ICF Core Sets for obstructive pulmonary diseases

Stucki, Andreas; Stoll, Thomas; Cieza, Alarcos; Weigl, Martin; Giardini, Anna; Wever, Daniël; Kostanjsek, Nenad; Stucki, Gerold

doi:10.1080/16501960410016794

Cited by 80 publications

(72 citation statements)

References 43 publications

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“…130 Two published, generic determinant frameworks 131 guided the initial design of the study. We used normalisation process theory (NPT) [132][133][134][135] to understand barriers to intervention implementation by the health system.…”

Section: Theorymentioning

confidence: 99%

The feasibility of early pulmonary rehabilitation and activity after COPD exacerbations: external pilot randomised controlled trial, qualitative case study and exploratory economic evaluation

Cox

O’Connor

Biggs

et al. 2018

Health Technol Assess

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BackgroundChronic obstructive pulmonary disease (COPD) affects > 3 million people in the UK. Acute exacerbations of COPD (AECOPD) are the second most common reason for emergency hospital admission in the UK. Pulmonary rehabilitation is usual care for stable COPD but there is little evidence for early pulmonary rehabilitation (EPR) following AECOPD, either in hospital or immediately post discharge.ObjectiveTo assess the feasibility of recruiting patients, collecting data and delivering EPR to patients with AECOPD to evaluate EPR compared with usual care.DesignParallel-group, pilot 2 × 2 factorial randomised trial with nested qualitative research and an economic analysis.SettingTwo acute hospital NHS trusts. Recruitment was carried out from September 2015 to April 2016 and follow-up was completed in July 2016.ParticipantsEligible patients were those aged ≥ 35 years who were admitted with AECOPD, who were non-acidotic and who maintained their blood oxygen saturation level (SpO2) within a prescribed range. Exclusions included the presence of comorbidities that affected the ability to undertake the interventions.Interventions(1) Hospital EPR: muscle training delivered at the patient’s hospital bed using a cycle ergometer and (2) home EPR: a pulmonary rehabilitation programme delivered in the patient’s home. Both interventions were delivered by trained physiotherapists. Participants were allocated on a 1 : 1 : 1 : 1 ratio to (1) hospital EPR (n = 14), (2) home EPR (n = 15), (3) hospital EPR and home EPR (n = 14) and (4) control (n = 15). Outcome assessors were blind to treatment allocation; it was not possible to blind patients.Main outcome measuresFeasibility of recruiting 76 participants in 7 months at two centres; intervention delivery; views on intervention/research acceptability; clinical outcomes including the 6-minute walk distance (6WMD); and costs. Semistructured interviews with participants (n = 27) and research health professionals (n = 11), optimisation assessments and an economic analysis were also undertaken.ResultsOver 7 months 449 patients were screened, of whom most were not eligible for the trial or felt too ill/declined entry. In total, 58 participants (76%) of the target 76 participants were recruited to the trial. The primary clinical outcome (6MWD) was difficult to collect (hospital EPR,n = 5; home EPR,n = 6; hospital EPR and home EPR,n = 5; control,n = 5). Hospital EPR was difficult to deliver over 5 days because of patient discharge/staff availability, with 34.1% of the scheduled sessions delivered compared with 78.3% of the home EPR sessions. Serious adverse events were experienced by 26 participants (45%), none of which was related to the interventions. Interviewed participants generally found both interventions to be acceptable. Home EPR had a higher rate of acceptability, mainly because patients felt too unwell when in hospital to undergo hospital EPR. Physiotherapists generally found the interventions to be acceptable and valued them but found delivery difficult because of staffing issues. The health economic analysis results suggest that there would be value in conducting a larger trial to assess the cost-effectiveness of the hospital EPR and hospital EPR plus home EPR trial arms and collect more information to inform the hospital cost and quality-adjusted life-year parameters, which were shown to be key drivers of the model.ConclusionsA full-scale randomised controlled trial using this protocol would not be feasible. Recruitment and delivery of the hospital EPR intervention was difficult. The data obtained can be used to design a full-scale trial of home EPR. Because of the small sample and large confidence intervals, this study should not be used to inform clinical practice.Trial registrationCurrent Controlled Trials ISRCTN18634494.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full inHealth Technology Assessment; Vol. 22, No. 11. See the NIHR Journals Library website for further project information.

