Evidence map›Paper›PMID 32333261›Full record

ArticleSports medicine (Auckland, N.Z.)2020

Profiling of Patients with COPD for Adequate Referral to Exercise-Based Care: The Dutch Model.

Martijn A Spruit, Alex Van't Hul, Hilde L Vreeken, Emmylou Beekman, Maria H T Post, Guus A Meerhoff, Anne-Loes Van der Valk, Cor Zagers, Maurice J H Sillen, Martijn Vooijs and 21 more

Abstract read
In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Trial
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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

31 authors.

Martijn A SpruitDepartment of Research and Development, CIRO+, Horn, The Netherlands. martijnspruit@ciro-horn.nl.ORCID http://orcid.org/0000-0003-3822-7430
Alex Van't HulDepartment of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Hilde L VreekenRoyal Dutch Society for Physical Therapy (KNGF), Amersfoort, The Netherlands.
Emmylou BeekmanRoyal Dutch Society for Physical Therapy (KNGF), Amersfoort, The Netherlands.
Maria H T PostAssociation of Exercise Therapy Cesar and Mensendieck (VvOCM), Utrecht, The Netherlands.
Guus A MeerhoffRoyal Dutch Society for Physical Therapy (KNGF), Amersfoort, The Netherlands.
Anne-Loes Van der ValkFysioCompany Van Mourik & Van Der Valk, 's-Hertogenbosch, The Netherlands.
Cor ZagersFysiotherapiecentrum Lombok, Utrecht, The Netherlands.
Maurice J H SillenDepartment of Research and Development, CIRO+, Horn, The Netherlands.
Martijn VooijsDepartment of Pulmonary Rehabilitation, Basalt Rehabilitation, Leiden, The Netherlands.
Jan CustersInstitute of Human Movement Studies, University of Applied Science, Utrecht, The Netherlands.
Jean MurisDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht, The Netherlands.
Daniel LangerDepartment of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Research Group for Rehabilitation in Internal Disorders, Leuven, KU, Belgium.
Jos Donkers, Horn, The Netherlands.
Marleen BregmanDepartment of Physiotherapy, Merem Medische Revalidatie, Hilversum, The Netherlands.
Leendert TissinkFysioHolland-Jofib, Oud Gastel, The Netherlands.
Erik BergkampDepartment of Physiotherapy, Spaarne Gasthuis, Haarlem, The Netherlands.
Johan WempeCenter for Rahabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Sarah Houben-WilkeDepartment of Research and Development, CIRO+, Horn, The Netherlands.
Ingrid M L AugustinDepartment of Research and Development, CIRO+, Horn, The Netherlands.
Eline Bij de VaateMerem Medische Revalidatie, Hilversum, The Netherlands.
Frits F M FranssenDepartment of Research and Development, CIRO+, Horn, The Netherlands.
Dirk Van RanstRevant, Breda, The Netherlands.
Hester Van der VaartDepartment of Pulmonary Diseases and Tuberculosis, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Jeanine AntonsDepartment of Pulmonary Diseases, Radboudumc Dekkerswald, Nijmegen, The Netherlands.
Mitchell Van DoormaalRoyal Dutch Society for Physical Therapy (KNGF), Amersfoort, The Netherlands.
Eleonore H KoolenDepartment of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, The Netherlands.
Philip Van der WeesDepartment of Rehabilitation and IQ Healthcare, Radboudumc, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
Renée Van SnippenburgSaltro Diagnostic Center, Utrecht, The Netherlands.
Daisy J A JanssenDepartment of Research and Development, CIRO+, Horn, The Netherlands.
Sami SimonsDepartment of Respiratory Medicine, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A loss of physical functioning (i.e., a low physical capacity and/or a low physical activity) is a common feature in patients with chronic obstructive pulmonary disease (COPD). To date, the primary care physiotherapy and specialized pulmonary rehabilitation are clearly underused, and limited to patients with a moderate to very severe degree of airflow limitation (GOLD stage 2 or higher). However, improved referral rates are a necessity to lower the burden for patients with COPD and for society. Therefore, a multidisciplinary group of healthcare professionals and scientists proposes a new model for referral of patients with COPD to the right type of exercise-based care, irrespective of the degree of airflow limitation. Indeed, disease instability (recent hospitalization, yes/no), the burden of disease (no/low, mild/moderate or high), physical capacity (low or preserved) and physical activity (low or preserved) need to be used to allocate patients to one of the six distinct patient profiles. Patients with profile 1 or 2 will not be referred for physiotherapy; patients with profiles 3-5 will be referred for primary care physiotherapy; and patients with profile 6 will be referred for screening for specialized pulmonary rehabilitation. The proposed Dutch model has the intention to get the right patient with COPD allocated to the right type of exercise-based care and at the right moment.

Indexed as

Exercise TherapyPhysical Therapy ModalitiesAdvisory CommitteesCost of IllnessHumansNetherlandsPractice Guidelines as TopicPulmonary Disease, Chronic ObstructiveReferral and Consultation

Identifiers

PMID32333261
PMCPMC7375985

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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.