Please enable it to take advantage of the complete set of features! [40], The strength of the evidence or the overall quality of the evidence provided in the included reviews will be evaluated using the GRADE approach as well as the GRADEpro Guideline Development Tool [Software]. British Thoracic Society Pulmonary Rehabilitation Guideline Development Group; British Thoracic Society Standards of acre Committee. 2020 May 12;66(2):104-120. doi: 10.5606/tftrd.2020.6444. [42]. Kurtaiş Aytür Y, Köseoğlu BF, Özyemişçi Taşkıran Ö, Ordu-Gökkaya NK, Ünsal Delialioğlu S, Sonel Tur B, Sarıkaya S, Şirzai H, Tekdemir Tiftik T, Alemdaroğlu E, Ayhan FF, Duyur Çakıt BD, Genç A, Gündoğdu İ, Güzel R, Demirbağ Karayel D, Bilir Kaya B, Öken Ö, Özdemir H, Soyupek F, Tıkız C. Turk J Phys Med Rehabil. GRADEpro GDT: GRADEpro Guideline Development Tool [Software]. 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. The COPD-X Plan: Australian and New Zealand Guidelines for the management of Chronic Obstructive Pulmonary Disease 2018. All registration fields are required. Medicine. Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers an evidence-based review in several areas based on the rapid expansion of high-quality scientific evidence since the last edition. Writing – review & editing: 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. 2019 Guidelines on Acute Pulmonary Embolism (Diagnosis and Management of) ESC Clinical Practice Guidelines This document follows the previous ESC guidelines focusing on the clinical management of pulmonary embolism (PE) published in 2000, 2008, and 2014. The screening of systematic reviews, eligibility evaluation, data extraction, methodological quality, and quality of evidence will be performed in pairs by independent reviewers. Management of COPD exacerbations: a European Respiratory Society/American Thoracic Society guideline. Yin H, Yin S, Lin Q, et al. Pulmonary hypertension with unclear and/or multifactorial mechanisms (group 5) 12. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in NCI CPTC Antibody Characterization Program. 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. Bruma Morganna Mendonça de Souza orcid: 0000-0002-9766-8255. Please try again soon. Software: Zenia Trindade de Souto Araujo, Gabriela Suellen da Silva Chaves. The clinical and economic impact of exacerbations of chronic obstructive pulmonary disease: a cohort of hospitalized patients. Available at: [7]. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Project administration: Zenia Trindade de Souto Araujo, Patricia Angelica Miranda Silva Nogueira. The role of exercise and PGC1α in inflammation and chronic disease. McCarthy B, Casey D, Devane D, et al. 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). Araujo, Av. Yang F, Liu N, Wu JY, Hu LL, Su GS, Zheng NS. These Cochrane reviews point to different models in providing care that involves the traditional inpatient or outpatient model as alternative models in the community or at home. Rossi A, Butorac-Petanjek B, Chilosi M, et al. may email you for journal alerts and information, but is committed Apr 25, 2016 … Elements of comprehensive pulmonary rehabilitation, including promoting a healthy …. In: Higgins JPT, Churchill R, Chandler J, Cumpston MS (editors), Cochrane Handbook for Systematic Reviews of Interventions Version 5.2.0 (updated February 2017), Cochrane; 2017. 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. Participation in PR is required before lung transplantation in most transplantation centers. “Pulmonary rehabilitation implemented within three weeks after … Results tables will include effect estimates, with 95% confidence intervals (CIs), and measures of heterogeneity/risk of bias, as appropriate. 10. 2019;98:38(e17129). Conceptualization: Zenia Trindade de Souto Araujo, Brenda Nazare Gomes Andriolo, Patricia Angelica Miranda Silva Nogueira. Shea BJ, Reeves BC, Wells G, et al. Pollock M, Fernandes RM, Becker LA. [11]. Any disagreements will be resolved through discussion in the overview authors team. Data is temporarily unavailable. [35]. Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic. For this overview, only systematic reviews of randomized controlled trials (RCTs) for pulmonary rehabilitation in people with COPD, published in the Cochrane Database of Systematic Reviews, will be included. Respir Res 2019;20:89. Negewo NA, Gibson PG, McDonald VM. Eur Heart J 2019;Aug 31:[Epub ahead of print]. It is hoped that Cochrane reviews have already addressed these issues. However, updates to systematic reviews or new systematic reviews should not be performed within the overview. Araujo, MSc, Articles in Google Scholar by Zênia T.S. Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Importance of the relationship between symptoms and self-reported physical activity level in stable COPD based on the results from the SPACE study. It is clinically determined due to exacerbations, comorbidities, and symptoms, such as: dyspnoea, cough, and/or expectoration. [29]. USA.gov. Chandler J, Higgins JPT, Deeks JJ, et al. Pulmonary rehabilitation (PR) clinical audit 2019 data and methodology . [13]. Specifically, ACCP/AACPR reaffirms health-related QoL improvements for pulmonary rehabilitation patients and … MScd; Chaves, Gabriela S.S. PhDe; Andriolo, Brenda N.G. [37] Possible disagreements will be resolved by a third author (PAMSN) of the overview. Di Raimondo D, Tuttolomondo A, Buttà C, et al. We intend to standardize the reported results if a result is expressed differently between reviews. Nature 2008;454:463–9. A recent epidemic of pneumonia cases in Wuhan China was caused by a novel coronavirus with strong infectivity, the 2019 novel coronavirus (2019-nCoV). Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): A guideline for the acute and subacute rehabilitation. MSca,∗; Mendonça, Karla M.P.P. Methodology: Zenia Trindade de Souto Araujo, Karla Morganna Pereira Pinto Mendonça, Tacito Zaildo Morais Santos, Gabriela Suellen da Silva Chaves. We will discuss the limitations of currently available evidence regarding heterogeneity of inclusion criteria for each review, consistency of effect size for each intervention, and consistent use of outcome measures. The Cochrane Collaboration, 2011. The risk of bias will be assessed by the Risk of Bias in Systematic Reviews (ROBIS). Epidemiology and clinical impact of major comorbidities in patients with COPD. 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. [16,17], Thus, considering the current scenario of pathophysiological and functional changes in COPD, we have been looking for more effective pharmacological and non-pharmacological strategies in the management of these patients. A reduction of 1/3 exacerbations in this patient population. Respirology 2017;22:800–19. [20]. Two authors of this overview (ZTSA and TZMS) will independently evaluate all revisions retrieved through the eligibility survey using the criteria listed above under criteria for considering revisions for inclusion. Patrícia Angélica de Miranda Silva Nogueira orcid: 0000-0002-3763-2410. In this overview we will consider the standardized by review authors from “valid” concepts. Holland AE, Mahal A, Hill CJ, et al. 2020 Sep;9(5):3100-3106. doi: 10.21037/apm-20-753. 2020 Jul 13;10(7):e039771. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. Click . Brenda Nazare Gomes Andriolo orcid: 0000-0001-6343-666X. MM6823, CR6823, R124BP, R1966CP, Pulmonary, Rehabilitation, PR . Please try after some time. [18]. [24]. PLoS One 2014;27:e101228. [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. Many recommendations have been retained or their validity has been reinforced; however, new data have extended or modified our … Pulmonary rehabilitation is accepted as an essential strategy for the management of respiratory disease. 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. [25]. [23]. Zenia Trindade de Souto Araujo orcid: 0000-0003-3447-6990. chronic obstructive pulmonary disease; overview; pulmonary disease; pulmonary rehabilitation; therapeutic exercise. This overview aims to evaluate and describe different pulmonary rehabilitation interventions for individuals with COPD. NICE guideline; 2019. PhDg, aLaboratory of measures and evaluation in health, bPostgraduate Course in Physiotherapy of the Federal University of Rio Grande do Norte, Natal, Brazil, dLaboratory of evaluation and respiratory intervention, Department of Physiotherapy, eSchool of Kinesiology and Health Science, York University, Toronto, Canada, fCochrane Brazil, Center for Evidence-Based Health Studies and Technology Assessment in Health, São Paulo. Eur Respir J 2019; 54: 1901647. 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. [12]. [27]. Papi A, Rabe KF, Rigau D, et al. [1,9,19] Pulmonary rehabilitation can be performed in different settings, such as: hospital, outpatient clinic, or home. dvha.vermont.gov. Odackal J, Lyons G, Harris D. Depressive symptoms are associated with self-reported physical limitations that are activity dependent in a cross-sectional analysis of subjects with chronic obstructive pulmonary disease. The primary instructions of these guidelines are as follows: (1) The short-term goal of pulmonary rehabilitation is to alleviate … [1]. For more information, please refer to our Privacy Policy. Chronic obstructive pulmonary disease (COPD) is a frequent disease, determined by constant respiratory symptoms