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Section: Theorymentioning

confidence: 99%

The feasibility of early pulmonary rehabilitation and activity after COPD exacerbations: external pilot randomised controlled trial, qualitative case study and exploratory economic evaluation

Cox

O’Connor

Biggs

et al. 2018

Health Technol Assess

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“…Artrite reumatóide (11) 25 (8) 18 (7) 32 (14) 21 (10) 96 (39) Lombalgia (12) 19 (10) 5 (3) 29 (12) 25 (10) 78 (35) DCG (13) 23 (10) 1 (0) 27 (10) 16 (6) 67 (26) Osteoartrose (14) 13 (3) 6 (3) 19 (3) 17 (4) 55 (13) Osteoporose (15) 15 (5) 7 (4) 21 (6) 26 (7) 69 (22) Obesidade (16) 30 (3) 18 (0) 28 (4) 33 (2) 109 (9) Diabetes mellitus (17) 36 (12) 16 (6) 18 (5) 29 (10) 99 (33) DCIC (18) 14 (10) 1 (1) 17 (13) 29 (12) 61 (36) DPOC (19) 19 (5) 5 (3) 24 (5) 23 (4) 71 (17) Depressão (20) 45 (9) 0 (0) 48 (12) 28 (10) 121 …”

Section: Condições De Saúdeunclassified

Core sets da Classificação Internacional de Funcionalidade, Incapacidade e Saúde

Riberto

2011

Rev. Bras. Enferm.

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A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) propõe um modelo de entendimento da funcionalidade humana que integra aspectos biomédicos, sociais e pessoais, além de homogeneizar a terminologia que descreve as condições incapacitantes relacionadas à saúde. Todavia, em virtude de sua complexidade e da grande quantidade de aspectos contemplados, foi necessário desenvolver instrumentos práticos baseados nela. Os core sets da CIF são conjuntos de categorias da CIF que descrevem a funcionalidade de pessoas com determinadas condições de saúde. Eles vêm sendo desenvolvidos em processos de consenso com representação multiprofissional e internacional. Os core sets podem ser resumidos ou abrangentes, conforme o uso por apenas um ou mais profissionais. Seu uso permite ao profissional de saúde avaliar aspectos não contemplados por qualquer outro instrumento de avaliação funcional, como os fatores ambientais.

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“…ICF Core Sets are a tool to adapt the ICF specifically to the diagnosis-specific requirements of patients. ICF Core Sets have been developed in a standardized process for a series of diseases, including coronary heart disease, obstructive pulmonary diseases, diabetes mellitus and breast cancer [170], [171], [172], [173], [174].…”

Section: The International Classification Of Functioning Disability mentioning

confidence: 99%

Refinement of the free radial forearm flap reconstructive technique after resection of large oropharyngeal malignancies with excellent functional results

et al. 2003

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Preservation of function is a crucial aspect for the evaluation of therapies applied in the field of head and neck cancer. However, preservation of Uta Tschiesner 1 anatomic structures cannot automatically be equated with preservation 1 Clinic for Otorhinolaryngology, Ludwig Maximilians of function. Functional outcome becomes increasingly important particularly for the evaluation of alternative treatment options with equivalent oncological outcomes.University (LMU) Munich, Munich, GermanyAs a result, present studies take into account three topic areas with varying emphasis: (1) the effects of cancer therapy on essential physiological functions, (2) additional therapy-induced side-effects and complications, and (3) health-related quality of life. The present article summarizes vital aspects of clinical research from recent years. Functional outcomes after surgical and non-surgical treatment approaches are presented according to tumor localization and staging criteria. Additional methodological aspects relating to data gathering and documentation as well as challenges in implementing the results in clinical practice are also discussed.

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ICF Core Sets for obstructive pulmonary diseases

Abstract: A formal consensus process integrating evidence and expert opinion based on the ICF framework and classification led to the definition of ICF Core Sets for obstructive pulmonary diseases. Both the Comprehensive ICF Core Set and the Brief ICF Core Set were defined.

Cited by 80 publications

References 43 publications

The feasibility of early pulmonary rehabilitation and activity after COPD exacerbations: external pilot randomised controlled trial, qualitative case study and exploratory economic evaluation

The feasibility of early pulmonary rehabilitation and activity after COPD exacerbations: external pilot randomised controlled trial, qualitative case study and exploratory economic evaluation

Core sets da Classificação Internacional de Funcionalidade, Incapacidade e Saúde

Refinement of the free radial forearm flap reconstructive technique after resection of large oropharyngeal malignancies with excellent functional results

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