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American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation

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Linda Nici, Claudio Donner, Emiel Wouters, Richard Zuwallack, Nicolino Ambrosino, Jean Bourbeau, Mauro Carone, Bartolome Celli, Marielle Engelen, Bonnie Fahy, Chris Garvey, Roger Goldstein, Rik Gosselink, Suzanne Lareau, Neil MacIntyre, Francois Maltais, Mike Morgan, Denis O’Donnell, Christian Prefault, Jane Reardon, Carolyn Rochester
Abstract
Linda Nici, Claudio Donner, Emiel Wouters, Richard Zuwallack, Nicolino Ambrosino, Jean Bourbeau, Mauro Carone, Bartolome Celli, Marielle Engelen, Bonnie Fahy, Chris Garvey, Roger Goldstein, Rik Gosselink, Suzanne Lareau, Neil MacIntyre, Francois Maltais, Mike Morgan, Denis O’Donnell, Christian Prefault, Jane Reardon, Carolyn Rochester, Annemie Schols, Sally Singh, and Thierry Troosters, on behalf of the ATS/ERS Pulmonary Rehabilitation Writing Committee

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Pulmonary rehabilitation for chronic obstructive pulmonary disease

TL;DR: In four important domains of quality of life (QoL) (Chronic Respiratory Questionnaire (CRQ) scores for dyspnoea, fatigue, emotional function and mastery), the effect was larger than the minimal clinically important difference (MCID) of 0.4%.
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An Official American Thoracic Society Statement: Update on the Mechanisms, Assessment, and Management of Dyspnea

TL;DR: There is a critical need for interdisciplinary translational research to connect Dyspnea mechanisms with clinical treatment and to validate dyspnea measures as patient-reported outcomes for clinical trials.
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Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines

TL;DR: Substantial new evidence that pulmonary rehabilitation is beneficial for patients with COPD and other chronic lung diseases and several areas of research provide opportunities for future research that can advance the field and make rehabilitative treatment available to many more eligible patients in need.
References
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Early therapy improves outcomes of exacerbations of chronic obstructive pulmonary disease.

TL;DR: Patient recognition of exacerbation symptoms and prompt treatment improves exacerbation recovery, reduces risks of hospitalization, and is associated with a better health-related quality of life.
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Ventilatory muscle strength and endurance training

TL;DR: It is concluded that ventilatory muscle strength or endurance can be specifically increased by appropriate ventilatories muscle training programs.
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Analysis of the factors related to mortality in chronic obstructive pulmonary disease: role of exercise capacity and health status.

TL;DR: It was found that exercise capacity and health status were significantly correlated with mortality, although different health status measures had different abilities to predict mortality.
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Oxidative capacity of the skeletal muscle and lactic acid kinetics during exercise in normal subjects and in patients with COPD.

TL;DR: It is concluded that in COPD the increase in arterial La during exercise is excessive, the oxidative capacity of the skeletal muscle is reduced, and that these two results are interrelated.
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The 6‐min walk distance: change over time and value as a predictor of survival in severe COPD

TL;DR: The 6MWD independently predicted survival, after accounting for age, body mass index, FEV1 and comorbidities, in severe chronic obstructive pulmonary disease.
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