Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project

Nina Skavlan Godtfredsen; Ove Grann; Hanne Bormann Larsen; Tina Brandt Sørensen; Marie Lavesen; Birthe Pors; Lone Sander Dalsgaard; Luise Cederkvist Kristiansen; Klaus Kaae Andersen; Jens Dollerup

doi:10.1111/j.1752-699x.2011.00272.x

Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project

Nina Skavlan Godtfredsen, Ove Grann, Hanne Bormann Larsen, Tina Brandt Sørensen, Marie Lavesen, Birthe Pors, Lone Sander Dalsgaard, Luise Cederkvist Kristiansen, Klaus Kaae Andersen, Jens Dollerup

6 Citations (Scopus)

Abstract

Background: Implementation of pulmonary rehabilitation in primary health care in Denmark is a new challenge in the management of patients with chronic obstructive pulmonary disease (COPD). Objectives: To assess the feasibility of introducing a nationwide web-based tool for data recording and quality assurance in the rehabilitation programmes and to evaluate whether patients are referred correctly according to Danish guidelines for community based COPD rehabilitation. Methods: Participation in the KOALA project has been offered to the municipalities since October 2007. As of October 2010, 62 health-care centres have been invited to participate. We present summary statistics and correlation analyses of the 1699 patients who have been enrolled so far. Results: Thirty-three municipalities are currently engaged in the KOALA project. Descriptive analyses reveal that 33% of the patients do not meet the criteria for pulmonary rehabilitation in terms of dyspnoea upon exertion at the baseline visit. Furthermore, information on severity of COPD is missing for 18% of the attendants. The majority of the referred patients have moderate COPD, which is in accordance with the intentions of rehabilitation in the community. Statistical analyses show that COPD-level and grade of dyspnoea are positively correlated and expose significant correlations between both COPD-level and dyspnoea and 6 minutes walking distance (6MWD), incremental shuttle walk distance (ISWT) and quality of life. Conclusions: We conclude that the municipalities in general are interested in the KOALA project as a mean of data recording and sharing and as a quality instrument. Summary statistics show that there is room for improvement in referral and baseline assessments of patients suitable for pulmonary rehabilitation in a community setting. Please cite this paper as: Godtfredsen NS, Grann O, Larsen HB, Sørensen TB, Lavesen M, Pors B, Dalsgaard LS, Kristiansen LC, Andersen KK and Dollerup J. Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project.

Original language	English
Journal	Clinical Respiratory Journal
Volume	6
Issue number	3
Pages (from-to)	186-192
Number of pages	7
ISSN	1752-6981
DOIs	https://doi.org/10.1111/j.1752-699x.2011.00272.x
Publication status	Published - Jul 2012

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Godtfredsen, N. S., Grann, O., Larsen, H. B., Sørensen, T. B., Lavesen, M., Pors, B., Dalsgaard, L. S., Kristiansen, L. C., Andersen, K. K., & Dollerup, J. (2012). Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project. Clinical Respiratory Journal, 6(3), 186-192. https://doi.org/10.1111/j.1752-699x.2011.00272.x

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title = "Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project",

abstract = "Background: Implementation of pulmonary rehabilitation in primary health care in Denmark is a new challenge in the management of patients with chronic obstructive pulmonary disease (COPD). Objectives: To assess the feasibility of introducing a nationwide web-based tool for data recording and quality assurance in the rehabilitation programmes and to evaluate whether patients are referred correctly according to Danish guidelines for community based COPD rehabilitation. Methods: Participation in the KOALA project has been offered to the municipalities since October 2007. As of October 2010, 62 health-care centres have been invited to participate. We present summary statistics and correlation analyses of the 1699 patients who have been enrolled so far. Results: Thirty-three municipalities are currently engaged in the KOALA project. Descriptive analyses reveal that 33% of the patients do not meet the criteria for pulmonary rehabilitation in terms of dyspnoea upon exertion at the baseline visit. Furthermore, information on severity of COPD is missing for 18% of the attendants. The majority of the referred patients have moderate COPD, which is in accordance with the intentions of rehabilitation in the community. Statistical analyses show that COPD-level and grade of dyspnoea are positively correlated and expose significant correlations between both COPD-level and dyspnoea and 6 minutes walking distance (6MWD), incremental shuttle walk distance (ISWT) and quality of life. Conclusions: We conclude that the municipalities in general are interested in the KOALA project as a mean of data recording and sharing and as a quality instrument. Summary statistics show that there is room for improvement in referral and baseline assessments of patients suitable for pulmonary rehabilitation in a community setting. Please cite this paper as: Godtfredsen NS, Grann O, Larsen HB, S{\o}rensen TB, Lavesen M, Pors B, Dalsgaard LS, Kristiansen LC, Andersen KK and Dollerup J. Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project.",

author = "Godtfredsen, {Nina Skavlan} and Ove Grann and Larsen, {Hanne Bormann} and S{\o}rensen, {Tina Brandt} and Marie Lavesen and Birthe Pors and Dalsgaard, {Lone Sander} and Kristiansen, {Luise Cederkvist} and Andersen, {Klaus Kaae} and Jens Dollerup",

