Minimal important difference for London Chest Activity of Daily Living scale in patients with chronic obstructive pulmonary disease

Gulart, Aline Almeida; Araújo, Cintia Laura Pereira de; Munari, Anelise Bauer; Schneider, Bárbara Ferreira; Lago, Pedro Dal; Mayer, Anamaria Fleig

doi:10.1016/j.physio.2019.08.007

Cited by 17 publications

(9 citation statements)

References 26 publications

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“…Two instruments allow to evaluate the impact of dyspnoea in activity of daily living: the MMRC scale and the LCADL questionnaire. The MID for the MMRC is −1 point and the MID for the LCADL is –3 points 15,17 . Then, our study allows to propose a MID for D‐12.…”

Section: Discussionmentioning

confidence: 86%

“…The evaluation of dyspnoea is essential for the management of COPD patients and the knowledge about dyspnoea mechanisms since 10 years brings to evaluate dyspnoea according to three domains : the domain of the symptom impact of dyspnoea (on activity of daily living or quality of life), the domain of the affective (or emotional) distress and the domain of the sensory‐perceptual (or physical) experience 9 . For the domain of symptom impact, the London Chest of Activity of Daily Living questionnaire (LCADL) and the Modified Medical Research Council dyspnoea scale (MMRC) are validated and sensitive tools, 10–14 with MID determined, 15–17 which allows the clinical interpretation of the evolution of impact of dyspnoea in response to intervention 18 …”

Section: Introductionmentioning

confidence: 99%

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Determination of the minimal important difference for Dyspnoea‐12 questionnaire in patients with COPD, after pulmonary rehabilitation

Beaumont

Garrec²,

Péran

et al. 2020

Clinical Respiratory J

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Introduction The authors of the international task force about the management of Dyspnoea recommend assessing sensory and affective components of dyspnoea. The Dyspnoea‐12 questionnaire (D‐12) allows to assess both components of dyspnoea. D‐12 is valid and reliable but its sensitivity to pulmonary rehabilitation was not studied. The aim of this study was to estimate the minimal important difference (MID) for D‐12 in COPD patients undergoing a pulmonary rehabilitation programme (PRP). Methods Severe or very severe COPD patients undergoing a PRP were included. Dyspnoea was assessed using D‐12, MMRC dyspnoea scale, London chest of Activity of Daily Living questionnaire (LCADL). Quality of life was assessed using Saint‐George respiratory questionnaire (SGRQ) and COPD assessment Test (CAT); exercise capacity using 6‐Minute walk Test (6MWT) and 1‐minute sit to‐stand test (1STST). The MID was evaluated using distribution and anchor‐based methods. Results Sixty patients (age: 64.4 ± 8.2; FEV1 (%): 28.6 ± 8.1) were included. At the end of the PRP, patients had significantly decreased their dyspnoea measured with D‐12, MMRC, LCADL (D‐12:23.9 ± 8.9 to 17.6 ± 9.4; MMRC: 3 ± 0.7 to 2.2 ± 1.1, LCADL: 38 ± 13.9 to 31.6 ± 11; p < 0.0001). Using the distribution‐based analysis, MID of −2.67 (standard error of measurement) or −4.45 (standard deviation) was found. According to methodology, we could only use SGRQ as anchor. With SGRQ as anchor, the receiver operating characteristic curve identified MID for the change in D‐12 at −6.1 (sensibility: 58%, specificity: 79%). The correlation with SGRQ was modest (r = 0.33), so the calculated MID should be interpreted with caution. Conclusion D‐12 is a good tool to assess the decrease of dyspnoea after PR. We propose MID of −6 points. However, Future estimates of MID for the D‐12 should use anchors that are more strongly correlated with it.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Determination of the minimal important difference for Dyspnoea‐12 questionnaire in patients with COPD, after pulmonary rehabilitation

Beaumont

Garrec²,

Péran

et al. 2020

Clinical Respiratory J

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show abstract

“…En síntesis, los resultados del presente estudio evidencian la importancia de que los pacientes con COVID-19 ingresen a un programa de rehabilitación pulmonar y se les aplique una escala que permita evaluar su calidad de vida para establecer su afectación. Esta escala debe ser aplicada tanto al inicio del programa como al finalizarlo, pues los resultados permitirán obtener información útil para realizar una comparación en la que se evalúe la efectividad del programa del que se vio beneficiado 17,26,28 .…”

Section: Discussionunclassified

Correlación entre el Cuestionario Respiratorio de Saint George, la Escala de Severidad de la Fatiga y la Escala de Actividades de la Vida Diaria London Chest en pacientes que se recuperaron de COVID-19 e ingresaron a un programa de rehabilitación pulmonar

Cortés-Soto

Herrera

Cubillos³

et al. 2022

Rev Col Med Fis Rehab

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Introducción. Una vez declarada la pandemia por COVID-19, los servicios de rehabilitación empezaron a prepararse para la atención, mediante diferentes abordajes, de los pacientes que se recuperaran de esta enfermedad. Objetivo. Correlacionar los resultados obtenidos en el Cuestionario Respiratorio de Saint George (CRSG), la Escala de Severidad de la Fatiga (FSS) y la Escala de Actividades de la Vida Diaria London Chest (LCADL) aplicados en pacientes recuperados de COVID-19 para medir su calidad de vida y la fatiga. Métodos. Estudio descriptivo retrospectivo realizado en 60 pacientes recuperados de COVID-19, moderado o grave, que ingresaron al programa de rehabilitación pulmonar de un hospital de tercer nivel de Bogotá, Colombia, entre el primero de octubre de 2020 y el 30 de junio de 2021. Se analizaron variables demográficas y para caracterizar la calidad de vida y la fatiga de los participantes se utilizó el cuestionario CRSG, la escala FSS y la escala LCADL, cuyos resultados se compararon mediante correlación de Spearman. Para el análisis estadístico se utilizó el programa de SPSS versión 28. Resultados. La fatiga está correlacionada con la calidad de vida, y al ser identificada se puede intervenir mediante los ejercicios terapéuticos de los programas de rehabilitación pulmonar, lo cual optimiza los resultados esperados. Conclusiones. Existe una adecuada correlación entre las escalas CRSG y LCADL; esto es importante porque aplicar escalas de calidad de vida en pacientes con SARS-CoV-2 permite conocer las áreas que pueden ser intervenidas mediante programas de rehabilitación pulmonar para lograr una intervención adecuada

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“…MID has been determined for LCADL. [ 24 , 25 ] A decrease of 4 points during a pulmonary rehabilitation program is clinically important for patients.…”

Section: Methodsmentioning

confidence: 99%

“…A 4-point improvement for LCADL during a pulmonary rehabilitation program would be clinically significant. [ 24 , 25 ]…”

Section: Methodsmentioning

confidence: 99%

Effect of different form of upper limb muscles training on dyspnea in chronic obstructive pulmonary disease

et al. 2020

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Minimal important difference for London Chest Activity of Daily Living scale in patients with chronic obstructive pulmonary disease

Cited by 17 publications

References 26 publications

Determination of the minimal important difference for Dyspnoea‐12 questionnaire in patients with COPD, after pulmonary rehabilitation

Determination of the minimal important difference for Dyspnoea‐12 questionnaire in patients with COPD, after pulmonary rehabilitation

Correlación entre el Cuestionario Respiratorio de Saint George, la Escala de Severidad de la Fatiga y la Escala de Actividades de la Vida Diaria London Chest en pacientes que se recuperaron de COVID-19 e ingresaron a un programa de rehabilitación pulmonar

Effect of different form of upper limb muscles training on dyspnea in chronic obstructive pulmonary disease

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