University of Leicester
Browse

File(s) under permanent embargo

Reason: 12 month embargo on AAM - requested from author

Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease: An Official American Thoracic Society Clinical Practice Guideline

journal contribution
posted on 2023-12-21, 09:34 authored by CL Rochester, JA Alison, B Carlin, AR Jenkins, NS Cox, G Bauldoff, SP Bhatt, J Bourbeau, C Burtin, PG Camp, TM Cascino, GA Dorney Koppel, C Garvey, R Goldstein, D Harris, L Houchen-Wolloff, T Limberg, PK Lindenauer, ML Moy, CJ Ryerson, SJ Singh, M Steiner, RS Tappan, AM Yohannes, AE Holland
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.

History

Author affiliation

Department of Cardiovascular Sciences, University of Leicester

Version

  • VoR (Version of Record)

Published in

American journal of respiratory and critical care medicine

Volume

208

Issue

4

Pagination

e7 - e26

Publisher

American Thoracic Society

issn

1073-449X

eissn

1535-4970

Copyright date

2023

Spatial coverage

United States

Language

eng

Usage metrics

    University of Leicester Publications

    Categories

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC