Journal ArticleDOI
What prevents people with chronic obstructive pulmonary disease from attending pulmonary rehabilitation? A systematic review
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TLDR
Enhancing attendance in pulmonary rehabilitation will require more attention to transportation, support for those at risk of non-completion and greater involvement of patients in informed decisions about their care.Abstract:
Pulmonary rehabilitation is an essential component of care for people with chronic obstructive pulmonary disease (COPD) and is supported by strong scientific evidence. Despite this, many people with COPD do not complete their program or choose not to attend at all. The aim of this study was to determine the factors associated with uptake and completion of pulmonary rehabilitation for people with COPD. Seven electronic databases were searched for qualitative or quantitative studies that documented factors associated with uptake and completion of pulmonary rehabilitation in people with COPD. Two reviewers independently extracted data, which was synthesized to provide overall themes. Travel and transport were consistently identified as barriers to both uptake and completion. A lack of perceived benefit of pulmonary rehabilitation also influenced both uptake and completion. The only demographic features that consistently predicted non-completion were being a current smoker (pooled odds ratio 0.17, 95% confidence interval 0.10 to 0.32) and depression. The limited data available regarding barriers to uptake indicated that disruption to usual routine, influence of the referring doctor and program timing were important. In conclusion poor access to transport and lack of perceived benefit affect uptake of pulmonary rehabilitation. Current smokers and patients who are depressed are at increased risk of non-completion. Enhancing attendance in pulmonary rehabilitation will require more attention to transportation, support for those at risk of non-completion and greater involvement of patients in informed decisions about their care.read more
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Journal ArticleDOI
An official American thoracic society/European respiratory society statement: Key concepts and advances in pulmonary rehabilitation
Martijn A. Spruit,Sally J Singh,Chris Garvey,Richard ZuWallack,Linda Nici,Anne E Holland,Suzanne C. Lareau,Fabio Pitta,Louise Sewell,Jo Raskin,Jean Bourbeau,Rebecca Crouch,Frits M.E. Franssen,Richard Casaburi,Jan H. Vercoulen,Ioannis Vogiatzis,Rik Gosselink,Enrico Clini,Tanja Effing,Job van der Palen,Thierry Troosters,Daisy J.A. Janssen,Eileen G. Collins,Judith Garcia-Aymerich,Dina Brooks,Bonnie Fahy,Milo A. Puhan,Martine Hoogendoorn,Rachel Garrod,Annemie M. W. J. Schols,Brian W. Carlin,Roberto P. Benzo,Mike Morgan,Andrew L. Ries,Roger S. Goldstein,Claire A. Dowson,Jan Brozek,Claudio F. Donner,Emiel F.M. Wouters +38 more
TL;DR: The considerable growth in the science and application of pulmonary rehabilitation since 2006 adds further support for its efficacy in a wide range of individuals with chronic respiratory disease.
Journal ArticleDOI
Traveling Towards Disease: Transportation Barriers to Health Care Access
TL;DR: Overall, the evidence supports that transportation barriers are an important barrier to healthcare access, particularly for those with lower incomes or the under/uninsured.
Journal ArticleDOI
An Official American Thoracic Society/European Respiratory Society Policy Statement: Enhancing Implementation, Use, and Delivery of Pulmonary Rehabilitation
Carolyn L. Rochester,Ioannis Vogiatzis,Anne E Holland,Suzanne C. Lareau,Darcy D Marciniuk,Milo A. Puhan,Martijn A. Spruit,Sarah Masefield,Richard Casaburi,Enrico Clini,Rebecca Crouch,Judith Garcia-Aymerich,Chris Garvey,Roger S. Goldstein,Kylie Hill,Mike Morgan,Linda Nici,Fabio Pitta,Andrew L. Ries,Sally J Singh,Thierry Troosters,Peter J. Wijkstra,Barbara P. Yawn,Richard ZuWallack +23 more
TL;DR: This document articulates policy recommendations for advancing healthcare professional, payer, and patient awareness and knowledge of PR, increasing patient access to PR, and ensuring quality of PR programs.
Journal ArticleDOI
British Thoracic Society guideline on pulmonary rehabilitation in adults.
Charlotte E. Bolton,Elaine Bevan-Smith,John D. Blakey,Patrick Crowe,Sarah L. Elkin,Rachel Garrod,Neil J. Greening,Karen Heslop,James H. Hull,William D.-C. Man,Mike Morgan,David Proud,C Michael Roberts,Louise Sewell,Sally J Singh,Paul Walker,Sandy Walmsley +16 more
TL;DR: The role of pulmonary rehabilitation in patients for pulmonary rehabilitation and specific situations at assessment are described.
Journal ArticleDOI
Exercise rehabilitation for patients with critical illness: a randomized controlled trial with 12 months of follow-up
Linda Denehy,Elizabeth H Skinner,Lara Edbrooke,Kimberley J Haines,Stephen J Warrillow,Graeme Hawthorne,Karla Gough,Steven Vander Hoorn,Meg E. Morris,Susan C Berney +9 more
TL;DR: In this article, the authors investigated the effectiveness of an exercise rehabilitation program commencing during ICU admission and continuing into the outpatient setting compared with usual care on physical function and health-related quality of life in ICU survivors.
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Journal ArticleDOI
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Journal ArticleDOI
American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation
Linda Nici,Claudio F. Donner,Emiel F.M. Wouters,Richard ZuWallack,Nicolino Ambrosino,Jean Bourbeau,Mauro Carone,Bartolome R. Celli,Mariëlle P.K.J. Engelen,Bonnie Fahy,Chris Garvey,Roger S. Goldstein,Rik Gosselink,Suzanne C. Lareau,Neil R. MacIntyre,François Maltais,Mike Morgan,Denis E. O'Donnell,Christian Prefault,Jane Z. Reardon,Carolyn L. Rochester,Annemie M. W. J. Schols,Sally J Singh,Thierry Troosters +23 more
TL;DR: 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
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