BACKGROUND: Pulmonary rehabilitation (PR) is recognized as the prevailing standard of care for patients with chronic respiratory conditions. National surveys of PR programs provide important information regarding the structure, content and organization of these programs. OBJECTIVE: To conduct a national survey to characterize adult PR across Canada, in terms of program distribution, utilization, content and outcome measures. METHODS: A cross-sectional descriptive study in which questionnaires were mailed to PR programs connected with hospitals or identified through the Canadian Lung Association was performed. RESULTS: Of the 98 PR programs identified, over 90% of patients in the programs had chronic obstructive pulmonary disease (COPD) and 57% of the programs were outpatient. Inpatient programs accounted for only 10% of the total. The main program components included supervised lower extremity strength (77%), cycle (72%) and treadmill (70%) training, education (75%) and breathing retraining (68%). Over 80% of patients completed their programs and 90% of patients were enrolled in a follow-up component. Physical therapists, dieticians, respiratory therapists and respirologists were the most commonly identified health care providers. The most commonly used outcome measures were the 6 min walk test and disease-specific quality of life questionnaires. CONCLUSION: There were similarities in program format, content, staffing, follow-up and funding among Canadian PR programs. The marked shortfall between the national PR capacity and the prevalence of COPD meant that only 1.2% of the COPD population had access to PR.
BACKGROUND: Pulmonary rehabilitation (PR) is recognized as the prevailing standard of care for patients with chronic respiratory conditions. National surveys of PR programs provide important information regarding the structure, content and organization of these programs. OBJECTIVE: To conduct a national survey to characterize adult PR across Canada, in terms of program distribution, utilization, content and outcome measures. METHODS: A cross-sectional descriptive study in which questionnaires were mailed to PR programs connected with hospitals or identified through the Canadian Lung Association was performed. RESULTS: Of the 98 PR programs identified, over 90% of patients in the programs had chronic obstructive pulmonary disease (COPD) and 57% of the programs were outpatient. Inpatient programs accounted for only 10% of the total. The main program components included supervised lower extremity strength (77%), cycle (72%) and treadmill (70%) training, education (75%) and breathing retraining (68%). Over 80% of patients completed their programs and 90% of patients were enrolled in a follow-up component. Physical therapists, dieticians, respiratory therapists and respirologists were the most commonly identified health care providers. The most commonly used outcome measures were the 6 min walk test and disease-specific quality of life questionnaires. CONCLUSION: There were similarities in program format, content, staffing, follow-up and funding among Canadian PR programs. The marked shortfall between the national PR capacity and the prevalence of COPD meant that only 1.2% of the COPD population had access to PR.
Authors: François Maltais; Jean Bourbeau; Yves Lacasse; Stan Shapiro; Hélène Perrault; John R Penrod; Marc Baltzan; Michel Rouleau; Marcel Julien; Bruno Paradis; Richard Audet; Paul Hernandez; Robert D Levy; Pat Camp; Richard Lecours; Danielle Picard; Sarah Bernard Journal: Can Respir J Date: 2005 May-Jun Impact factor: 2.409
Authors: Denis E O'Donnell; Shawn Aaron; Jean Bourbeau; Paul Hernandez; Darcy Marciniuk; Meyer Balter; Gordon Ford; Andre Gervais; Roger Goldstein; Rick Hodder; Francois Maltais; Jeremy Road; Valoree McKay; Jennifer Schenkel; Annon Ariel; Anna Day; Yves Lacasse; Robert Levy; Dale Lien; John Miller; Graeme Rocker; Tasmin Sinuff; Paula Stewart; Nha Voduc; Raja Abboud; Amnon Ariel; Margo Becklake; Elizabeth Borycki; Dina Brooks; Shirley Bryan; Luanne Calcutt; Ken Chapman; Nozhat Choudry; Alan Couet; Steven Coyle; Arthur Craig; Ian Crawford; Mervyn Dean; Ronald Grossman; Jan Haffner; Daren Heyland; Donna Hogg; Martin Holroyde; Alan Kaplan; John Kayser; Dale Lein; Josiah Lowry; Les McDonald; Alan MacFarlane; Andrew McIvor; John Rea; Darlene Reid; Michel Rouleau; Lorelei Samis; Don Sin; Katherine Vandemheen; J A Wedzicha; Karl Weiss Journal: Can Respir J Date: 2004 Jul-Aug Impact factor: 2.409
Authors: Pat G Camp; Paul Hernandez; Jean Bourbeau; Ashley Kirkham; Richard Debigare; Michael K Stickland; Donna Goodridge; Darcy D Marciniuk; Jeremy D Road; Mohit Bhutani; Gail Dechman Journal: Can Respir J Date: 2015-04-07 Impact factor: 2.409
Authors: K Chandra; G Blackhouse; B R McCurdy; M Bornstein; K Campbell; V Costa; J Franek; K Kaulback; L Levin; S Sehatzadeh; N Sikich; M Thabane; R Goeree Journal: Ont Health Technol Assess Ser Date: 2012-03-01
Authors: Esther Dajczman; Rima Wardini; Goulnar Kasymjanova; David Préfontaine; Marc Alexander Baltzan; Norman Wolkove Journal: Can Respir J Date: 2015 Jul-Aug Impact factor: 2.409