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Development of an integral assessment approach of health status in patients with obstructive airway diseases: the CORONA study.

van den Akker EF, van 't Hul AJ, Chavannes NH, Braunstahl GJ, van Bruggen A, Rutten-van Mölken MP, In 't Veen JC - Int J Chron Obstruct Pulmon Dis (2015)

Bottom Line: Traditional assessment of patients with obstructive lung diseases (asthma and chronic obstructive pulmonary disease; COPD) relies on physiological tests.An eight-step method was used to develop and implement the pathway for patients with asthma or COPD referred to an outpatient hospital setting.As this pathway aims to provide a comprehensive analysis of health status, it focuses on biomedical aspects and also reviews behavioral aspects that further elucidate the patient's health status.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Diseases, STZ Center of Excellence for Asthma & COPD, Sint Franciscus Gasthuis, Rotterdam, the Netherlands.

ABSTRACT

Background: Traditional assessment of patients with obstructive lung diseases (asthma and chronic obstructive pulmonary disease; COPD) relies on physiological tests. The COPD and Asthma Rotterdam Integrated Care Approach (CORONA) study aims to develop a diagnostic pathway with a more comprehensive approach to the assessment of patients with asthma and COPD in secondary care.

Methods: An eight-step method was used to develop and implement the pathway for patients with asthma or COPD referred to an outpatient hospital setting.

Results: The diagnostic pathway consists of an evidence-based set of measurements prioritized by a Delphi procedure. The pathway incorporates three innovative diagnostics: the metronome-paced hyperventilation test to measure dynamic hyperinflation, an activity monitor to objectively evaluate physical activity in daily life, and the Nijmegen Clinical Screening Instrument as a comprehensive assessment tool to acquire detailed insight into symptoms, functional limitations, and quality of life.

Conclusion: An innovative diagnostic pathway was developed and implemented for patients with obstructive lung diseases referred to secondary care. As this pathway aims to provide a comprehensive analysis of health status, it focuses on biomedical aspects and also reviews behavioral aspects that further elucidate the patient's health status. The added value of the diagnostic pathway needs to be determined from both an organizational perspective and from the individual patient's viewpoint.

No MeSH data available.


Related in: MedlinePlus

Flowchart of the diagnostic pathway.Abbreviations: ACQ, Asthma Control Questionnaire; GP, general practitioner; MRC, Medical Research Council; CCQ, Clinical COPD Questionnaire; 6-MWD, 6-minute walk distance; MM, move monitor; PAL, physical activity level.
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f2-copd-10-2413: Flowchart of the diagnostic pathway.Abbreviations: ACQ, Asthma Control Questionnaire; GP, general practitioner; MRC, Medical Research Council; CCQ, Clinical COPD Questionnaire; 6-MWD, 6-minute walk distance; MM, move monitor; PAL, physical activity level.

Mentions: The diagnostic pathway was implemented for patients with asthma and COPD (Figure 2).


Development of an integral assessment approach of health status in patients with obstructive airway diseases: the CORONA study.

van den Akker EF, van 't Hul AJ, Chavannes NH, Braunstahl GJ, van Bruggen A, Rutten-van Mölken MP, In 't Veen JC - Int J Chron Obstruct Pulmon Dis (2015)

Flowchart of the diagnostic pathway.Abbreviations: ACQ, Asthma Control Questionnaire; GP, general practitioner; MRC, Medical Research Council; CCQ, Clinical COPD Questionnaire; 6-MWD, 6-minute walk distance; MM, move monitor; PAL, physical activity level.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644182&req=5

f2-copd-10-2413: Flowchart of the diagnostic pathway.Abbreviations: ACQ, Asthma Control Questionnaire; GP, general practitioner; MRC, Medical Research Council; CCQ, Clinical COPD Questionnaire; 6-MWD, 6-minute walk distance; MM, move monitor; PAL, physical activity level.
Mentions: The diagnostic pathway was implemented for patients with asthma and COPD (Figure 2).

Bottom Line: Traditional assessment of patients with obstructive lung diseases (asthma and chronic obstructive pulmonary disease; COPD) relies on physiological tests.An eight-step method was used to develop and implement the pathway for patients with asthma or COPD referred to an outpatient hospital setting.As this pathway aims to provide a comprehensive analysis of health status, it focuses on biomedical aspects and also reviews behavioral aspects that further elucidate the patient's health status.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Diseases, STZ Center of Excellence for Asthma & COPD, Sint Franciscus Gasthuis, Rotterdam, the Netherlands.

ABSTRACT

Background: Traditional assessment of patients with obstructive lung diseases (asthma and chronic obstructive pulmonary disease; COPD) relies on physiological tests. The COPD and Asthma Rotterdam Integrated Care Approach (CORONA) study aims to develop a diagnostic pathway with a more comprehensive approach to the assessment of patients with asthma and COPD in secondary care.

Methods: An eight-step method was used to develop and implement the pathway for patients with asthma or COPD referred to an outpatient hospital setting.

Results: The diagnostic pathway consists of an evidence-based set of measurements prioritized by a Delphi procedure. The pathway incorporates three innovative diagnostics: the metronome-paced hyperventilation test to measure dynamic hyperinflation, an activity monitor to objectively evaluate physical activity in daily life, and the Nijmegen Clinical Screening Instrument as a comprehensive assessment tool to acquire detailed insight into symptoms, functional limitations, and quality of life.

Conclusion: An innovative diagnostic pathway was developed and implemented for patients with obstructive lung diseases referred to secondary care. As this pathway aims to provide a comprehensive analysis of health status, it focuses on biomedical aspects and also reviews behavioral aspects that further elucidate the patient's health status. The added value of the diagnostic pathway needs to be determined from both an organizational perspective and from the individual patient's viewpoint.

No MeSH data available.


Related in: MedlinePlus