Moving pulmonary rehabilitation forward in COPD: Stepping towards (home‐based) action

Osadnik, Christian

doi:10.1111/resp.13247

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…In 2015, an ATS/ERS statement on pulmonary rehabilitation highlighted the urgent need to find novel programs as an alternative to the traditional outpatient service and stated that this was an essential approach to addressing the underutilization of the current model [11]. Over recent decades, deliberate efforts were devoted to evaluate the effects of alternative models in people with COPD [70]. Indeed, a number of robust randomized controlled trials have shown similar benefits with home-based pulmonary rehabilitation and tele-rehabilitation to the center-based model [71][72][73][74].…”

Section: Access To Telerehabilitation and Home-based Ratesmentioning

confidence: 99%

The Need for Expanding Pulmonary Rehabilitation Services

Lahham

Holland

2021

Life

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Pulmonary rehabilitation is a strongly recommended and effective treatment for people with chronic lung disease. However, access to pulmonary rehabilitation is poor. Globally, pulmonary rehabilitation is accessed by less than 3% of people with chronic lung disease. Barriers to referral, uptake and completion of pulmonary rehabilitation are well documented and linked with organizational, practitioner and patient-related factors. Enhancing the knowledge of health care professionals, family carers, and people with chronic lung disease about the program and its benefits produces modest increases in referral and uptake rates, but evidence of the sustainability of such approaches is limited. Additionally, initiatives focusing on addressing organizational barriers to access, such as expanding services and implementing alternative models to the conventional center-based setting, are not yet widely used in clinical practice. The COVID-19 pandemic has highlighted the urgent need for health care systems to deliver pulmonary rehabilitation programs remotely, safely, and efficiently. This paper will discuss the pressing need to address the issue of the low accessibility of pulmonary rehabilitation. It will also highlight the distinctive challenges to pulmonary rehabilitation delivery in rural and remote regions, as well as low-income countries.

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Section: Access To Telerehabilitation and Home-based Ratesmentioning

confidence: 99%

The Need for Expanding Pulmonary Rehabilitation Services

Lahham

Holland

2021

Life

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“…A challenge currently affecting our ability to formulate evidence‐informed decisions regarding the suitability of PR for patients with asthma is the relatively small pool of research conducted using interventions befitting the modern‐day definition of PR . Precisely what constitutes sufficient education and behaviour change is subject to some debate; however, many studies in the field are more accurately defined as exercise training . One interesting issue arising from the Cochrane review by Carson et al is uncertainty regarding the applicability of the evidence to ‘typical’ patients encountered in adult clinical respiratory medicine.…”

Section: Pr In Asthmamentioning

confidence: 99%

Pulmonary rehabilitation for obstructive lung disease

Osadnik

Singh

2019

Respirology

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Pulmonary rehabilitation (PR) is a highly effective, established therapy to improve exercise intolerance, impaired quality of life and limb muscle weakness associated with a range of chronic respiratory diseases. The evidence base for PR is largest in the area of chronic obstructive pulmonary disease (COPD), yet its role in other obstructive lung diseases such as asthma is less well defined. Despite several features being common across both COPD and asthma, factors such as younger age or employment may affect the potential applicability of traditional PR models for patients with asthma. This review examines the current evidence regarding PR for the obstructive lung diseases of COPD and asthma. It offers appraisal of some of the strengths and weaknesses of existing literature, identifies areas in need of future research and details some of the issues facing clinicians responsible for the clinical management and rehabilitation of patients with these diseases.

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“…They evaluated 10 trials: outpatient and home‐based exercise programmes appeared equally effective at improving quality of life and exercise capacity, based on low to moderate quality evidence . An accompanying editorial stressed that further work should be done to overcome barriers to attendance at pulmonary rehabilitation programmes . This will involve developing novel models of home‐based care …”

Section: Copdmentioning

confidence: 99%

“…An accompanying editorial stressed that further work should be done to overcome barriers to attendance at pulmonary rehabilitation programmes . This will involve developing novel models of home‐based care …”

Section: Copdmentioning

confidence: 99%