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year = "2012",

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doi = "10.1111/j.1752-699x.2011.00272.x",

language = "English",

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T1 - Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project

AU - Godtfredsen, Nina Skavlan

AU - Grann, Ove

AU - Larsen, Hanne Bormann

AU - Sørensen, Tina Brandt

AU - Lavesen, Marie

AU - Pors, Birthe

AU - Dalsgaard, Lone Sander

AU - Kristiansen, Luise Cederkvist

AU - Andersen, Klaus Kaae

AU - Dollerup, Jens

PY - 2012/7

Y1 - 2012/7

N2 - Background: Implementation of pulmonary rehabilitation in primary health care in Denmark is a new challenge in the management of patients with chronic obstructive pulmonary disease (COPD). Objectives: To assess the feasibility of introducing a nationwide web-based tool for data recording and quality assurance in the rehabilitation programmes and to evaluate whether patients are referred correctly according to Danish guidelines for community based COPD rehabilitation. Methods: Participation in the KOALA project has been offered to the municipalities since October 2007. As of October 2010, 62 health-care centres have been invited to participate. We present summary statistics and correlation analyses of the 1699 patients who have been enrolled so far. Results: Thirty-three municipalities are currently engaged in the KOALA project. Descriptive analyses reveal that 33% of the patients do not meet the criteria for pulmonary rehabilitation in terms of dyspnoea upon exertion at the baseline visit. Furthermore, information on severity of COPD is missing for 18% of the attendants. The majority of the referred patients have moderate COPD, which is in accordance with the intentions of rehabilitation in the community. Statistical analyses show that COPD-level and grade of dyspnoea are positively correlated and expose significant correlations between both COPD-level and dyspnoea and 6 minutes walking distance (6MWD), incremental shuttle walk distance (ISWT) and quality of life. Conclusions: We conclude that the municipalities in general are interested in the KOALA project as a mean of data recording and sharing and as a quality instrument. Summary statistics show that there is room for improvement in referral and baseline assessments of patients suitable for pulmonary rehabilitation in a community setting. Please cite this paper as: Godtfredsen NS, Grann O, Larsen HB, Sørensen TB, Lavesen M, Pors B, Dalsgaard LS, Kristiansen LC, Andersen KK and Dollerup J. Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project.

AB - Background: Implementation of pulmonary rehabilitation in primary health care in Denmark is a new challenge in the management of patients with chronic obstructive pulmonary disease (COPD). Objectives: To assess the feasibility of introducing a nationwide web-based tool for data recording and quality assurance in the rehabilitation programmes and to evaluate whether patients are referred correctly according to Danish guidelines for community based COPD rehabilitation. Methods: Participation in the KOALA project has been offered to the municipalities since October 2007. As of October 2010, 62 health-care centres have been invited to participate. We present summary statistics and correlation analyses of the 1699 patients who have been enrolled so far. Results: Thirty-three municipalities are currently engaged in the KOALA project. Descriptive analyses reveal that 33% of the patients do not meet the criteria for pulmonary rehabilitation in terms of dyspnoea upon exertion at the baseline visit. Furthermore, information on severity of COPD is missing for 18% of the attendants. The majority of the referred patients have moderate COPD, which is in accordance with the intentions of rehabilitation in the community. Statistical analyses show that COPD-level and grade of dyspnoea are positively correlated and expose significant correlations between both COPD-level and dyspnoea and 6 minutes walking distance (6MWD), incremental shuttle walk distance (ISWT) and quality of life. Conclusions: We conclude that the municipalities in general are interested in the KOALA project as a mean of data recording and sharing and as a quality instrument. Summary statistics show that there is room for improvement in referral and baseline assessments of patients suitable for pulmonary rehabilitation in a community setting. Please cite this paper as: Godtfredsen NS, Grann O, Larsen HB, Sørensen TB, Lavesen M, Pors B, Dalsgaard LS, Kristiansen LC, Andersen KK and Dollerup J. Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project.

U2 - 10.1111/j.1752-699x.2011.00272.x

DO - 10.1111/j.1752-699x.2011.00272.x

M3 - Journal article

C2 - 22081963

SN - 1752-6981

VL - 6

SP - 186

EP - 192

JO - Clinical Respiratory Journal

JF - Clinical Respiratory Journal

IS - 3

ER -

Chronic obstructive pulmonary disease (COPD) rehabilitation at primary health-care centres - the KOALA project

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