Profiling of Patients with COPD for Adequate Referral to Exercise-Based Care: The Dutch Model

Martijn A. Spruit*, Alex Van't Hul, Hilde L. Vreeken, Emmylou Beekman, Maria H. T. Post, Guus A. Meerhoff, Anne-Loes Van der Valk, Cor Zagers, Maurice J. H. Sillen, Martijn Vooijs, Jan Custers, Jean Muris, Daniel Langer, Jos Donkers, Marleen Bregman, Leendert Tissink, Erik Bergkamp, Johan Wempe, Sarah Houben-Wilke, Ingrid M. L. AugustinEline Bij de Vaate, Frits F. M. Franssen, Dirk Van Ranst, Hester Van der Vaart, Jeanine Antons, Mitchell Van Doormaal, Eleonore H. Koolen, Philip Van der Wees, Renee Van Snippenburg, Daisy J. A. Janssen, Sami Simons

*Bijbehorende auteur voor dit werk

    OnderzoeksoutputAcademicpeer review

    16 Citaten (Scopus)
    61 Downloads (Pure)


    A loss of physical functioning (i.e., a low physical capacity and/or a low physical activity) is a common feature in patients with chronic obstructive pulmonary disease (COPD). To date, the primary care physiotherapy and specialized pulmonary rehabilitation are clearly underused, and limited to patients with a moderate to very severe degree of airflow limitation (GOLD stage 2 or higher). However, improved referral rates are a necessity to lower the burden for patients with COPD and for society. Therefore, a multidisciplinary group of healthcare professionals and scientists proposes a new model for referral of patients with COPD to the right type of exercise-based care, irrespective of the degree of airflow limitation. Indeed, disease instability (recent hospitalization, yes/no), the burden of disease (no/low, mild/moderate or high), physical capacity (low or preserved) and physical activity (low or preserved) need to be used to allocate patients to one of the six distinct patient profiles. Patients with profile 1 or 2 will not be referred for physiotherapy; patients with profiles 3-5 will be referred for primary care physiotherapy; and patients with profile 6 will be referred for screening for specialized pulmonary rehabilitation. The proposed Dutch model has the intention to get the right patient with COPD allocated to the right type of exercise-based care and at the right moment.

    Originele taal-2English
    Pagina's (van-tot)1421-1429
    Aantal pagina's9
    TijdschriftSports Medicine
    Nummer van het tijdschrift8
    StatusPublished - aug.-2020

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