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Title: | Extra-pulmonary manifestations of COPD and the role of pulmonary rehabilitation: a symptom-centered approach | Authors: | Machado, Ana Marques, Alda BURTIN, Chris |
Issue Date: | 2020 | Publisher: | TAYLOR & FRANCIS LTD | Source: | Expert Review of Respiratory Medicine, 15 (1) , p. 131 -142 | Abstract: | Introduction: Chronic obstructive pulmonary disease (COPD) is a complex and heterogenous disease that is associated with a range of respiratory and non-respiratory symptoms, which highly contribute to the daily burden of the disease. Symptoms burden remains high despite optimal bronchodilator therapy, but pulmonary rehabilitation (PR) is an effective intervention to improve patients' symptoms. A comprehensive interdisciplinary approach within the framework of a PR program is warranted to tackle these complex symptoms and their consequences. Areas covered: This narrative review describes how symptoms of dyspnea, fatigue, cough, sputum, anxiety, depression, pain, sleep disturbances, and cognitive decline arise in COPD and can contribute to several non-pulmonary manifestations of the disease. It also describes evidence of the effectiveness of interdisciplinary PR programs to counteract these symptoms. A literature search was performed on PubMed and Scopus between June and July 2020. Expert opinion: Respiratory and non-respiratory symptoms are highly prevalent, often not comprehensively assessed, and result in several extra-pulmonary manifestations of the disease (physical, emotional and social). Interdisciplinary PR programs can improve these negative manifestations through different pathways, contributing for an effective symptoms' management. A thorough assessment of symptoms (beyond dyspnea) should be routinely performed and may support the identification of treatable traits, allowing the tailoring of PR interventions and assessment of their real-life impact. | Notes: | Burtin, C (corresponding author), Hasselt Univ, Fac Rehabil Sci, REVAL Rehabil Res Ctr, BIOMED Biomed Res Inst, B-3590 Diepenbeek, Belgium. chris.burtin@uhasselt.be |
Other: | Burtin, C (corresponding author), Hasselt Univ, Fac Rehabil Sci, REVAL Rehabil Res Ctr, BIOMED Biomed Res Inst, B-3590 Diepenbeek, Belgium. chris.burtin@uhasselt.be | Keywords: | COPD;dyspnea;fatigue;cough;sputum;anxiety;depression;pain;sleep disturbances;cognitive decline | Document URI: | http://hdl.handle.net/1942/33142 | ISSN: | 1747-6348 | e-ISSN: | 1747-6356 | DOI: | 10.1080/17476348.2021.1854737 | ISI #: | WOS:000597356000001 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2022 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
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ERRX-2020--0186.R2_Proof_hi.pdf | Peer-reviewed author version | 943.46 kB | Adobe PDF | View/Open |
Machado - Extra pulmonary manifestations of COPD and the role of pulmonary rehabilitation a symptom centered approach 2020.pdf Restricted Access | Published version | 1.81 MB | Adobe PDF | View/Open Request a copy |
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