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

被引：95

作者：

Rochester, Carolyn L. ^{[1
,2
]}

Alison, Jennifer A. ^{[7
,8
]}

Carlin, Brian ^{[9
]}

Jenkins, Alex R. ^{[28
]}

Cox, Narelle S. ^{[3
,4
]}

Bauldoff, Gerene ^{[10
]}

Bhatt, Surya P. ^{[11
]}

Bourbeau, Jean ^{[12
]}

Burtin, Chris ^{[13
,14
]}

Camp, Pat G. ^{[15
,16
]}

Cascino, Thomas M. ^{[17
]}

Koppel, Grace Anne Dorney ^{[18
,19
]}

Garvey, Chris

Goldstein, Roger ^{[20
,21
,22
]}

Harris, Drew ^{[23
,24
]}

Houchen-Wolloff, Linzy ^{[25
,26
]}

Limberg, Trina ^{[29
,30
]}

Lindenauer, Peter K. ^{[31
]}

Moy, Marilyn L. ^{[32
,33
]}

Ryerson, Christopher J. ^{[15
,38
]}

Singh, Sally J. ^{[25
,26
]}

Steiner, Michael ^{[25
,27
]}

Tappan, Rachel S. ^{[34
,35
]}

Yohannes, Abebaw M. ^{[36
,37
]}

Holland, Anne E. ^{[3
,4
,5
,6
]}

机构：

[1] Yale Univ, Sch Med, Sect Pulm Crit Care & Sleep Med, New Haven, CT 06511 USA

[2] Vet Affairs Connecticut Healthcare Syst, West Haven, CT 06516 USA

[3] Monash Univ, Resp Res Alfred, Melbourne, Australia

[4] Inst Breathing & Sleep, Melbourne, Australia

[5] Alfred Hlth, Dept Physiotherapy, Alfred, NY, Australia

[6] Alfred Hlth, Dept Resp Med, Alfred, NY, Australia

[7] Univ Sydney, Sydney Sch Hlth Sci, Fac Med & Hlth, Discipline Physiotherapy, Sydney, NSW, Australia

[8] Allied Hlth, Sydney Local Hlth Dist, Sydney, NSW, Australia

[9] Sleep Med & Lung Hlth Consultants, Pittsburgh, PA USA

[10] Ohio State Univ, Coll Nursing, Columbus, OH USA

[11] Univ Alabama Birmingham, Div Pulm Allergy & Crit Care Med, Birmingham, AL USA

[12] McGill Univ, Dept Med, Hlth Ctr, Montreal, PQ, Canada

[13] Hasselt Univ, Reval Rehabil Res Ctr, Diepenbeek, Belgium

[14] Hasselt Univ, Biomed Biomed Res Inst, Diepenbeek, Belgium

[15] Univ British Columbia, Ctr Heart Lung Innovat, Vancouver, BC, Canada

[16] Univ British Columbia, Dept Phys Therapy, Vancouver, BC, Canada

[17] Univ Michigan, Div Cardiovasc Dis, Ann Arbor, MI USA

[18] Dorney Koppel Fdn, Potomac, MD USA

[19] COPD Fdn, Miami, FL USA

[20] Univ Toronto, Dept Med, Toronto, ON, Canada

[21] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada

[22] West Pk Healthcare Ctr, Toronto, ON, Canada

[23] Univ Virginia, Dept Med, Charlottesville, VA USA

[24] Black Lung Clin Program, Stone Mt Hlth Serv, Jonesville, VA USA

[25] Univ Leicester, Inst Lung Hlth, Natl Inst Hlth Res Biomed Res Ctr, Leicester, Leics, England

[26] Univ Hosp Leicester NHS Trust, Ctr Rehabil & Exercise Sci, Leicester, Leics, England

[27] Univ Leicester, Dept Resp Sci, Leicester, Leics, England

[28] McGill Univ, Dept Kinesiol & Phys Educ, Clin Exercise & Resp Physiol Lab, Montreal, PQ, Canada

[29] Univ Calif San Diego, San Diego Hlth Syst, Div Pulm & Crit Care Med, San Diego, CA USA

[30] Pulm Care Consulting & Training, San Diego, CA USA

[31] Univ Massachusetts, Chan Med Sch Baystate, Dept Healthcare Delivery & Populat Sci, Springfield, MA USA

[32] Vet Affairs Boston Healthcare Syst, Boston, MA USA

[33] Harvard Med Sch, Boston, MA USA

[34] Northwestern Univ, Feinberg Sch Med, Dept Phys Therapy & Human Movement Sci, Chicago, IL USA

[35] Northwestern Univ, Feinberg Sch Med, Dept Med Pulm & Crit Care, Chicago, IL USA

[36] Azusa Pacific Univ, Dept Phys Therapy, Azusa, CA USA

[37] Univ Alabama Birmingham, Dept Phys Therapy, Birmingham, AL USA

[38] Univ British Columbia, Dept Med, Vancouver, BC, Canada

来源：

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE | 2023年 / 208卷 / 04期

关键词：

pulmonary rehabilitation; chronic obstructive pulmonary disease; interstitial lung disease; pulmonary hypertension; telerehabilitation; QUALITY-OF-LIFE; HEALTH-CARE UTILIZATION; HOME-BASED EXERCISE; ACUTE EXACERBATIONS; COPD-EXACERBATIONS; ECONOMIC-EVALUATION; RACIAL DISPARITIES; LUNG-DISEASE; WALK TEST; MAINTENANCE;

D O I：

10.1164/rccm.202306-1066ST

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：E7 / E26

页数：20

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