Expert consensus and operational guidelines on exercise rehabilitation of chronic obstructive pulmonary disease with integrating traditional Chinese medicine and Western medicine

Chen, Xuan; Gong, Di; Huang, Huai; Wang, Kexin; Zhang, Wei; Li, Shanqun

doi:10.21037/jtd-21-431

Cited by 5 publications

(3 citation statements)

References 43 publications

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“…It has been proved that traditional Chinese medicine (TCM) can meet the needs for public health and primary medical care, improve health equity, and realize the great goal that everyone will get access to the basic medical and health services ( 32 ). Meanwhile, the ICWM theory for the prevention and treatment of chronic and infectious diseases is more widely accepted in China ( 33 , 34 ). These highlight the need to promote ICWM services in the implementation and improvement of the FDCS.…”

Section: Discussionmentioning

confidence: 99%

Do Residents and Healthcare Providers Differ in Preference for Family Doctor Contract Service? Evidence From a Discrete Choice Experiment

Zhang

Qin

et al. 2022

Front. Public Health

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ObjectiveFew are known on how and to what extent residents and healthcare providers have different preferences for family doctor contract service (FDCS). This study aimed to elicit and compare the residents' and healthcare providers' preferences for FDCS through a discrete choice experiment (DCE).MethodsResidents and healthcare providers recruited for the DCE were asked to choose repeatedly between two hypothetical service plans, which differed in six attributes: cost, service package, service delivery, type of service, accessibility of medicine, and level of healthcare team. We use mixed logit regression models to determine preferences for potential attributes.ResultsA total of 2,159 residents and 729 healthcare providers completed valid DCE questionnaires. The mixed logit model results suggested that cost, service package, service delivery, type of service, accessibility of medicine, and level of healthcare team all had a significant impact on residents' and healthcare providers' preference. The level of healthcare team was the most important characteristic of FDCS to both residents and healthcare providers, followed by types of service. They have different preferences on the cost and way of service delivery.ConclusionsThis study provides new evidence on how and to what extent residents and healthcare providers have different preferences for FDCS by determining their perception of various service attributes. These findings suggested that the optimal design and improvement of FDCS plans should consider not only residents but also healthcare providers' preferences to maximize contract service uptake.

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Section: Discussionmentioning

confidence: 99%

Do Residents and Healthcare Providers Differ in Preference for Family Doctor Contract Service? Evidence From a Discrete Choice Experiment

Zhang

Qin

et al. 2022

Front. Public Health

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“…Exercise programs for the development of cardiopulmonary fitness, muscle strength, and flexibility have been recommended by the American College of Sports Medicine, the Thoracic Society, and the European Thoracic Society [39]. Exercise therapy is supported by a greater level of evidence in pulmonary rehabilitation as potentially reducing dyspnoea symptoms, enhancing motor skills, improving psychiatric problems, and improving quality of life [40]. Physical activity is not recommended during an exacerbation or in extreme environmental situations [41].…”

Section: Management and Follow-upmentioning

confidence: 99%

Chronic Obstructive Lung Disease: Treatment Guidelines and Recommendations for Referral and Multidisciplinary Continuity of Care

De Miguel-Díez,

Fernández-Villar,

Doña Díaz

et al. 2024

JCM

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Chronic Obstructive Pulmonary Disease (COPD) constitutes a major public health problem, and it is anticipated that its prevalence will continue to increase in the future. Its progressive nature requires a continuous and well-coordinated care approach. The follow-up for COPD should primarily focus on disease screening and control, which includes monitoring of pulmonary function, prevention of exacerbations, identification of aggravating factors and comorbidities, as well as ensuring treatment adequacy and adherence. However, existing clinical practice guidelines and consensus documents offer limited recommendations for the follow-up. In this context, we undertake a review of COPD treatment and the continuity of care recommendations endorsed by several scientific societies. Moreover, we underscore the importance of the involvement of nursing and community pharmacy in this process, as well as the utilization of quality indicators in the provision of care for the disease.

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“… 26 27 Of note, an expert consensus and operational guidelines on exercise rehabilitation for COPD integrating traditional Chinese medicine and Western medicine was formed by an expert group on respiratory rehabilitation and a professional committee on respiratory rehabilitation from the China Medical Education Association. Since they determined that traditional Chinese exercise rehabilitation was extremely beneficial, 28 this study also included traditional Chinese exercise in the scope of discussion. The pulmonary rehabilitation referred to in this paper included all forms of full-body exercise training.…”

Section: Introductionmentioning

confidence: 99%

Effects of full-body exercise-based pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis: a systematic review and meta-analysis protocol

et al. 2022

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IntroductionIdiopathic pulmonary fibrosis (IPF) is a chronic lung disease characterised by progressive and irreversible fibrosis of the lung parenchyma, resulting in reduced lung function. Since conventional medicines can be associated with low effective rates and adverse events, pulmonary rehabilitation may be a promising non-pharmacological therapy for IPF. Thus, we aimed to evaluate the effects of full-body exercise-based pulmonary rehabilitation on patients with IPF by conducting a systematic review and meta-analysis of randomised controlled trials (RCTs).Methods and analysisThis systematic review and meta-analysis has been registered in the International Prospective Register of Systematic Reviews (PROSPERO). From inception to 31 August 2022, electronic databases in English and Chinese were searched, including PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials among the English databases. China National Knowledge Infrastructure, Chinese Biomedical Literature, VIP Chinese Science and Technology Periodical, and Wan Fang Data were among the Chinese databases. Two independent reviewers then screened the potential RCT studies, which were analysed according to the Cochrane Handbook criteria. The efficacy and safety of full-body exercise pulmonary rehabilitation for IPF were evaluated based on outcomes, including exercise capacity measured by 6 min walking distance and quality of life measured by St. George’s Respiratory Questionnaire. Lung function was measured based on the forced vital capacity, total lung capacity, diffusing capacity of the lungs for carbon monoxide and dyspnoea assessed by the modified Medical Research Council scale.Ethics and disseminationEthical approval was not required for this systematic review and meta-analysis. Results will be published in a peer-reviewed journal and presented at conferences.PROSPERO registration numberCRD42021284293.

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Expert consensus and operational guidelines on exercise rehabilitation of chronic obstructive pulmonary disease with integrating traditional Chinese medicine and Western medicine

Cited by 5 publications

References 43 publications

Do Residents and Healthcare Providers Differ in Preference for Family Doctor Contract Service? Evidence From a Discrete Choice Experiment

Do Residents and Healthcare Providers Differ in Preference for Family Doctor Contract Service? Evidence From a Discrete Choice Experiment

Chronic Obstructive Lung Disease: Treatment Guidelines and Recommendations for Referral and Multidisciplinary Continuity of Care

Effects of full-body exercise-based pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis: a systematic review and meta-analysis protocol

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