive pulmonary disease, exercise and rehabilitation, and critical care medicine. Proc Am Thorac Soc. 2005. PMID: 16352748
Rochester CL: Exercise training in chronic obstructive pulmonary disease. J Rehabil Res Dev. 2003 Sep-Oct. PMID: 15074454