TY - JOUR T1 - ERS statement on standardisation of cardiopulmonary exercise testing in chronic lung diseases JF - European Respiratory Review JO - EUROPEAN RESPIRATORY REVIEW DO - 10.1183/16000617.0101-2018 VL - 28 IS - 154 SP - 180101 AU - Thomas Radtke AU - Sarah Crook AU - Georgios Kaltsakas AU - Zafeiris Louvaris AU - Danilo Berton AU - Don S. Urquhart AU - Asterios Kampouras AU - Roberto A. Rabinovich AU - Samuel Verges AU - Dimitris Kontopidis AU - Jeanette Boyd AU - Thomy Tonia AU - Daniel Langer AU - Jana De Brandt AU - Yvonne M.J. Goërtz AU - Chris Burtin AU - Martijn A. Spruit AU - Dionne C.W. Braeken AU - Sauwaluk Dacha AU - Frits M.E. Franssen AU - Pierantonio Laveneziana AU - Ernst Eber AU - Thierry Troosters AU - J. Alberto Neder AU - Milo A. Puhan AU - Richard Casaburi AU - Ioannis Vogiatzis AU - Helge Hebestreit Y1 - 2019/12/31 UR - http://err.ersjournals.com/content/28/154/180101.abstract N2 - The objective of this document was to standardise published cardiopulmonary exercise testing (CPET) protocols for improved interpretation in clinical settings and multicentre research projects. This document: 1) summarises the protocols and procedures used in published studies focusing on incremental CPET in chronic lung conditions; 2) presents standard incremental protocols for CPET on a stationary cycle ergometer and a treadmill; and 3) provides patients' perspectives on CPET obtained through an online survey supported by the European Lung Foundation. We systematically reviewed published studies obtained from EMBASE, Medline, Scopus, Web of Science and the Cochrane Library from inception to January 2017. Of 7914 identified studies, 595 studies with 26 523 subjects were included. The literature supports a test protocol with a resting phase lasting at least 3 min, a 3-min unloaded phase, and an 8- to 12-min incremental phase with work rate increased linearly at least every minute, followed by a recovery phase of at least 2–3 min. Patients responding to the survey (n=295) perceived CPET as highly beneficial for their diagnostic assessment and informed the Task Force consensus. Future research should focus on the individualised estimation of optimal work rate increments across different lung diseases, and the collection of robust normative data.The document facilitates standardisation of conducting, reporting and interpreting cardiopulmonary exercise tests in chronic lung diseases for comparison of reference data, multi-centre studies and assessment of interventional efficacy. http://bit.ly/31SXeB5 ER -