Characteristics of People With Advanced Chronic Obstructive Pulmonary Disease (COPD) - A Multicenter Study

  • STATUS
    Recruiting
  • participants needed
    150
  • sponsor
    University Hospital Bispebjerg and Frederiksberg
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Updated on 16 February 2024
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pulmonary disease
forced expiratory volume
pulmonary rehabilitation
lung disorder

Summary

Pulmonary rehabilitation (PR) is a cornerstone of care for people with COPD. There is robust evidence that PR improves exercise capacity, enhances health-related quality of life (QoL) and reduces healthcare utilization. PR is strongly recommended in guidelines for COPD management. Despite the compelling evidence for its benefits, PR is delivered to less than 30% of people with COPD. Access is particularly challenging, an especially for those with the most progressed disease stages.

We recently completed a randomized clinical trial, showing that approximately 1.100 patients annually are offered conventional hospital-based PR during routine consultations in the Capital Region of Denmark, but at least 700 patients declines participation.

No major cohort studies have been published from people with severe and advanced COPD who opt out of traditional pulmonary rehabilitation. By establishing such cohort study, objective and qualitative knowledge from assessments and patient interviews is collected in patients we have very limited access to and knowledge of. Additionally, the collected data will give a deeper insight and understanding and possibly enable us to design new delivery models to be tested in proper study designs.

Description

Objective This cohort study aims to describe and understand differences and similarities in characteristics among people with severe and advanced COPD who opt-in or opt out of PR services.

The study includes data from: socio-demographic, anthropometric, physical (function, activity, muscle strength, balance) characteristics as well as self-reported symptoms of anxiety, depression, fatigue, pain, lung symptoms, quality of life, sleep-quality, mortality, hospitaladmissions, length of stay and qualitative patient interviews.

Data from our completed trial study (NCT02667171) will be used as the opt-in PR comparison cohort.

Details
Condition Chronic Obstructive Lung Disease, Chronic Obstructive Lung Disease
Age 18years - 100years
Treatment No Intervention, just observation
Clinical Study IdentifierNCT04249388
SponsorUniversity Hospital Bispebjerg and Frederiksberg
Last Modified on16 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

Clinical diagnosis of COPD defined as a ratio of forced expiratory volume at one second (FEV1) to forced vital capacity < 0.70
FEV1 <50%, corresponding to severe or very severe COPD
Symptoms equivalent to the Medical Research Council (MRC) from 2 to 5
Declines to participate in a conventional out-patient hospital-based PR program

Exclusion Criteria

Concurrent participation in or recent completion of pulmonary rehabilitation within the last twelve months
Dementia/ Cognitive impairment or uncontrolled psychiatric illness
An impaired hearing and / or vision which causes the instructions in the assessment is not understood
language difficulties which causes inability to follow instruction or complete patient reported outcome measures (PROM.)
Any comorbidity that are contraindicated to the assesment protocol
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