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Abstract

Background and objective: The aim of the PulmonaryRehabilitation Guidelines (Guidelines) is to provideevidence-based recommendations for the practice ofpulmonary rehabilitation (PR) specific to Australianand New Zealand healthcare contexts.Methods: The Guideline methodology adhered to theAppraisal of Guidelines for Research and Evaluation(AGREE) II criteria. Nine key questions were constructedin accordance with the PICO (Population,Intervention, Comparator, Outcome) format andreviewed by a COPD consumer group for appropriateness.Systematic reviews were undertaken for eachquestion and recommendations made with the strengthof each recommendation based on the GRADE(Gradings of Recommendations, Assessment, Developmentand Evaluation) criteria. The Guidelines wereexternally reviewed by a panel of experts.Results: The Guideline panel recommended thatpatients with mild-to-severe COPD should undergo PRto improve quality of life and exercise capacity and toreduce hospital admissions; that PR could be offered inhospital gyms, community centres or at home and couldbe provided irrespective of the availability of a structurededucation programme; that PR should be offeredto patients with bronchiectasis, interstitial lung diseaseand pulmonary hypertension, with the latter in specializedcentres. The Guideline panel was unable to makerecommendations relating to PR programme lengthbeyond 8 weeks, the optimal model for maintenance afterPR, or the use of supplemental oxygen during exercisetraining. The strength of each recommendation and thequality of the evidence are presented in the summary.Conclusion: The Australian and New Zealand PulmonaryRehabilitation Guidelines present an evaluation of theevidence for nine PICO questions, with recommendationsto provide guidance for clinicians and policymakers.

Item Type:	Article
Authors/Creators:	Alison, JA and McKeough, ZJ and Johnston, K and McNamara, RJ and Spencer, LM and Jenkins, SC and Hill, CJ and McDonald, VM and Frith, P and Cafarella, P and Brooke, M and Cameron-Tucker, HL and Candy, S and Cecins, N and Chan, ASL and Dale, MT and Dowman, LM and Granger, C and Halloran, S and Jung, P and Lee, AL and Leung, R and Matulick, T and Osadnik, C and Roberts, M and Walsh, J and Wootton, S and Holland, AE
Keywords:	bronchiectasis, chronic obstructive pulmonary disease, exercise and pulmonary rehabilitation, guidelines, interstitial lung disease
Journal or Publication Title:	Respirology
Publisher:	Wiley-Blackwell Publishing Asia
ISSN:	1323-7799
DOI / ID Number:	https://doi.org/10.1111/resp.13025
Copyright Information:	Copyright 2017 The Authors
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