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Title: | Profiling of Patients with COPD for Adequate Referral to Exercise-Based Care: The Dutch Model | Authors: | 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 |
Issue Date: | 2020 | Publisher: | ADIS INT LTD | Source: | SPORTS MEDICINE, 50(8), p. 1421-1429 | Abstract: | 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. | Notes: | Spruit, MA (reprint author), CIRO, Dept Res & Dev, Horn, Netherlands.; Spruit, MA (reprint author), Maastricht Univ, Dept Resp Med, Med Ctr MUMC, Maastricht, Netherlands.; Spruit, MA (reprint author), NUTRIM Sch Nutr & Translat Res Metab, Maastricht, Netherlands.; Spruit, MA (reprint author), Hasselt Univ, Fac Rehabil Sci, REVAL Rehabil Res Ctr, BIOMED Biomed Res Inst, Diepenbeek, Belgium. martijnspruit@ciro-horn.nl |
Other: | 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 | Keywords: | Field Walking Tests;Pulmonary Rehabilitation;Physical-Activity;Health-Status;Exacerbation;Dependency;Medicine;Clusters;Distance;Battery | Document URI: | http://hdl.handle.net/1942/31356 | ISSN: | 0112-1642 | e-ISSN: | 1179-2035 | DOI: | 10.1007/s40279-020-01286-9 | ISI #: | WOS:000528416200001 | Rights: | Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2021 |
Appears in Collections: | Research publications |
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