Challenges in implementing routine cardiopulmonary exercise testing in cystic fibrosis clinical practice: a single centre review
dc.contributor.author | Tomlinson, O | |
dc.contributor.author | Trott, J | |
dc.contributor.author | Williams, C | |
dc.contributor.author | Withers, N | |
dc.contributor.author | Oades, P | |
dc.date.accessioned | 2020-02-13T10:05:39Z | |
dc.date.issued | 2020-02-20 | |
dc.description.abstract | Cardiopulmonary exercise testing (CPET) is viewed by many as the gold standard for assessing exercise capacity in CF, being recommended on an annual basis. However, not all patients undergo CPET for varying reasons. This service evaluation retrospectively reviewed data from 179 (92 male) patients in a single CF centre in the UK to identify such reasons. 75/179 patients underwent CPET, whilst 104/179 did not. Of these 104, 41 patients were ≤ 11 years of age. Of the remaining 63 patients, 26 did not undergo CPET for clinical reasons including needing IV antibiotics, musculoskeletal issues and obesity. 17 refused to undergo CPET because of reasons such as an unwillingness to travel and dislike of CPET. 20 did not undergo CPET for miscellaneous reasons including difficulty contacting patients. Individuals with FEV1 <40%predicted were 85.7% less likely to undertake a CPET than individuals with FEV1 ≥70%predicted. Understanding these challenges will assist clinical teams with future implementation of CPET into routine care, by identifying areas for improvement and establishing strategies for enhancing future provision of the test. | en_GB |
dc.identifier.citation | Published online 20 February 2020 | en_GB |
dc.identifier.doi | 10.1007/s42399-020-00239-7 | |
dc.identifier.uri | http://hdl.handle.net/10871/40838 | |
dc.language.iso | en | en_GB |
dc.publisher | Springer | en_GB |
dc.rights | © The Author(s) 2020. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | exercise testing | en_GB |
dc.subject | barriers | en_GB |
dc.subject | clinical practice | en_GB |
dc.subject | cystic fibrosis | en_GB |
dc.title | Challenges in implementing routine cardiopulmonary exercise testing in cystic fibrosis clinical practice: a single centre review | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2020-02-13T10:05:39Z | |
dc.description | This is the final version. Available on open access from Springer via the DOI in this record | en_GB |
dc.identifier.eissn | 2523-8973 | |
dc.identifier.journal | SN Comprehensive Clinical Medicine | en_GB |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2020-02-12 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2020-02-12 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2020-02-12T16:39:15Z | |
refterms.versionFCD | AM | |
refterms.dateFOA | 2020-02-26T16:14:12Z | |
refterms.panel | C | en_GB |
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Except where otherwise noted, this item's licence is described as © The Author(s) 2020. Open Access. This article is licensed under a Creative Commons
Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as
you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were
made. The images or other third party material in this article are included
in the article's Creative Commons licence, unless indicated otherwise in a
credit line to the material. If material is not included in the article's
Creative Commons licence and your intended use is not permitted by
statutory regulation or exceeds the permitted use, you will need to obtain
permission directly from the copyright holder. To view a copy of this
licence, visit http://creativecommons.org/licenses/by/4.0/