Publications by authors named "A W Vaes"

Objectives: Little is known about the effect of bronchoscopic lung volume reduction using endobronchial valves (BLVR-EBV) on extrapulmonary manifestations like body composition, muscle function or metabolism. Pulmonary rehabilitation (PR) clearly addresses extrapulmonary manifestations of COPD, including physical inactivity and low muscle mass. However, the added impact of BLVR-EBV+PR remains unknown.

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Introduction And Objectives: The 6-min walk test (6MWT) is used to assess functional capacity in patients with COPD. A significant number of studies have shown that most patients walk further in a second 6MWT. Research on a further increase in the 6-min walk distance (6MWD) during a 3rd test performed in accordance with current guidelines has not been done.

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Exercise limitation and physical inactivity are separate, but related constructs. Both are commonly present in individuals with COPD, contribute to disease burden over and above the respiratory impairments, and are independently predictive of adverse outcomes. Because of this, clinicians should consider assessing these variables in their patients with COPD.

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Article Synopsis
  • Both bronchoscopic lung volume reduction with endobronchial valves (BLVR-EBV) and pulmonary rehabilitation (PR) are effective for patients with severe COPD, but the study aimed to investigate the effects of PR before and after BLVR-EBV versus BLVR-EBV alone.
  • A total of 97 severe COPD patients were studied, and the results showed no significant difference in exercise capacity or quality of life for those who received PR compared to those who only had BLVR-EBV after six months.
  • The findings suggest that adding PR to BLVR-EBV, whether before or after the procedure, did not enhance exercise capacity or patient outcomes compared to BLVR-EBV alone.
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