Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease

Publication Date: August 14, 2023
Last Updated: September 25, 2023

Recommendations

Recommendation 1

For adults with stable chronic respiratory disease (COPD), we recommend participation in pulmonary rehabilitation. (Moderate, Strong Recommendation)
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Recommendation 2

For adults with COPD, we recommend participation in pulmonary rehabilitation following hospitalization for an exacerbation of COPD. (Moderate, Strong Recommendation)
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Recommendation 3

For adults with interstitial lung disease (ILD), we recommend participation in pulmonary rehabilitation. (Moderate, Strong Recommendation)
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Recommendation 4

For adults with pulmonary hypertension, we suggest participation in pulmonary rehabilitation. (Low, Conditional Recommendation)
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Recommendation 5

For adults with stable CRD, we recommend offering the choice of center-based pulmonary rehabilitation or telerehabilitation. (Moderate, Strong Recommendation)
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Recommendation 6

For adults with COPD, we suggest either supervised maintenance pulmonary rehabilitation or usual care after initial pulmonary rehabilitation. (Low, Conditional Recommendation)
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Recommendation Grading

Disclaimer

The information in this patient summary should not be used as a substitute for professional medical care or advice. Contact a health care provider if you have questions about your health.

Overview

Title

Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease

Authoring Organization

American Thoracic Society

Publication Month/Year

August 14, 2023

Last Updated Month/Year

October 4, 2024

Supplemental Implementation Tools

Document Type

Guideline

Country of Publication

US

Document Objectives

This CPG provides an evidence-based framework for evaluating and managing care for patients with COPD toward improving clinical outcomes. Successful implementation of this CPG will:

  • Assess the patient’s condition and collaborate with the patient, family, and caregivers to determine optimal management of patient care
  • Emphasize the use of patient-centered care using individual risk factors and event history
  • Minimize preventable complications and morbidity
  • Optimize individual health outcomes and quality of life (QoL)

Target Patient Population

Patients with chronic respiratory disease

Target Provider Population

Providers providing care to patients with chronic respiratory disease

PICO Questions

  1. In patients with suspected or diagnosed COPD, what is the evidence that using spirometry or repeat spirometry, symptom severity, risk of exacerbations, GOLD classification, and comorbidities, alone or in combination, improves diagnosis, clinical classification, treatment planning, clinician adherence to treatment protocols, and diagnostic accuracy?

  2. In patients with confirmed diagnosis of COPD, is there evidence to support criteria for intensive/advanced therapy?

  3. In patients with confirmed COPD who have other clinical indication(s) for beta-blocker treatment, what is the evidence of benefits and/or harms with use of these agents?

Inclusion Criteria

Adult, Older adult

Health Care Settings

Ambulatory, Home health, Outpatient

Intended Users

Nurse, nurse practitioner, physician, physician assistant, respiratory therapist

Scope

Rehabilitation

Diseases/Conditions (MeSH)

D006976 - Hypertension, Pulmonary, D015619 - Respiratory System Abnormalities

Keywords

pulmonary hypertension, chronic obstructive pulmonary disease (COPD), chronic respiratory disease, pulmonary rehabilitation, exacerbation of COPD, interstitial lung disease (ILD), telerehabilitation

Source Citation

Rochester CL, Alison JA, Carlin B, et al. Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease: An official ATS Clinical Practice Guideline. Am J Respir Crit Care Med. 2023;208(4):x506. doi:10.1164/rccm.202306-1066ST

Supplemental Methodology Resources

Data Supplement