Profiling of Patients with COPD for Adequate Referral to Exercise-Based Care:The Dutch Model

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... Mehr ...

Verfasser: 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
Dokumenttyp: Artikel
Erscheinungsdatum: 2020
Reihe/Periodikum: Spruit , M A , Van't Hul , A , Vreeken , H L , Beekman , E , Post , M H T , Meerhoff , G A , Van der Valk , A-L , Zagers , C , Sillen , M J H , Vooijs , M , Custers , J , Muris , J , Langer , D , Donkers , J , Bregman , M , Tissink , L , Bergkamp , E , Wempe , J , Houben-Wilke , S , Augustin , I M L , de Vaate , E B , Franssen , F F M , Van Ranst , D , Van der Vaart , H , Antons , J , Van Doormaal , M , Koolen , E H , Van der Wees , P , Van Snippenburg , R , Janssen , D J A & Simons , S 2020 , ' Profiling of Patients with COPD for Adequate Referral to Exercise-Based Care : The Dutch Model ' , Sports Medicine , vol. 50 , no. 8 , pp. 1421-1429 . https://doi.org/10.1007/s40279-020-01286-9
Schlagwörter: FIELD WALKING TESTS / PULMONARY REHABILITATION / PHYSICAL-ACTIVITY / HEALTH-STATUS / EXACERBATION / DEPENDENCY / MEDICINE / CLUSTERS / DISTANCE / BATTERY
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29021169
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://cris.maastrichtuniversity.nl/en/publications/791445d1-9c58-475a-8ed8-311834fbadf2

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.