Long-term Effects of Outpatient Rehabilitation of COPD

Güell, Rosa; Casán, Pere; Belda, José; Sangenís, Mercè; Morante, Luís Fernando Morales; Guyatt, Gordon; Sanchís, J.

doi:10.1378/chest.117.4.976

Cited by 362 publications

(203 citation statements)

References 25 publications

(19 reference statements)

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“…Long-term maintenance of any increase is challenging. Strategies such as regular telephone support and follow-up visits may be insufficient [61]. It is likely that sustained gains in physical activity and/or reductions in sedentary behaviour in this population will require complex interventions that may include exercise training, goal setting and motivational interviewing.…”

Section: Increasing Physical Activitymentioning

confidence: 99%

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Hill¹,

Vogiatzis²,

Burtin³

2013

European Respiratory Review

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Comprehensive pulmonary rehabilitation is an important component in the clinical management of people with chronic obstructive pulmonary disease (COPD). Although supervised exercise training is considered the cornerstone of effective pulmonary rehabilitation, there are many other components that should be considered to manage the impairments and symptom burden, as well as the psychosocial and lifestyle changes imposed by COPD. These include approaches designed to: 1) facilitate smoking cessation; 2) optimise pharmacotherapy; 3) assist with early identification and treatment of acute exacerbations; 4) manage acute dyspnoea; 5) increase physical activity; 6) improve body composition; 7) promote mental health; 8) facilitate advance care planning; and 9) establish social support networks. This article will describe these approaches, which may be incorporated within pulmonary rehabilitation, to optimise effective chronic disease self-management. @ERSpublications This paper describes several components of comprehensive pulmonary rehabilitation, other than simply exercise training http://ow.ly/mMNRp Pulmonary rehabilitation for chronic obstructive pulmonary diseaseChronic obstructive pulmonary disease (COPD) is characterised by persistent airflow limitation due to chronic inflammation within the airways and lung in response to noxious particles or gases [1]. People with this condition are limited by dyspnoea and have impaired exercise capacity and health-related quality of life [1]. The prevalence of COPD amongst adults aged o40 years is ,10% [2], and increases to 21% in those with a significant smoking history who are visiting their family physician for any reason [3]. The natural course of COPD is punctuated with episodes of acute worsening, known as exacerbations, which contribute

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Section: Increasing Physical Activitymentioning

confidence: 99%

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Hill¹,

Vogiatzis²,

Burtin³

2013

European Respiratory Review

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“…Furthermore, there is a need to understand better what patients perceive as an 'exacerbation. ' Studies vary in their definitions of COPD 'exacerbations' [4][5][6][7][8][9][10][11][12][13][14][15], thus making evaluation and comparison difficult, a problem identified in the GOLD international guidelines for the management of COPD. Indeed, the authors of the GOLD guidelines use the term 'exacerbation' without a clear definition [16].…”

Section: Introductionmentioning

confidence: 99%

Exacerbations of chronic obstructive pulmonary disease — A patients' perspective

Adams

Chavannes

Jones

et al. 2006

Primary Care Respiratory Journal

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SummaryBackground: Exacerbations are now an important clinical variable for research into, and management of, chronic obstructive pulmonary disease (COPD). Emphasis is usually on reductions in the incidence of exacerbations and their impact on quality of life. For such research to be useful and comparable there needs to be a clearly defined understanding of what is meant by the term 'exacerbation'. The aim of this study was to explore the notion of COPD exacerbations from the viewpoint of patients who had recently suffered an exacerbation. Methods: Using principles from grounded theory we conducted semi-structured, in-depth interviews with 23 volunteers from Denmark, the Netherlands and the UK who were identified as having had a COPD exacerbation. Interviews were recorded locally and translated into English for analysis. Notable themes were identified for each informant and their occurrences compared. Results: Patients' reasons for consulting fell into four categories: 'frightening change'; 'change in sputum colour'; 'gradual deterioration'; and 'opportunistic diagnosis'. Most patients consulted frequently about their COPD, but did not afford their exacerbations the same degree of prominence as healthcare professionals (HCPs). Conclusions: These data provide a new way of thinking about COPD exacerbations, offering a greater understanding and classification of the reasons underlying the decision of COPD patients to consult with HCPs. They suggest that the patient perspective of exacerbations is more complex than previously thought. These findings could be applied to clinical practice and research, facilitating focussed decisions on COPD management.

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“…This diminution of benefit has been reported in several programs (4)(5)(6)11). Longer programs may well extend the duration of improvement (13)(14)(15). Troosters et al (16) reported on 100 patients randomly assigned to a six-month program of rehabilitation.…”

Section: Diminution Of Benefits With Timementioning

confidence: 88%

Clinical Implications of Pulmonary Rehabilitation

Goldstein

2003

Canadian Respiratory Journal

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Long-term Effects of Outpatient Rehabilitation of COPD

Abstract: Outpatient rehabilitation programs can achieve worthwhile benefits that persist for a period of 2 years.

Cited by 362 publications

References 25 publications

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Exacerbations of chronic obstructive pulmonary disease — A patients' perspective

Clinical Implications of Pulmonary Rehabilitation

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