Australian and New Zealand Pulmonary Rehabilitation Guidelines

Jennifer A Alison, Zoe J. McKeough, Kylie Johnston, Renae J. McNamara, Lissa M. Spencer, Sue C. Jenkins, Catherine Jane Hill, Vanessa M McDonald, Peter A Frith, Paul Cafarella, Michelle Brooke, Helen L. Cameron-Tucker, Sarah Candy, Nola Cecins, Andrew S.L. Chan, Marita T. Dale, Leona M Dowman, Catherine L. Granger, Simon Halloran, Peter Jung & 9 others Annemarie L. Lee, Regina Leung, Tamara Matulick, Christian Osadnik, Mary Roberts, James J Walsh, Sally Wootton, Anne E Holland, on behalf of the Lung Foundation Australia and the Thoracic Society of Australia and New Zealand

Research output: Contribution to journalArticleOtherpeer-review

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.

Original languageEnglish
Pages (from-to)800-819
Number of pages20
JournalRespirology
Volume22
Issue number4
DOIs
Publication statusPublished - 1 May 2017

Keywords

  • bronchiectasis
  • chronic obstructive pulmonary disease
  • exercise and pulmonary rehabilitation
  • guidelines
  • interstitial lung disease

Cite this

Alison, J. A., McKeough, Z. J., Johnston, K., McNamara, R. J., Spencer, L. M., Jenkins, S. C., ... on behalf of the Lung Foundation Australia and the Thoracic Society of Australia and New Zealand (2017). Australian and New Zealand Pulmonary Rehabilitation Guidelines. Respirology, 22(4), 800-819. https://doi.org/10.1111/resp.13025
Alison, Jennifer A ; McKeough, Zoe J. ; Johnston, Kylie ; McNamara, Renae J. ; Spencer, Lissa M. ; Jenkins, Sue C. ; Hill, Catherine Jane ; McDonald, Vanessa M ; Frith, Peter A ; Cafarella, Paul ; Brooke, Michelle ; Cameron-Tucker, Helen L. ; Candy, Sarah ; Cecins, Nola ; Chan, Andrew S.L. ; Dale, Marita T. ; Dowman, Leona M ; Granger, Catherine L. ; Halloran, Simon ; Jung, Peter ; Lee, Annemarie L. ; Leung, Regina ; Matulick, Tamara ; Osadnik, Christian ; Roberts, Mary ; Walsh, James J ; Wootton, Sally ; Holland, Anne E ; on behalf of the Lung Foundation Australia and the Thoracic Society of Australia and New Zealand. / Australian and New Zealand Pulmonary Rehabilitation Guidelines. In: Respirology. 2017 ; Vol. 22, No. 4. pp. 800-819.
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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.",
keywords = "bronchiectasis, chronic obstructive pulmonary disease, exercise and pulmonary rehabilitation, guidelines, interstitial lung disease",
author = "Alison, {Jennifer A} and McKeough, {Zoe J.} and Kylie Johnston and McNamara, {Renae J.} and Spencer, {Lissa M.} and Jenkins, {Sue C.} and Hill, {Catherine Jane} and McDonald, {Vanessa M} and Frith, {Peter A} and Paul Cafarella and Michelle Brooke and Cameron-Tucker, {Helen L.} and Sarah Candy and Nola Cecins and Chan, {Andrew S.L.} and Dale, {Marita T.} and Dowman, {Leona M} and Granger, {Catherine L.} and Simon Halloran and Peter Jung and Lee, {Annemarie L.} and Regina Leung and Tamara Matulick and Christian Osadnik and Mary Roberts and Walsh, {James J} and Sally Wootton and Holland, {Anne E} and {on behalf of the Lung Foundation Australia and the Thoracic Society of Australia and New Zealand}",
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Alison, JA, McKeough, ZJ, Johnston, K, McNamara, RJ, Spencer, LM, Jenkins, SC, Hill, CJ, McDonald, VM, Frith, PA, Cafarella, P, Brooke, M, Cameron-Tucker, HL, Candy, S, Cecins, N, Chan, ASL, Dale, MT, Dowman, LM, Granger, CL, Halloran, S, Jung, P, Lee, AL, Leung, R, Matulick, T, Osadnik, C, Roberts, M, Walsh, JJ, Wootton, S, Holland, AE & on behalf of the Lung Foundation Australia and the Thoracic Society of Australia and New Zealand 2017, 'Australian and New Zealand Pulmonary Rehabilitation Guidelines' Respirology, vol. 22, no. 4, pp. 800-819. https://doi.org/10.1111/resp.13025

Australian and New Zealand Pulmonary Rehabilitation Guidelines. / Alison, Jennifer A; McKeough, Zoe J.; Johnston, Kylie; McNamara, Renae J.; Spencer, Lissa M.; Jenkins, Sue C.; Hill, Catherine Jane; McDonald, Vanessa M; Frith, Peter A; Cafarella, Paul; Brooke, Michelle; Cameron-Tucker, Helen L.; Candy, Sarah; Cecins, Nola; Chan, Andrew S.L.; Dale, Marita T.; Dowman, Leona M; Granger, Catherine L.; Halloran, Simon; Jung, Peter; Lee, Annemarie L.; Leung, Regina; Matulick, Tamara; Osadnik, Christian; Roberts, Mary; Walsh, James J; Wootton, Sally; Holland, Anne E; on behalf of the Lung Foundation Australia and the Thoracic Society of Australia and New Zealand.

In: Respirology, Vol. 22, No. 4, 01.05.2017, p. 800-819.

Research output: Contribution to journalArticleOtherpeer-review

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T1 - Australian and New Zealand Pulmonary Rehabilitation Guidelines

AU - Alison, Jennifer A

AU - McKeough, Zoe J.

AU - Johnston, Kylie

AU - McNamara, Renae J.

AU - Spencer, Lissa M.

AU - Jenkins, Sue C.

AU - Hill, Catherine Jane

AU - McDonald, Vanessa M

AU - Frith, Peter A

AU - Cafarella, Paul

AU - Brooke, Michelle

AU - Cameron-Tucker, Helen L.

AU - Candy, Sarah

AU - Cecins, Nola

AU - Chan, Andrew S.L.

AU - Dale, Marita T.

AU - Dowman, Leona M

AU - Granger, Catherine L.

AU - Halloran, Simon

AU - Jung, Peter

AU - Lee, Annemarie L.

AU - Leung, Regina

AU - Matulick, Tamara

AU - Osadnik, Christian

AU - Roberts, Mary

AU - Walsh, James J

AU - Wootton, Sally

AU - Holland, Anne E

AU - on behalf of the Lung Foundation Australia and the Thoracic Society of Australia and New Zealand

PY - 2017/5/1

Y1 - 2017/5/1

N2 - 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.

AB - 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.

KW - bronchiectasis

KW - chronic obstructive pulmonary disease

KW - exercise and pulmonary rehabilitation

KW - guidelines

KW - interstitial lung disease

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Alison JA, McKeough ZJ, Johnston K, McNamara RJ, Spencer LM, Jenkins SC et al. Australian and New Zealand Pulmonary Rehabilitation Guidelines. Respirology. 2017 May 1;22(4):800-819. https://doi.org/10.1111/resp.13025