Publications by authors named "Arent-Jan Michels"
Background: Clusters of COPD patients have been reported in order to individualize the treatment program. Neither co-morbidity clusters, nor integrated respiratory physiomics clusters contributed to a better prediction of outcomes. Based on a thoroughly assessed set of pulmonary and extra-pulmonary traits at the start of a pulmonary rehabilitation (PR) program, we recently described seven clusters of COPD patients.
View Article and Find Full Text PDFObjective: To evaluate the effect of pulmonary rehabilitation (PR) on exercise performance and quality of life in patients with chronic obstructive pulmonary disease (COPD) with different degrees of static lung hyperinflation (LH).
Design: Retrospective cohort study.
Setting: PR network.
Gender differences in partners of patients with COPD and their perceptions about the patients.
Int J Chron Obstruct Pulmon Dis
October 2017
Background/objectives: Chronic obstructive pulmonary disease (COPD) not only affects patients but also their partners. Gender-related differences in patients with COPD are known, for instance regarding symptoms and quality of life. Yet, research regarding gender differences in partners of patients with COPD has been conducted to a lesser extent, and most research focused on female partners.
View Article and Find Full Text PDFThe aim of the present study was to profile a multidimensional response to pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD).Dyspnoea, exercise performance, health status, mood status and problematic activities of daily life were assessed before and after a 40-session pulmonary rehabilitation programme in 2068 patients with COPD (mean forced expiratory volume in 1 s of 49% predicted). Patients were ordered by their overall similarity concerning their multidimensional response profile, which comprises the overall response on MRC dyspnoea grade, 6MWD, cycle endurance time, Canadian Occupational Performance Measure performance and satisfaction scores, Hospital Anxiety and Depression Scale anxiety and depression, and St George's Respiratory Questionnaire total score, using a novel non-parametric regression technique.
View Article and Find Full Text PDFArticle Synopsis
- The study assessed how the implementation of FDG-PET scanning affected adherence to mediastinal staging protocols and the use of mediastinoscopy in patients with non-small-cell lung cancer.
- Data from 143 patients across three time periods were analyzed, showing an improvement in guideline adherence for performing mediastinoscopy post-PET implementation.
- Although the optimal yield of mediastinoscopy slightly decreased, the rate of positive findings for metastases increased, suggesting that while fewer procedures were optimal, more were still valuable for diagnosis.