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Early Intervention of Pulmonary Rehabilitation for Fibrotic Interstitial Lung Disease Is a Favorable Factor for Short-Term Improvement in Health-Related Quality of Life
Patients with fibrosing interstitial lung disease (FILD) have poor health-related quality of life (HRQOL). We analyzed predictors of short-term improvement of HRQOL after starting pulmonary rehabilitation (PR) in moderate to severe FILD patients. This study involved 28 consecutive patients with FILD...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8305639/ https://www.ncbi.nlm.nih.gov/pubmed/34300319 http://dx.doi.org/10.3390/jcm10143153 |
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author | Matsuo, Satoshi Okamoto, Masaki Ikeuchi, Tomoyuki Zaizen, Yoshiaki Inomoto, Atsushi Haraguchi, Remi Mori, Shunichiro Sasaki, Retsu Nouno, Takashi Tanaka, Tomohiro Hoshino, Tomoaki Tsuda, Toru |
author_facet | Matsuo, Satoshi Okamoto, Masaki Ikeuchi, Tomoyuki Zaizen, Yoshiaki Inomoto, Atsushi Haraguchi, Remi Mori, Shunichiro Sasaki, Retsu Nouno, Takashi Tanaka, Tomohiro Hoshino, Tomoaki Tsuda, Toru |
author_sort | Matsuo, Satoshi |
collection | PubMed |
description | Patients with fibrosing interstitial lung disease (FILD) have poor health-related quality of life (HRQOL). We analyzed predictors of short-term improvement of HRQOL after starting pulmonary rehabilitation (PR) in moderate to severe FILD patients. This study involved 28 consecutive patients with FILD (20 males, median age of 77.5 years), who participated in PR program of our hospital for >6 weeks. The St. George’s Respiratory Questionnaire (SGRQ) score and the 6-min walk distance (6MWD) were evaluated before and after PR, and the predictors of efficacy of PR were analyzed. The duration from diagnosis of FILD to start of PR showed a positive correlation with the increase in the SGRQ score, and the baseline SGRQ score showed a negative correlation with increase in the 6MWD. The FILD subtype, modified Medical Research Council score, and treatment history were not associated with the endpoints. According to the receiver operating characteristic curve (ROC) analyses, starting PR within 514 days after diagnosis of FILD was a significant favorable predictor of improvement in the SGRQ total score more than a minimal clinically important difference of 4. In this study, early intervention of PR and lower SGRQ score were associated with the favorable response to PR. PR for FILD should be initiated early before the disease becomes severe. |
format | Online Article Text |
id | pubmed-8305639 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83056392021-07-25 Early Intervention of Pulmonary Rehabilitation for Fibrotic Interstitial Lung Disease Is a Favorable Factor for Short-Term Improvement in Health-Related Quality of Life Matsuo, Satoshi Okamoto, Masaki Ikeuchi, Tomoyuki Zaizen, Yoshiaki Inomoto, Atsushi Haraguchi, Remi Mori, Shunichiro Sasaki, Retsu Nouno, Takashi Tanaka, Tomohiro Hoshino, Tomoaki Tsuda, Toru J Clin Med Article Patients with fibrosing interstitial lung disease (FILD) have poor health-related quality of life (HRQOL). We analyzed predictors of short-term improvement of HRQOL after starting pulmonary rehabilitation (PR) in moderate to severe FILD patients. This study involved 28 consecutive patients with FILD (20 males, median age of 77.5 years), who participated in PR program of our hospital for >6 weeks. The St. George’s Respiratory Questionnaire (SGRQ) score and the 6-min walk distance (6MWD) were evaluated before and after PR, and the predictors of efficacy of PR were analyzed. The duration from diagnosis of FILD to start of PR showed a positive correlation with the increase in the SGRQ score, and the baseline SGRQ score showed a negative correlation with increase in the 6MWD. The FILD subtype, modified Medical Research Council score, and treatment history were not associated with the endpoints. According to the receiver operating characteristic curve (ROC) analyses, starting PR within 514 days after diagnosis of FILD was a significant favorable predictor of improvement in the SGRQ total score more than a minimal clinically important difference of 4. In this study, early intervention of PR and lower SGRQ score were associated with the favorable response to PR. PR for FILD should be initiated early before the disease becomes severe. MDPI 2021-07-16 /pmc/articles/PMC8305639/ /pubmed/34300319 http://dx.doi.org/10.3390/jcm10143153 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Matsuo, Satoshi Okamoto, Masaki Ikeuchi, Tomoyuki Zaizen, Yoshiaki Inomoto, Atsushi Haraguchi, Remi Mori, Shunichiro Sasaki, Retsu Nouno, Takashi Tanaka, Tomohiro Hoshino, Tomoaki Tsuda, Toru Early Intervention of Pulmonary Rehabilitation for Fibrotic Interstitial Lung Disease Is a Favorable Factor for Short-Term Improvement in Health-Related Quality of Life |
title | Early Intervention of Pulmonary Rehabilitation for Fibrotic Interstitial Lung Disease Is a Favorable Factor for Short-Term Improvement in Health-Related Quality of Life |
title_full | Early Intervention of Pulmonary Rehabilitation for Fibrotic Interstitial Lung Disease Is a Favorable Factor for Short-Term Improvement in Health-Related Quality of Life |
title_fullStr | Early Intervention of Pulmonary Rehabilitation for Fibrotic Interstitial Lung Disease Is a Favorable Factor for Short-Term Improvement in Health-Related Quality of Life |
title_full_unstemmed | Early Intervention of Pulmonary Rehabilitation for Fibrotic Interstitial Lung Disease Is a Favorable Factor for Short-Term Improvement in Health-Related Quality of Life |
title_short | Early Intervention of Pulmonary Rehabilitation for Fibrotic Interstitial Lung Disease Is a Favorable Factor for Short-Term Improvement in Health-Related Quality of Life |
title_sort | early intervention of pulmonary rehabilitation for fibrotic interstitial lung disease is a favorable factor for short-term improvement in health-related quality of life |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8305639/ https://www.ncbi.nlm.nih.gov/pubmed/34300319 http://dx.doi.org/10.3390/jcm10143153 |
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