[Pulmonary rehabilitation in patients with chronic obstructive pulmonary disease].
Management of COPD has underscored the systemic dimension of the disease, but pulmonary rehabilitation is now recognised as a cornerstone of the treatment of COPD. A multidisciplinary team is needed where the general practitioner has a central role as a coordinator. The efficacy of pulmonary rehabilitation in decreasing dyspnea, improving endurance capacity, quality of life, reducing health related costs, is evidenced based with the highest degree of validation. Modalities regarding the setting: (in-based, out-based, or at home) are not precisely delineated but results are comparable. Finally, resources dedicated to pulmonary rehabilitation are inadequate regarding the growing demand.
Ouksel
Hakima
H
Service de pneumologie, CHU Angers, 49100 Angers.
Pison
Christophe
C
D003363:Cost Control; D004417:Dyspnea; D017048:Health Care Costs / Q000706:statistics & numerical data; D006801:Humans; D010348:Patient Care Team; D010807:Physical Endurance; D029424:Pulmonary Disease, Chronic Obstructive / Q000534:rehabilitation*; D011788:Quality of Life; D012138:Respiratory Therapy / Q000191:economics / Q000379:methods*