JAMA Clinical Reviews

Pulmonary Rehabilitation Guidelines for Adults With Chronic Respiratory Disease

16 snips
Feb 5, 2025
Michaela R. Anderson, an Assistant Professor of Medicine at the University of Pennsylvania and lead author on new pulmonary rehabilitation guidelines, engages with JAMA Associate Editor David Simel. They discuss the importance of personalized pulmonary rehabilitation for chronic respiratory diseases like COPD. Topics include essential components like tailored exercise training, the role of multidisciplinary teams, and innovative approaches like tele-rehabilitation. Anderson also highlights the cost-effectiveness of these programs, especially after COPD hospitalizations.
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ADVICE

Components of Pulmonary Rehab

  • Pulmonary rehabilitation programs are multidisciplinary and tailored to individual patient needs.
  • They typically include exercise training, education, and behavior change components.
ADVICE

Six-Minute Walk Test

  • Generalist physicians can conduct six-minute walk distance tests in their offices with minimal resources.
  • Measure the distance a patient walks in six minutes to assess functional capacity.
ADVICE

Pulmonary Rehab Candidates

  • Pulmonary rehabilitation benefits patients with stable COPD, post-COPD exacerbation, and interstitial lung disease.
  • It's conditionally recommended for pulmonary hypertension patients.
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