Please use this identifier to cite or link to this item:
https://ahro.austin.org.au/austinjspui/handle/1/16781| Title: | Australian and New Zealand pulmonary rehabilitation guidelines | Austin Authors: | Alison, Jennifer A;McKeough, Zoe J;Johnston, Kylie;McNamara, Renae J;Spencer, Lissa M;Jenkins, Sue C;Hill, Catherine J ;McDonald, Vanessa M;Frith, Peter;Cafarella, Paul;Brooke, Michelle;Cameron-Tucke, Helen L;Candy, Sarah;Cecins, Nola;Chan, Andrew SL;Dale, Marita;Dowman, Leona M ;Granger, Catherine;Halloran, Simon;Jung, Peter;Lee, Annemarie;Leung, Regina;Matulick, Tamara;Osadnik, Christian;Roberts, Mary;Walsh, James;Wootton, Sally;Holland, Anne E ;On behalf of Lung Foundation Australia and the Thoracic Society of Australia and New Zealand | Affiliation: | Department of Physiotherapy, Austin Health, Heidelberg, Victoria, Australia Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia Allied Health Professorial Unit, Sydney Local Health District, Sydney, New South Wales, Australia Physiotherapy Discipline, School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia International Centre for Allied Health Evidence, Sansom Institute for Health Research, University of South Australia, Adelaide, South Australia, Australia Department of Physiotherapy, Prince of Wales Hospital, Sydney, New South Wales, Australia Department of Respiratory and Sleep Medicine, Prince of Wales Hospital, Sydney, New South Wales, Australia Department of Physiotherapy, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia Physiotherapy Department, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia Institute for Respiratory Health, Perth, Western Australia, Australia School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia Priority Research Centre for Healthy Lungs, School of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia School of Medicine, Flinders University, Adelaide, South Australia, Australia School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia Department of Respiratory Medicine, Repatriation General Hospital, Adelaide, South Australia, Australia School of Health Sciences, Flinders University, Adelaide, South Australia, Australia Respiratory Coordinated Care Program, Shoalhaven District Memorial Hospital, Nowra, New South Wales, Australia Physiotherapy Services, Royal Hobart Hospital, Hobart, Tasmania, Australia Centre of Research Excellence for Chronic Respiratory Disease and Lung Aging, Hobart, Tasmania, Australia School of Medicine, University of Tasmania, Hobart, Tasmania, Australia Department of Respiratory, Counties Manukau Health, Auckland, New Zealand Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, Sydney, New South Wales, Australia Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia Department of Physiotherapy, St Vincent's Hospital, Sydney, New South Wales, Australia Department of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia Department of Physiotherapy, Royal Melbourne Hospital, Melbourne, Victoria, Australia Department of Physiotherapy, LungSmart Physiotherapy and Pulmonary Rehabilitation, Bundaberg, Queensland, Australia Department of Physiotherapy, Northern Health, Melbourne, Victoria, Australia Department of Physiotherapy, La Trobe University, Melbourne, Victoria, Australia Department of Thoracic Medicine, Concord Repatriation General Hospital, Sydney, New South Wales, Australia Department of Thoracic Medicine, Royal Adelaide Hospital, Adelaide, South Australia, Australia Department of Physiotherapy, Monash University, Melbourne, Victoria, Australia Department of Respiratory and Sleep Medicine, Westmead Hospital, Sydney, New South Wales, Australia Ludwig Engel Centre for Respiratory Research, The Westmead Centre for Medical Research, Sydney, New South Wales, Australia Physiotherapy Department, The Prince Charles Hospital, Brisbane, Queensland, Australia School of Allied Health Sciences, Griffith University, Gold Coast, Queensland, Australia Chronic Disease Community Rehabilitation Service, Northern Sydney Local Health District, Sydney, New South Wales, Australia Department of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia |
Issue Date: | May-2017 | Date: | 2017-03-24 | Publication information: | Respirology 2017;22(4): 800-819 | Abstract: | BACKGROUND AND OBJECTIVE: 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. METHODS: The Guideline methodology adhered to the Appraisal of Guidelines for Research and Evaluation (AGREE) II criteria. Nine key questions were constructed in accordance with the PICO (Population, Intervention, Comparator, Outcome) format and reviewed by a COPD consumer group for appropriateness. Systematic reviews were undertaken for each question and recommendations made with the strength of each recommendation based on the GRADE (Gradings of Recommendations, Assessment, Development and Evaluation) criteria. The Guidelines were externally reviewed by a panel of experts. RESULTS: The Guideline panel recommended that patients with mild-to-severe COPD should undergo PR to improve quality of life and exercise capacity and to reduce hospital admissions; that PR could be offered in hospital gyms, community centres or at home and could be provided irrespective of the availability of a structured education programme; that PR should be offered to patients with bronchiectasis, interstitial lung disease and pulmonary hypertension, with the latter in specialized centres. The Guideline panel was unable to make recommendations relating to PR programme length beyond 8 weeks, the optimal model for maintenance after PR, or the use of supplemental oxygen during exercise training. The strength of each recommendation and the quality of the evidence are presented in the summary. CONCLUSION: The Australian and New Zealand Pulmonary Rehabilitation Guidelines present an evaluation of the evidence for nine PICO questions, with recommendations to provide guidance for clinicians and policymakers. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/16781 | DOI: | 10.1111/resp.13025 | Journal: | Respirology | PubMed URL: | https://pubmed.ncbi.nlm.nih.gov/28339144 | Type: | Journal Article | Subjects: | Bronchiectasis Chronic obstructive pulmonary disease Exercise and pulmonary rehabilitation Guidelines Interstitial lung disease |
| Appears in Collections: | Journal articles |
Show full item record
Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.