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
metadata.dc.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: http://ahro.austin.org.au/austinjspui/handle/1/16781
DOI: 10.1111/resp.13025
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

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