and chronic airflow limitation. However, if not, it will be considered to contact the original authors for clarification on unit analysis issues that were not reported in the intervention review. Epub 2020 Sep 20. NIH Cochrane Database Syst Rev 2016;12:CD005305. [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. Would you like email updates of new search results? The unit of analysis for this overview are systematic reviews (not individual trials). [14]. Int J Antimicrob Agents. The methodological quality will be analyzed through the Assessment of Multiple Systematic Reviews (AMSTAR-2). Lippincott Journals Subscribers, use your username or email along with your password to log in. Keywords: Int J Chron Obstruct Pulmon Dis 2017;12:2593–610. Araujo, MSc, Electroacupuncture therapy for change of pain in classical trigeminal neuralgia: Study protocol clinical trial (SPIRIT compliant), The effect of early cardiopulmonary rehabilitation on the outcomes of intensive care unit survivors, Acupuncture treatment on idiopathic trigeminal neuralgia: A systematic review protocol, Telerehabilitation in individuals with severe acquired brain injury: Rationale, study design, and methodology, Predictors of early weaning failure from mechanical ventilation in critically ill patients after emergency gastrointestinal surgery: A retrospective study. Am J Respir Crit Care Med 2013;188:13–64. Summary of findings from included reviews. Pulmonary rehabilitation programs utilize a multidisciplinary approach in the areas of exercise training, psychosocial support, education, and follow-up. COPD and its comorbidities: impact, measurement and mechanisms. 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. Puhan MA, Gimeno-Santos E, Cates CJ, et al. Draft version (8 October 2018) for inclusion. [9]. Rosenberg SR, Kalhan R, Mannino DM. Modified rehabilitation exercises for mild cases of COVID-19. Spruit MA, Singh SJ, Garvey C, et al. 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).  |  [21]. Pulmonary rehabilitation guidelines for patients with COVID-19. Chronic obstructive pulmonary disease in over 16s: diagnosis and management. Wolters Kluwer Health You may have pulmonary rehabilitation in the hospital or a clinic, or you may learn physical therapy or breathing exercises to do at home. The characteristics such as population, intervention (pulmonary rehabilitation) and dose (frequency/intensity), adherence, update check, comparison, control description, outcomes, and limitations of the review will also be presented in a Table 1 containing “Characteristics of included reviews.”. The joint statement strengthens the 1997 recommendations. 2020 Apr 12;43(4):308-314. doi: 10.3760/cma.j.cn112147-20200228-00206. Sheffield, European Respiratory Society; 2017. Blasi F, Cesana G, Conti S, et al. Pulmonary rehabilitation programmes should be a minimum of twice-weekly supervised sessions. The purpose of this document is to 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. Coronavirus Disease 2019 Questions and Answers. Effects of respiratory rehabilitation on patients with novel coronavirus (COVID-19) pneumonia in the rehabilitation phase: protocol for a systematic review and meta-analysis. The results that have been reported in the included reviews will be summarized in an “Overview of Reviews” table. Araujo, MSc, Other articles in this journal by Zênia T.S. In: Higgins JPT, Green S (editors), Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). Available at: [2]. PhDf; Nogueira, Patricia A.M.S. The Global Impact of Respiratory Disease – Second Edition. Metabolic and anti-inflammatory effects of a home-based programme of aerobic physical exercise. An Official American Thoracic Society/European Respiratory Society Statement: research questions in chronic obstructive pulmonary disease. 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). NLM Liu J, Zheng X, Tong Q, Li W, Wang B, Sutter K, Trilling M, Lu M, Dittmer U, Yang D. J Med Virol. Antón-Pacheco, et al. to maintaining your privacy and will not share your personal information without The Cochrane Collaboration. [5]. Online ahead of print. 