Evidence map›Paper›PMID 27072018›Full record

ReviewChronic respiratory disease2016

Building consensus for provision of breathlessness rehabilitation for patients with chronic obstructive pulmonary disease and chronic heart failure.

William D-C Man, Faiza Chowdhury, Rod S Taylor, Rachael A Evans, Patrick Doherty, Sally J Singh, Sara Booth, Davey Thomason, Debbie Andrews, Cassie Lee and 4 more

Open access · hybridAbstract readReview
In one paragraph

Review in Chronic respiratory disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Collaborative care model improves self-care ability, quality of life and cardiac function of patients with chronic heart failure.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2017
    Trial
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  14. Observational
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  17. Observational
  18. Review
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  20. What factors are associated with patients walking fitness when starting cardiac rehabilitation?International journal of cardiology. Heart & vasculature · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 1 country.

William D-C ManNIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College, UK Harefield Pulmonary Rehabilitation Unit, Royal Brompton & Harefield NHS Foundation Trust, Harefield Hospital, UK w.man@rbht.nhs.uk.
Faiza ChowdhuryNIHR CLAHRC Northwest London, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Rod S TaylorUniversity of Exeter Medical School, Exeter, Devon, UK.
Rachael A EvansCentre of Exercise & Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, United Kingdom of Great Britain.
Patrick DohertyDepartment of Health Sciences, University of York, Heslington, York, UK.
Sally J SinghCentre of Exercise & Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, United Kingdom of Great Britain.
Sara BoothDepartment of Palliative Care and Cambridge University, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge, UK.
Davey ThomasonNHS West London Clinical Commissioning Group, London, UK.
Debbie AndrewsNHS West London Clinical Commissioning Group, London, UK.
Cassie LeeNIHR CLAHRC Northwest London, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Jackie HannaNIHR CLAHRC Northwest London, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Michael D MorganUniversity of Exeter Medical School, Exeter, Devon, UK.
Derek BellNIHR CLAHRC Northwest London, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Martin R CowieNIHR Cardiovascular Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust and Imperial College London, UK.
Chelsea and Westminster Hospital NHS Foundation Trust · GBGlenfield Hospital · GBLondon Clinic · GBUniversity of Exeter · GBAddenbrooke's Hospital · GBHarefield Hospital · GBRoyal Brompton & Harefield NHS Foundation Trust · GBUniversity of York · GB

Funding

Department of Health DHCS/07/07/009
6 · The paper itself

Abstract

The study aimed to gain consensus on key priorities for developing breathlessness rehabilitation services for patients with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). Seventy-four invited stakeholders attended a 1-day conference to review the evidence base for exercise-based rehabilitation in COPD and CHF. In addition, 47 recorded their views on a series of statements regarding breathlessness rehabilitation tailored to the needs of both patient groups. A total of 75% of stakeholders supported symptom-based rather than disease-based rehabilitation for breathlessness with 89% believing that such services would be attractive for healthcare commissioners. A total of 87% thought patients with CHF could be exercised using COPD training principles and vice versa. A total of 81% felt community-based exercise training was safe for patients with severe CHF or COPD, but only 23% viewed manual-delivered rehabilitation an effective alternative to supervised exercise training. Although there was strong consensus that exercise training was a core component of rehabilitation in CHF and COPD populations, only 36% thought that this was the 'most important' component, highlighting the need for psychological and other non-exercise interventions for breathlessness. Patients with COPD and CHF face similar problems of breathlessness and disability on a background of multi-morbidity. Existing pulmonary and cardiac rehabilitation services should seek synergies to provide sufficient flexibility to accommodate all patients with COPD and CHF. Development of new services could consider adopting a patient-focused rather than disease-based approach. Exercise training is a core component, but rehabilitation should include other interventions to address dyspnoea, psychological and education needs of patients and needs of carers.

Indexed as

ConsensusDyspneaHeart FailureHumansPulmonary Disease, Chronic ObstructiveBreathlessnessconsensusCOPDheart failurerehabilitation

Identifiers

PMID27072018
PMCPMC5029782
OpenAlexW2341290626

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.