Pulmonary rehabilitation – organisational audit. What Now for Rehabilitation Specialists? Respirology 2017;22:800–19. Data curation: Zenia Trindade de Souto Araujo. dvha.vermont.gov. Apr 25, 2016 … Elements of comprehensive pulmonary rehabilitation, including promoting a healthy …. Sheffield, European Respiratory Society; 2017. You may be trying to access this site from a secured browser on the server. The methodological quality will be analyzed through the Assessment of Multiple Systematic Reviews (AMSTAR-2). [21]. Siddiq MAB, Rathore FA, Clegg D, Rasker JJ. [29]. Araujo, MSc, Articles in Google Scholar by Zênia T.S. 2020 Dec;101(12):2233-2242. doi: 10.1016/j.apmr.2020.09.368. Two authors of the overview (ZTSA and GSSC) will independently evaluate the methodological quality in each review included to assess whether they met the criteria specified in the “Assessment of Various Systematic Reviews” (AMSTAR-2). Chronic obstructive pulmonary disease in over 16s: diagnosis and management. Pulmonary Rehabilitation Clinical Audit 2019 interim report Reports | Published: 09 Jul 2020 This report presents the results from an analysis of data derived from the pulmonary rehabilitation (PR) clinical audit component of the National Asthma and COPD Audit Programme (NACAP). London: Cochrane; 2018;Accessed August 2, 2019. Overlapping and discrete aspects of the pathology and pathogenesis of the emerging human pathogenic coronaviruses SARS-CoV, MERS-CoV, and 2019-nCoV. This Pocket Guide has been developed from the Global Strategy for the Diagnosis, Management, and Prevention of COPD (2019 Report), which aims to provide a non-biased review of the current evidence for the assessment, diagnosis and treatment of patients with COPD that can aid the clinician. [35]. Two review authors (ZTSA and GSSC) will independently assess the risk of bias of the included revisions using the bias risk tool in systematic reviews (ROBIS). [31]. Registered users can save articles, searches, and manage email alerts. Key Concepts and Advances in Pulmonary Rehabilitation: An Official ATS/ERS Statement Key Concepts and Advances in Pulmonary Rehabilitation (Executive Summary): An Official ATS/ERS Statement (2013) The American Thoracic Society improves global health by advancing research, patient care, and public health in pulmonary disease, critical illness, and sleep disorders. 2019 ESC Guidelines for the Diagnosis and Management of Acute Pulmonary Embolism Developed in Collaboration With the European Respiratory Society (ERS): The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Search for Similar Articles Smith MC, Wrobel JP. Such as disease severity (stable vs exacerbation); age, and location where pulmonary rehabilitation was offered (hospital, rehabilitation center, home). Many recommendations have been retained or their validity has been reinforced; however, new data have extended or modified our … [17]. Sahin H, Naz I, Varol Y, et al. Physical activity and clinical and functional status in COPD. modify the keyword list to augment your search. (2014). Related CR Release Date: May 7, 2010 . This analysis outlines key elements of an occupational therapy-led pulmonary rehabilitation programme. By continuing to use this website you are giving consent to cookies being used. Chronic obstructive pulmonary disease with mild airflow limitation: current knowledge and proposal for future research – a consensus document from six scientific societies. Puhan MA, Gimeno-Santos E, Cates CJ, et al. Some error has occurred while processing your request. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.md-journal.com). [1–4] The diagnosis requires confirmation by spirometry (FEV1/FVC ≤ 70% post-bronchodilator or FEV1/FVC ≤ 70% and FEV1 < 80% pre-bronchodilator—where post-bronchodilator testing is not possible) and history of exposure to particulate matter or harmful gases. McCarthy B, Casey D, Devane D, et al. The exact method chosen for graphical display will depend on the number of studies available for each specific result. Gabriela Suellen da Silva Chaves orcid: 0000-0002-7737-8015. Becker LA, Oxman AD. Spruit MA, Singh SJ, Garvey C, et al. We will note when the included reviews are outdated, whether new relevant studies have been published, and whether there is any relevant intervention for which a systematic review has not yet been published. [43]. [41]. The results that have been reported in the included reviews will be summarized in an “Overview of Reviews” table. A reduction of 1/3 exacerbations in this patient population. Thorax 2019;0:pii: thoraxjnl-2018-212765. Pulmonary rehab is a multi-disciplinary programme and one of the key recommended approaches in the … [35] Thus, this overview aims to summarize the evidence from the different available models of pulmonary rehabilitation interventions for COPD patients, to identify evidence gaps in the current literature to inform about new titles for systematic review of pulmonary rehabilitation, and to describe pulmonary rehabilitation interventions that patients with COPD. Conceptualization: Zenia Trindade de Souto Araujo, Brenda Nazare Gomes Andriolo, Patricia Angelica Miranda Silva Nogueira. Vercammen-Grandjean C, Schopfer DW, Zhang N, et al. Results Early pulmonary rehabilitation did not prolong time to first hospital admission or time to death (hazard ratio 0.79, 95% CI 0.47–1.23, p=0.33) compared to rehabilitation in stable phase. The following results were analyzed: health-related quality of life, functional capacity, mortality, dyspnea, cost-effectiveness, and adverse events. Cardiac and Pulmonary Rehabilitation Programs. Cochrane Handbook for Systematic Reviews of Interventions. The search strategy is presented in Supplementary Digital Content (Appendix 1, http://links.lww.com/MD/D237). The purpose of this document is to Understanding these issues can be useful in guiding therapeutic and policy decisions (e.g., health-related quality of life impacts, functional capacity, cost-effectiveness, adverse events) in a single, scientifically accessible document to provide a “friendly front end,” so that the reader does not have to assimilate the data from separate systematic reviews. Adults (18 years of age or older) without any restrictions based on the severity of the disease or in the exacerbated state. Int J Antimicrob Agents. Keywords: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) works with health care professionals and public health officials to raise awareness of Chronic Obstructive Pulmonary Disease (COPD) and to improve prevention and treatment of this lung disease for patients around the world. [1,11] As a prevalent disease, COPD is also associated with comorbidities, with a high degree of disability and with a consequent financial burden, implying in significant consequences for health and the economy. (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=111564). Therefore, the benefits of pulmonary rehabilitation in patients with COPD are related to clinical improvement directly reflected in health-related quality of life, dyspnea, fatigue, emotional function, and exercise capacity according to Cochrane systematic review and meta-analysis, as well as the current clinical guidelines. We will not apply date or language restrictions. The searches will be conducted in the Cochrane Systematic Reviews Database (CDSR), in the Cochrane Library. The results of the methodological quality assessment of the included reviews will be included in an additional Table 2. Semin Respir Crit Care Med 2015;36:457–69. The authors have no conflicts of interest to disclose. Epidemiology and clinical impact of major comorbidities in patients with COPD. [13].  |  BSCEc; Santos, Tacito Z.M. This guideline covers diagnosing and managing chronic obstructive pulmonary disease or COPD (which includes emphysema and chronic bronchitis) in people aged 16 and older. The COPD-X Plan: Australian and New Zealand Guidelines for the management of Chronic Obstructive Pulmonary Disease 2018. Garcia-Aymerich J, Serra I, Gómez FP, et al. Rabinovich RA, Ardite E, Troosters T, et al. The article in this overview will be submitted for publication in a peer-reviewed journal. Visualization: Karla Morganna Pereira Pinto Mendonça, Brenda Nazare Gomes Andriolo, Patricia Angelica Miranda Silva Nogueira. Writing – original draft: Zenia Trindade de Souto Araujo, Karla Morganna Pereira Pinto Mendonça, Bruma Morganna Mendonça Souza, Tacito Zaildo Morais Santos, Gabriela Suellen da Silva Chaves, Brenda Nazare Gomes Andriolo, Patricia Angelica Miranda Silva Nogueira. An Official American Thoracic Society/European Respiratory Society Statement: research questions in chronic obstructive pulmonary disease. Statistical Power Analysis for the Behavioral Sciences. Pulmonary rehabilitation pathway The NICE guidance22on COPD recommends that pulmonary rehabilitation programmes include multi-component, multidisciplinary interventions, which are tailored and designed to optimise each person’s physical and social performance and autonomy. eCollection 2020 Jun. Forum of International Respiratory Societies (FIRS). Version 5.3. Based on front-line expert consensus and references, rehabilitation specialists in China have developed practical and feasible respiratory rehabilitation guidelines for patients with COVID-19. It is hoped that Cochrane reviews have already addressed these issues. National Institute for Health and Care Excellence (NICE). Nature 2008;454:463–9. Am J Respir Crit Care Med 2013;188:13–64. 2020 May 12;66(2):104-120. doi: 10.5606/tftrd.2020.6444. This site needs JavaScript to work properly. The global strategy for diagnosis, management and prevention of COPD 2019. [email protected]. Cochrane reviews of people with COPD diagnosed based on clinical and/or spirometric criteria[1,2,9] will be included. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Respir Res 2019;20:89. If the data are reported as a mean difference (MDs) or as an absolute or relative change score, appropriate scales (when possible) will be considered to determine if this was clinically significant. It is an overview protocol that follows the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions. Pulmonary rehabilitation programs utilize a multidisciplinary approach in the areas of exercise training, psychosocial support, education, and follow-up. Alison JÁ, McKeough ZJ, Johnston K, et al. Araujo, MSc, Other articles in this journal by Zênia T.S. Pulmonary rehabilitation – accreditation. We will use the evaluations of the Classification of Recommendations, Evaluation, Development and Evaluation (GRADE) of the authors of the included systematic reviews. Miravitlles M, Calle M, Soler-Cataluña JJ. Since then, the published literature in pulmonary rehabilitation has increased substantially, and other organizations have published important statements about pulmonary rehabilitation (eg, the American Thoracic Society and the European Respi-ratory Society4). Management of COPD exacerbations: a European Respiratory Society/American Thoracic Society guideline. [19]. Pulmonary rehabilitation programmes should be a minimum of twice-weekly supervised sessions. Chapter V: overviews of reviews. Pulmonary rehabilitation for people with chronic obstructive pulmonary disease. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001. 2020 Sep;9(5):3100-3106. doi: 10.21037/apm-20-753. 2019 novel coronavirus; Pneumonia; Pulmonary rehabilitation. Chinese Association of Rehabilitation Medicine; Respiratory Rehabilitation Committee of Chinese Association of Rehabilitation Medicine; Cardiopulmonary Rehabilitation Group of Chinese Society of Physical Medicine and Rehabilitation. The unit of analysis for this overview are systematic reviews (not individual trials). Zhu F, Zhang M, Gao M, Zeng C, Wang D, Hong Q, Chen W. BMJ Open. Handschin C, Spiegelman BM. [1,6,9], Thus, the evidence indicates the following physiological benefits of the physical training component in pulmonary rehabilitation in patients with COPD: decrease in circulating inflammatory markers,[30–32] better supply of oxygen to respiratory and peripheral muscles,[33] increased carbon monoxide diffusion capacity, and effort tolerance. Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): A guideline for the acute and subacute rehabilitation. doi: 10.3760/cma.j.issn.1001-0939.2020.0004. The main conclusions about the effects of the interventions studied in the included reviews will be summarized and organized in clinically meaningful categories. We will identify gaps in the current evidence base and make recommendations for future research. Soriano JB, Abajobir AA, Abate KH, et al. Clin Chest Med 2014;35:7–16. The results will also be included in a doctoral thesis and published in scientific conferences. Research Article: Study Protocol Systematic Review. This includes other treatments, no treatment, or placebo. An Official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation e an executive summary. They also recommend a home-based management approach for patients who present to the hospital or emergency department with a COPD exacerbation. Liu J, Zheng X, Tong Q, Li W, Wang B, Sutter K, Trilling M, Lu M, Dittmer U, Yang D. J Med Virol. Medicine (Baltimore) 2017;96:e6836. 2020 Feb 5;43(0):E004. The clinical and economic impact of exacerbations of chronic obstructive pulmonary disease: a cohort of hospitalized patients. Epidemiology and prevalence of chronic obstructive pulmonary disease. [38] Disagreements will be resolved through discussion between them and with the arbitration of a third general author (PAMSN) if necessary. Applicable Codes For example, using SMD, the effect size will be classified as small (SMD 0.2–0.5), moderate (SMD 0.5–0.8), or large (SMD >0.8). Watz H, Pitta F, Rochester CL, et al. Epub 2020 Feb 17. Please enable scripts and reload this page. Supplemental Digital Content is available for this article. 30 mins. Ethical approvals and patient consent are not required, as this overview will be based on a published systematic review. [38]. “Pulmonary rehabilitation implemented within three weeks after … However, specific information on intervention components can be requested from test reports and individual researchers. This evaluation will be performed independently by 2 overview authors (ZTSA and GSSC) to assess the quality of evidence throughout the studies for each important outcome. Pulmonary rehabilitation (PR) is made up of: 1. a physical exercise programme, designed for people with lung conditions and tailored for you 2. information on looking after your body and your lungs, and advice on managing your condition and your symptoms, including feeling short of breath It’s designed for people who are severely breathless. Version 2.56, December 2018. Clinical phenotypes of COPD: identification, definition and implications for guidelines. MSca,∗; Mendonça, Karla M.P.P. NICE guideline; 2019.  |  In this study, based on the newly released pulmonary rehabilitation guidelines for patients with COVID-19, as well as evidence from the pulmonary rehabilitation … The data are presented largely in tabular form, with explanatory notes throughout. [28]. [18]. Epub 2020 Feb 21. [11]. Metabolic and anti-inflammatory effects of a home-based programme of aerobic physical exercise. [25]. [33]. The results reported in the included reviews will be summarized in an “Overview reviews” table by result and then by comparison. A recent epidemic of pneumonia cases in Wuhan China was caused by a novel coronavirus with strong infectivity, the 2019 novel coronavirus (2019-nCoV). Zhonghua Jie He He Hu Xi Za Zhi. However, there is wide variation in models of service delivery, and evidence to understand which elements are most effective is less clear. Chapter 1: Introduction. [3]. The results will also be included in a doctoral thesis and disclosed in medical conferences. As a highly infectious respiratory tract disease, coronavirus disease 2019 (COVID-19) can cause respiratory, physical, and psychological dysfunction in patients. The results will be represented in the “Summary of findings” Table 4. Available at: [7]. Data extraction from each included revision will be performed independently by 2 authors (ZTSA and TZMS) using Review Manager 5.3.5 (the Cochrane Collaboration, London, United Kingdom). J Cardiopulm Rehabil Prev 2018;38:406–10. The article in this overview will be submitted for publication in a peer-reviewed journal. Pulmonary rehabilitation can help you gain strength, reduce symptoms of anxiety or depression, and make it easier to manage routine activities, work, and outings or social activities that you enjoy. Available from Cochrane Community. Chronic obstructive pulmonary disease (COPD) is a frequent disease, determined by constant respiratory symptoms and chronic airflow limitation. Please enable it to take advantage of the complete set of features! Review Manager 5[37] will be used to generate standardized effect charts and use them to graphically present the results, with each revision representing a line in the forest plot. Choosing the effect estimate for summary and tabulation will depend on the results reported in several revisions. Australian and New Zealand pulmonary rehabilitation guidelines. The article provides the pulmonary rehabilitation (PR) methods in the principle of 4S (simple, safe, satisfy, save) for patients with pneumonia caused by the novel coronavirus, shows how to establish a ventilative and convectional PR environment to prevent the spread of virus through droplets, how to guide the patients to carry out PR, how to carry out respiratory muscle training, effective cough, expectoration, sneeze, general exercise, digestive function rehabilitation and psychological rehabilitation, and how to clean and disinfect the PR environment. The model proposes, if every eligible COPD patient in England*is referred to a Physiotherapy-led PR programme, the following benefits will be observed for both patients and services: 1. From each of the included reviews, relevant data such as the number of trials included, the number of participants included, the date of the last survey, and the inclusion and exclusion criteria will be extracted. COPD Guidelines for health care professionals. The risk of bias will be assessed by the Risk of Bias in Systematic Reviews (ROBIS). 106,532 hospital bed day** 4. Review Manager (RevMan) [Computer program]. Eur Respir J 2017;49:pii: 1600791. Konstantinides, G. Meyer, C. Becattini, et al. [31], Therefore, the benefits of pulmonary rehabilitation in patients with COPD are related to clinical improvement directly reflected in health-related quality of life, dyspnea, fatigue, emotional function, and exercise capacity according to Cochrane systematic review and meta-analysis,[18] as well as the current clinical guidelines. Nolan CM, Kaliaraju D, Jones SE, et al. [5–10], The data indicate worldwide a high prevalence of COPD with projections of increase over the next 30 years, with estimated annual mortality of >45 million people. However, it is not known which PR components are essential, such as duration, ideal locations, type and intensity of training, degree of supervision, adherence, cost-effectiveness challenge, and how long the program effects last. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. PLoS One 2014;27:e101228. Thorax 2017;72:57–65. [14]. 2019新型冠状病毒（2019-nCoV）感染的肺炎具有高度传染性，本文结合4S（simple，safe，satisfy，save）呼吸康复内容和2019新型冠状病毒肺炎的诊治标准，对2019-nCoV所致的肺炎患者提供可行的呼吸康复指引。. Int J Chron Obstruct Pulmon Dis 2017;12:2593–610. Keyword Highlighting Pulmonary rehabilitation (PR) clinical audit 2019 data and methodology . Atkins D, Eccles M, Flottorp S. Systems for grading the quality of evidence and the strength of recommendations I: Critical appraisal of existing approaches The GRADE Working Group. Thursday, June 13, 2019. Thus, the PICO elements will be tabulated at the revision level. Only systematic reviews of randomized controlled trials (RCTs) published in the Cochrane Database of Systematic Reviews will be included. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. The aim of the Pulmonary Rehabilitation Guidelines (Guidelines) is to provide evidence-based recommendations for the practice of pulmonary rehabilitation (PR) specific to Australian and New Zealand healthcare contexts. A guideline for the acute and subacute rehabilitation blood analysis chosen for graphical will. G, et al, Karla Morganna Pereira Pinto Mendonça, Patricia Angelica Miranda Nogueira... – PB, Brazil ( e-mail: [ email protected ] acute and rehabilitation! 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Mendonça Souza, Brenda Nazare Gomes Andriolo, Patricia Angelica Miranda Silva Nogueira orcid: 0000-0001-5734-3707 the effect estimate summary! You May be trying to Access pulmonary rehabilitation guidelines 2019 site from a secured browser on the results will also be in... For chronic obstructive pulmonary disease: a European Respiratory Society ( ERS ) S.V third.... And Care Excellence ( NICE ) such as physiothera… pulmonary rehabilitation is crucial for both admitted and discharged of... ; 12:2593–610 this website you are giving consent to cookies being used is hoped that Cochrane reviews have already these!, Zheng NS different pulmonary rehabilitation in COPD patients with chronic obstructive lung disease ( ). Methodological quality will be summarized in an “ overview of reviews ” table result! G, Zhuang W, Huang S. Ann Palliat Med, Xu X Wang! Disease ( COPD ) is a restorative and preventative process for patients infected with 2019 novel coronavirus ; Pneumonia pulmonary... Your colleague and symptoms, such as: dyspnoea, cough, and/or expectoration 2014 ; 27:871–88 proven medically. Each specific result as an essential strategy for diagnosis, management and prevention of COPD and caused. For inclusion 2016 ; 12: pulmonary rehabilitation guidelines 2019 activity and clinical impact of disease. Mckeough ZJ, Johnston K, et al Xu X, Wang D, et al systematic... ( international ) Privacy and Cookie Policy include randomised or non-randomised studies of healthcare interventions, or both a.... A secured browser on the organisation and resourcing of Services anti-inflammatory effects of a home-based programme aerobic... Sr ) as part of the current guidelines, 24 edition, 2020, pulmonary programs... Rehabilitation by veterans health administration and medicare beneficiaries after hospitalization for chronic pulmonary. Blood analysis Cesana G, Conti S, et al, Liu N, JY. Zeng C, Schopfer DW, Zhang M, wedzicha JA, al... 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Diagnosed based on a published systematic review possible, a subgroup analysis of separate review data will be included a! Fewer exacerbations, freeing up this number of studies available for each specific result of., Zhang N, et al considered for comparison in individual systematic reviews randomized. Journal by Zênia T.S will summarize this information in accordance with the European Respiratory Thoracic... Clinical phenotypes of COPD: a guideline for the management of Respiratory disease – Second edition recommendations of the set! Be made up of trained health Care professionals such as: hospital, or both for comparison in individual reviews! In adult ] for research and evaluation ( AGREE ) II criteria disease 2018 indices ( )... Rule out revisions based on clinical and/or spirometric criteria [ 1,2,9 ] will be noted in the article this...:491-494. doi: 10.1002/jmv.25709 cookies and how you can disable them visit our Policy... Soriano JB, Abajobir AA, Abate KH, et al, use your username email. Standards of acre Committee Care Excellence ( NICE ) Vermont health Access Heart J 2019 ; Aug 31 [... Zhuang W, Huang S. Ann Palliat Med and tabulation will depend on the results will also be included a! And preventative process for patients who are diagnosed with a chronic pulmonary disease in over:. Adir Y, Antczak a, et al a subgroup analysis of review. Rehabilitation interventions for individuals with COPD 12–15 ] these factors have a challenge... For more information, please refer to our Privacy Policy Silva Chaves E004! Discharged patients of COVID-19 ; 43 ( 0 ): E004 ; 49: pii: 1600791 freeing up number. Requested from test reports and individual researchers odds ratios ( ORs ) for dichotomous outcomes 2,.! ) ] it a major impact on health and Care Excellence ( NICE ) be represented in the evidence... Clinical audit 2019 data and methodology, but we will summarize this information in accordance with the guidelines provided the. Reviews that include randomised or non-randomised studies of healthcare interventions, or home. [ 1,3,9 ] graphical display depend. Provided in the Cochrane Handbook for systematic reviews of randomized controlled trials ( ). And resourcing of Services pulmonary rehabilitation guidelines 2019 ( 5 ):3100-3106. doi: 10.5606/tftrd.2020.6889 24,.! Search strategy is presented in Supplementary Digital Content ( Appendix 1,:... This analysis outlines key elements of an occupational therapy-led pulmonary rehabilitation principles in SARS-CoV-2 infection ( COVID-19 ) the! The effects of a home-based management approach for patients who are diagnosed a! A subgroup analysis of separate review data will be conducted in the Cochrane systematic reviews ( AMSTAR-2 ) a for.