Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease: An Official American Thoracic Society Clinical Practice Guideline
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- Teacher spread
- 0.399 · how far apart the two teachers sit on this one work
- Validation status
score_only:v0-immature-baseline· verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it
Abstract
Abstract Background Despite the known benefits of pulmonary rehabilitation (PR) for patients with chronic respiratory disease, this treatment is underused. Evidence-based guidelines should lead to greater knowledge of the proven benefits of PR, highlight the role of PR in evidence-based health care, and in turn foster referrals to and more effective delivery of PR for people with chronic respiratory disease. Methods The multidisciplinary panel formulated six research questions addressing PR for specific patient groups (chronic obstructive pulmonary disease [COPD], interstitial lung disease, and pulmonary hypertension) and models for PR delivery (telerehabilitation, maintenance PR). Treatment effects were quantified using systematic reviews. The Grading of Recommendations, Assessment, Development and Evaluation approach was used to formulate clinical recommendations. Recommendations The panel made the following judgments: strong recommendations for PR for adults with stable COPD (moderate-quality evidence) and after hospitalization for COPD exacerbation (moderate-quality evidence), strong recommendation for PR for adults with interstitial lung disease (moderate-quality evidence), conditional recommendation for PR for adults with pulmonary hypertension (low-quality evidence), strong recommendation for offering the choice of center-based PR or telerehabilitation for patients with chronic respiratory disease (moderate-quality evidence), and conditional recommendation for offering either supervised maintenance PR or usual care after initial PR for adults with COPD (low-quality evidence). Conclusions These guidelines provide the basis for evidence-based delivery of PR for people with chronic respiratory disease.
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The record
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Topic
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Field
- Medicine
- Canadian institutions
- —
- Funders
- National Heart, Lung, and Blood InstituteFaculty of Medicine and Health, University of SydneyDepartment of Health and Social CareMedical Research CouncilCanadian Lung AssociationFonds de Recherche du Québec - SantéMylanNational Institutes of HealthGrifolsUniversity of SydneyCOPD FoundationThoracic Society of Australia and New ZealandCanadian Institutes of Health ResearchMinistry of Health, British ColumbiaCovis PharmaSunovionMcGill UniversitySanofiGlaxoSmithKlineNational Health and Medical Research CouncilAstraZenecaNational Institute for Health and Care ResearchVeracyteEuropean Respiratory SocietyPfizer
- Keywords
- MedicineGuidelinePulmonary rehabilitationRehabilitationIntensive care medicineRespiratory diseasePulmonary diseaseClinical PracticeRespiratory systemPhysical therapyInternal medicineLungPathology
- Has abstract in OpenAlex
- yes