Outcome measures in a combined exercise rehabilitation programme for adults with COPD and chronic heart failure: A preliminary stakeholder consensus event

TY - JOUR

T1 - Outcome measures in a combined exercise rehabilitation programme for adults with COPD and chronic heart failure

T2 - A preliminary stakeholder consensus event

AU - Jones, Amy V

AU - Evans, Rachael A

AU - Man, William D-C

AU - Bolton, Charlotte E

AU - Breen, Samantha

AU - Doherty, Patrick J

AU - Gardiner, Nikki

AU - Houchen-Wolloff, Linzy

AU - Hurst, John R

AU - Jolly, Kate

AU - Maddocks, Matthew

AU - Quint, Jennifer K

AU - Revitt, Olivia

AU - Sherar, Lauren B

AU - Taylor, Rod S

AU - Watt, Amye

AU - Wingham, Jennifer

AU - Yorke, Janelle

AU - Singh, Sally J

N1 - © The Author(s) 2019

PY - 2019/9/16

Y1 - 2019/9/16

N2 - Combined exercise rehabilitation for chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) is potentially attractive. Uncertainty remains as to the baseline profiling assessments and outcome measures that should be collected within a programme. Current evidence surrounding outcome measures in cardiac and pulmonary rehabilitation were presented by experts at a stakeholder consensus event and all stakeholders (n = 18) were asked to (1) rank in order of importance a list of categories, (2) prioritise outcome measures and (3) prioritise baseline patient evaluation measures that should be assessed in a combined COPD and CHF rehabilitation programme. The tasks were completed anonymously and related to clinical rehabilitation programmes and associated research. Health-related quality of life, exercise capacity and symptom evaluation were voted as the most important categories to assess for clinical purposes (median rank: 1, 2 and 3 accordingly) and research purposes (median rank; 1, 3 and 4.5 accordingly) within combined exercise rehabilitation. All stakeholders agreed that profiling symptoms at baseline were 'moderately', 'very' or 'extremely' important to assess for clinical and research purposes in combined rehabilitation. Profiling of frailty was ranked of the same importance for clinical purposes in combined rehabilitation. Stakeholders identified a suite of multidisciplinary measures that may be important to assess in a combined COPD and CHF exercise rehabilitation programme.

AB - Combined exercise rehabilitation for chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) is potentially attractive. Uncertainty remains as to the baseline profiling assessments and outcome measures that should be collected within a programme. Current evidence surrounding outcome measures in cardiac and pulmonary rehabilitation were presented by experts at a stakeholder consensus event and all stakeholders (n = 18) were asked to (1) rank in order of importance a list of categories, (2) prioritise outcome measures and (3) prioritise baseline patient evaluation measures that should be assessed in a combined COPD and CHF rehabilitation programme. The tasks were completed anonymously and related to clinical rehabilitation programmes and associated research. Health-related quality of life, exercise capacity and symptom evaluation were voted as the most important categories to assess for clinical purposes (median rank: 1, 2 and 3 accordingly) and research purposes (median rank; 1, 3 and 4.5 accordingly) within combined exercise rehabilitation. All stakeholders agreed that profiling symptoms at baseline were 'moderately', 'very' or 'extremely' important to assess for clinical and research purposes in combined rehabilitation. Profiling of frailty was ranked of the same importance for clinical purposes in combined rehabilitation. Stakeholders identified a suite of multidisciplinary measures that may be important to assess in a combined COPD and CHF exercise rehabilitation programme.

U2 - 10.1177/1479973119867952

DO - 10.1177/1479973119867952

M3 - Article

C2 - 31526047

SN - 1479-9723

VL - 16

JO - Chronic respiratory disease

JF - Chronic respiratory disease

ER -