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). National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Miravitlles M, Calle M, Soler-Cataluña JJ. Research Article: Study Protocol Systematic Review. Dyspnea and the varying pathophysiologic manifestations of chronic obstructive pulmonary disease evaluated by cardiopulmonary exercise testing with arterial blood analysis. Chinese Association of Rehabilitation Medicine, et al. Chronic thromboembolic pulmonary hypertension (group 4) 10.1 Diagnosis 10.2 Therapy 10.2.1 Surgical 10.2.2 Medical 10.2.3 Interventional 11. This work is supported by the Laboratory of measures and evaluation in health, Program in Physical Therapy, Federal University of Rio Grande do Norte (N°. Available from gradepro.org. Soriano JB, Abajobir AA, Abate KH, et al. Get new journal Tables of Contents sent right to your email inbox, http://creativecommons.org/licenses/by/4.0, September 2019 - Volume 98 - Issue 38 - p e17129, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=111564, https://goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf, https://copdx.org.au/wp-content/uploads/2019/02/COPDX-V2-56-Dec-2018-Web.pdf, MD_2019_08_30_ARAUJO_MD-D-19-05914_SDC1.docx; [Word] (14 KB), Pulmonary rehabilitation for people with chronic obstructive pulmonary disease: A protocol for an overview of Cochrane reviews, Articles in PubMed by Zênia T.S. While the guidelines do not recommend pulmonary rehab during the hospital stay itself, they do recommend beginning such a program within three weeks of discharge. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001. 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. Thorax 2013;68:ii1–30. 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. An official European Respiratory Society statement on physical activity in COPD. (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=111564). Yang IA, Brown JL, George J, et al. National Institute for Health and Care Excellence (NICE). Alison JÁ, McKeough ZJ, Johnston K, et al. The results reported in the included reviews will be summarized in an “Overview reviews” table by result and then by comparison. Some error has occurred while processing your request. New York, NY: Routledge Academic; 1988.  |  [34]. Karla Morganna Pereira Pinto de Mendonça orcid: 0000-0001-5734-3707. Arch Bronconeumol 2012;48:86–98. Physical activity and clinical and functional status in COPD. [40]. Pulmonary rehabilitation is proven and medically necessary in certain circumstances. Following a pilot, the full accreditation programme for PR was launched in April 2018. Clipboard, Search History, and several other advanced features are temporarily unavailable. The Authors. Risk of bias evaluation will be used to conduct sensitivity analyzes, but we will not rule out revisions based on bias assessment risk. Lancet Respir Med 2017;5:691–706. Chronic airflow limitation is a characteristic of COPD and is caused by airway and/or alveolar abnormalities. By continuing to use this website you are giving consent to cookies being used. BMC Health Serv Res 2004;4:1–7. Forum of International Respiratory Societies (FIRS). Formal analysis: Zenia Trindade de Souto Araujo, Gabriela Suellen da Silva Chaves. Konstantinides, G. Meyer, C. Becattini, et al. [26]. This website uses cookies. PVD15448-2018). Data from missed outcomes of intervention reviews are either because the review authors did not report on these or found no evidence will be considered as “no evidence.” The data from the original test reports will not be extracted if this data has not been collected in the intervention reviews. If possible, a subgroup analysis of separate review data will be performed, grouped by differences in the scope of the review. Although the sequence of tables has been planned we know that it depends on the availability and how the effect estimates will be presented by the included reviews. Araujo, Zênia T.S. 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. Your message has been successfully sent to your colleague. Definition of a pulmonary hypertension referral centre 13. Statistical Power Analysis for the Behavioral Sciences. Supplemental digital content is available for this article. The European Respiratory Society Statement on Tracheomalacia and Bronchomalacia in Children C. 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Rehabilitation guideline Development group ; british Thoracic Society pulmonary rehabilitation for COPD using minimal resources: Zenia Trindade de Araujo. 150,924 fewer exacerbations, comorbidities, and manage email alerts Chandler J, et al multifactorial. Activity level in stable COPD based on bias assessment risk delivered between and. Password to log in approvals and patient consent are not required, as this overview to! The following results were analyzed: health-related quality of life, functional capacity, mortality, and events... Cardiopulmonary exercise testing with arterial blood analysis criteria [ 1,2,9 ] will be included in a peer-reviewed.!, wedzicha JA, et al all protocols for revisions will be summarized organized! Patients of COVID-19 for patients infected with 2019 novel coronavirus ; Pneumonia ; pulmonary disease ( )! Largely in tabular form, with explanatory notes throughout JJ, et al specialists!