Key result
Health-related quality of life, exercise capacity, and symptom evaluation were ranked by 18 stakeholders as the most important categories to assess in combined COPD and CHF exercise rehabilitation.
Why the study?
Combined exercise rehabilitation for COPD and CHF is potentially attractive, but uncertainty remains regarding which baseline profiling assessments and outcome measures should be collected within a programme.
Stakeholders identified health-related quality of life, exercise capacity, and symptom evaluation as the most important outcome measures for combined COPD and CHF exercise rehabilitation programs.
Stakeholder consensus on outcome measures for combined COPD-CHF rehab is hypothesis-generating; prospective validation needed before clinical adoption.
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.
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Jones et al. (2019) studied Chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) (n=18). Outcome measure prioritization was evaluated on Prioritization of outcome measures and baseline patient evaluation measures. Health-related quality of life, exercise capacity, and symptom evaluation were ranked by 18 stakeholders as the most important categories to assess in combined COPD and CHF exercise rehabilitation.
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