Blog
About

8
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

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

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          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.

          Related collections

          Most cited references 22

          • Record: found
          • Abstract: not found
          • Article: not found

          How should we define health?

            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Global strategy for asthma management and prevention

              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Goal-oriented patient care--an alternative health outcomes paradigm.

                Bookmark

                Author and article information

                Journal
                Int J Chron Obstruct Pulmon Dis
                Int J Chron Obstruct Pulmon Dis
                International Journal of COPD
                International Journal of Chronic Obstructive Pulmonary Disease
                Dove Medical Press
                1176-9106
                1178-2005
                2015
                06 November 2015
                : 10
                : 2413-2422
                Affiliations
                [1 ]Department of Pulmonary Diseases, STZ Center of Excellence for Asthma & COPD, Sint Franciscus Gasthuis, Rotterdam, the Netherlands
                [2 ]Department of Pulmonary Disease, Radboud University Medical Center, Nijmegen, the Netherlands
                [3 ]Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands
                [4 ]Department of Health Care Policy and Management, Institute of Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, the Netherlands
                Author notes
                Correspondence: Edmée FMM van den Akker, Department of Pulmonology, STZ Center of Excellence for Asthma & COPD, Sint Franciscus Gasthuis, PO Box 10900, 3004 BA Rotterdam, the Netherlands, Tel +31 6 1153 6439, Email e.vandenakker@ 123456sfg.nl
                Article
                copd-10-2413
                10.2147/COPD.S90680
                4644182
                © 2015 van den Akker et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License

                The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                Categories
                Methodology

                Comments

                Comment on this article