Profiling of Patients with COPD for Adequate Referral to Exercise-Based Care
| Autor: | Jan W H Custers, Martijn Vooijs, Erik Bergkamp, Daniel Langer, Cor A. M. Zagers, Jean W M Muris, Eleonore H Koolen, Anne-Loes van der Valk, Maurice J.H. Sillen, Hester van der Vaart, Guus A. Meerhoff, Maria H. T. Post, Johan B. Wempe, Mitchell van Doormaal, Alex J van 't Hul, Jos Donkers, Dirk van Ranst, Sami O. Simons, Renée van Snippenburg, Eline Bij de Vaate, Marleen Bregman, Daisy J.A. Janssen, Hilde L. Vreeken, Ingrid M. L. Augustin, Leendert Tissink, Emmylou Beekman, Martijn A. Spruit, Frits F. M. Franssen, Jeanine Antons, Philip J. van der Wees, Sarah Houben-Wilke |
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| Přispěvatelé: | Pulmonologie, RS: NUTRIM - R3 - Respiratory & Age-related Health, Epidemiologie, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Family Medicine Education, RS: CAPHRI - R5 - Optimising Patient Care, Health Services Research, RS: CAPHRI - R1 - Ageing and Long-Term Care, MUMC+: MA Med Staf Spec Longziekten (9), van 't Hul, Alex/0000-0002-5514-2327, SPRUIT, Martijn A., Van't Hul, Alex, Vreeken, Hilde L., Beekman, Emmylou, Post, Maria H. T., Meerhoff, Guus A., Van der Valk, Anne-Loes, Zagers, Cor, Sillen, Maurice J. H., Vooijs, Martijn, Custers, Jan, Muris, Jean, Langer, Daniel, Donkers, Jos, Bregman, Marleen, Tissink, Leendert, Bergkamp, Erik, Wempe, Johan, Houben-Wilke, Sarah, Augustin, Ingrid M. L., de Vaate, Eline Bij, Franssen, Frits F. M., Van Ranst, Dirk, Van der Vaart, Hester, Antons, Jeanine, Van Doormaal, Mitchell, Koolen, Eleonore H., van der wees, philip, Van Snippenburg, Renee, Janssen, Daisy J. A., Simons, Sami |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
DEPENDENCY
Sports medicine Exacerbation FIELD WALKING TESTS medicine.medical_treatment Disease Pulmonary Disease Chronic Obstructive 0302 clinical medicine Cost of Illness Medicine Orthopedics and Sports Medicine 030212 general & internal medicine BATTERY chronic obstructive pulmonary disease (COPD) Dutch model Referral and Consultation Netherlands COPD HEALTH-STATUS Exercise Therapy Current Opinion Practice Guidelines as Topic referral Life Sciences & Biomedicine PULMONARY REHABILITATION medicine.medical_specialty exercise-based care Referral Advisory Committees MEDLINE Pulmonary disease Physical Therapy Sports Therapy and Rehabilitation Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] primary care 03 medical and health sciences Humans physical functioning Pulmonary rehabilitation Physical Therapy Modalities physiotherapy Science & Technology business.industry MEDICINE medicine.disease PHYSICAL-ACTIVITY patient profiling 030228 respiratory system EXACERBATION DISTANCE Physical therapy business CLUSTERS Sport Sciences airflow limitation |
| Zdroj: | Sports Medicine, 50(8), 1421-1429. Adis International Ltd Article Sports Medicine, 50, 8, pp. 1421-1429 Sports Medicine (Auckland, N.z.) Sports Medicine, 50, 1421-1429 Sports Medicine, 50(8), 1421-1429. ADIS INT LTD |
| ISSN: | 0112-1642 |
| Popis: | A loss of physical functioning (i.e., a low physical capacity and/or a low physical activity) is a common feature in patients with chronic obstructive pulmonary disease (COPD). To date, the primary care physiotherapy and specialized pulmonary rehabilitation are clearly underused, and limited to patients with a moderate to very severe degree of airflow limitation (GOLD stage 2 or higher). However, improved referral rates are a necessity to lower the burden for patients with COPD and for society. Therefore, a multidisciplinary group of healthcare professionals and scientists proposes a new model for referral of patients with COPD to the right type of exercise-based care, irrespective of the degree of airflow limitation. Indeed, disease instability (recent hospitalization, yes/no), the burden of disease (no/low, mild/moderate or high), physical capacity (low or preserved) and physical activity (low or preserved) need to be used to allocate patients to one of the six distinct patient profiles. Patients with profile 1 or 2 will not be referred for physiotherapy; patients with profiles 3-5 will be referred for primary care physiotherapy; and patients with profile 6 will be referred for screening for specialized pulmonary rehabilitation. The proposed Dutch model has the intention to get the right patient with COPD allocated to the right type of exercise-based care and at the right moment. Spruit, MA (corresponding author), CIRO, Dept Res & Dev, Horn, Netherlands; Maastricht Univ, Dept Resp Med, Med Ctr MUMC, Maastricht, Netherlands; NUTRIM Sch Nutr & Translat Res Metab, Maastricht, Netherlands; Hasselt Univ, Fac Rehabil Sci, REVAL Rehabil Res Ctr, BIOMED Biomed Res Inst, Diepenbeek, Belgium. martijnspruit@ciro-horn.nl |
| Databáze: | OpenAIRE |
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