Pulmonary rehabilitation in Australia: a national survey

Johnston, Catherine; Maxwell, Lyndal; Alison, Jennifer A.

doi:10.1016/j.physio.2010.12.001

Cited by 52 publications

(58 citation statements)

References 21 publications

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“…The current findings show differences in each of the categories surveyed: the setting, the case mix of individuals, the composition of the team, completion rates, methods of referral, and types of reimbursement. These findings corroborate previous reports performed at a national level [11,[14][15][16][17]21]. …”

Section: Differences In Content and Organisational Aspectssupporting

confidence: 92%

“…Although pulmonary rehabilitation should be made available to all individuals with chronic respiratory disease who still suffer from daily symptoms despite optimal medical therapy [1], there are still marked shortfalls in the provision of this intervention [11][12][13][14][15]. Moreover, there is variability in content and organisational aspects among pulmonary rehabilitation programmes at a national level [11,[14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, there is variability in content and organisational aspects among pulmonary rehabilitation programmes at a national level [11,[14][15][16][17]. This is most probably the result of local conditions, and not a reflection of an evidence-based organisational model.…”

Section: Introductionmentioning

confidence: 99%

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Differences in content and organisational aspects of pulmonary rehabilitation programmes

Spruit¹,

Pitta²,

et al. 2013

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The aim was to study the overall content and organisational aspects of pulmonary rehabilitation programmes from a global perspective in order to get an initial appraisal on the degree of heterogeneity worldwide.A 12-question survey on content and organisational aspects was completed by representatives of pulmonary rehabilitation programmes that had previously participated in the European Respiratory Society (ERS) COPD Audit. Moreover, all ERS members affiliated with the ERS Rehabilitation and Chronic Care and/or Physiotherapists Scientific Groups, all members of the American Association of Cardiovascular and Pulmonary Rehabilitation, and all American Thoracic Society Pulmonary Rehabilitation Assembly members were asked to complete the survey via multiple e-mailings.The survey has been completed by representatives of 430 centres from 40 countries. The findings demonstrate large differences among pulmonary rehabilitation programmes across continents for all aspects that were surveyed, including the setting, the case mix of individuals with a chronic respiratory disease, composition of the pulmonary rehabilitation team, completion rates, methods of referral and types of reimbursement.The current findings stress the importance of future development of processes and performance metrics to monitor pulmonary rehabilitation programmes, to be able to start international benchmarking, and to provide recommendations for international standards based on evidence and best practice. @ERSpublications Differences in aspects of pulmonary rehabilitation programmes suggest caution in generalisation of research findings

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Section: Differences In Content and Organisational Aspectssupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Differences in content and organisational aspects of pulmonary rehabilitation programmes

Spruit¹,

Pitta²,

et al. 2013

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“…A systematic review of international surveys and practice audits indicated that between 3% and 16% of suitable COPD patients in general practice were referred to PR. 8 While 85% of Australian PR programmes report that they accept referrals from general practitioners, 9 referrals appear to be predominantly received from respiratory physicians. 6 In contrast, a UK review of a Londonbased PR programme reported that 57% of referrals were from primary care (13% general practitioner, 21% practice nurse, 23% community COPD clinic).…”

mentioning

confidence: 99%

Barriers to, and facilitators for, referral to pulmonary rehabilitation in COPD patients from the perspective of Australian general practitioners: a qualitative study

Johnston

Young

Grimmer

et al. 2013

Primary Care Respiratory Journal

107

111

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“…1 Despite the responsiveness of the ESWT to change following pulmonary rehabilitation, it has not been widely used as an outcome measure in pulmonary rehabilitation programmes. [4][5][6] The necessity to perform an ISWT in order to calculate the speed for the ESWT may limit the use of the ESWT in programmes where the 6MWT is the test of choice at initial assessment. Therefore, the aim of this study was to derive and validate an equation to estimate ESWT speed from the six-minute walk distance (6MWD) in people with COPD.…”

Section: Introductionmentioning

confidence: 99%

Estimating endurance shuttle walk test speed using the six-minute walk test in people with chronic obstructive pulmonary disease

Wootton

McKeough

et al. 2014

Chron Respir Dis

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The objective of this study was to derive and validate an equation to estimate the speed for the endurance shuttle walk test (ESWT) using results from the six-minute walk test (6MWT) in patients with chronic obstructive pulmonary disease (COPD). Participants with diagnosed COPD (n ¼ 84) performed two incremental shuttle walk tests (ISWTs) and two 6MWTs. ESWT speed was calculated from the ISWT results using the original published method. An equation was derived, which directly related six-minute walk distance (6MWD) to ESWT speed. The derived equation was validated in a different group of people with COPD (n ¼ 52). There was a strong correlation between average 6MWD and the calculated ESWT speed (r ¼ 0.88, p < 0.001). The ESWT speed (kilometre per hour) was estimated using the following equation: 0.4889 þ (0.0083 Â 6MWD). The mean difference (+limits of agreement) between ESWT speeds was calculated using the original published method and found to be 0.03 (+0.77) km/hour. When the ISWT is not the test of choice for clinicians, the 6MWT can be used to accurately estimate the speed for the ESWT.

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Pulmonary rehabilitation in Australia: a national survey

Abstract: Pulmonary rehabilitation programs in Australia generally meet the broad recommendations for practice in terms of components, program length, assessment and exercise training. The prescription of exercise training intensity is an area requiring deeper exploration.

Cited by 52 publications

References 21 publications

Differences in content and organisational aspects of pulmonary rehabilitation programmes

Differences in content and organisational aspects of pulmonary rehabilitation programmes

Barriers to, and facilitators for, referral to pulmonary rehabilitation in COPD patients from the perspective of Australian general practitioners: a qualitative study

Estimating endurance shuttle walk test speed using the six-minute walk test in people with chronic obstructive pulmonary disease

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