RT Journal Article
SR Electronic
T1 ERS statement on standardisation of cardiopulmonary exercise testing in chronic lung diseases
JF European Respiratory Review
JO EUROPEAN RESPIRATORY REVIEW
FD European Respiratory Society
SP 180101
DO 10.1183/16000617.0101-2018
VO 28
IS 154
A1 Radtke, Thomas
A1 Crook, Sarah
A1 Kaltsakas, Georgios
A1 Louvaris, Zafeiris
A1 Berton, Danilo
A1 Urquhart, Don S.
A1 Kampouras, Asterios
A1 Rabinovich, Roberto A.
A1 Verges, Samuel
A1 Kontopidis, Dimitris
A1 Boyd, Jeanette
A1 Tonia, Thomy
A1 Langer, Daniel
A1 De Brandt, Jana
A1 Goërtz, Yvonne M.J.
A1 Burtin, Chris
A1 Spruit, Martijn A.
A1 Braeken, Dionne C.W.
A1 Dacha, Sauwaluk
A1 Franssen, Frits M.E.
A1 Laveneziana, Pierantonio
A1 Eber, Ernst
A1 Troosters, Thierry
A1 Neder, J. Alberto
A1 Puhan, Milo A.
A1 Casaburi, Richard
A1 Vogiatzis, Ioannis
A1 Hebestreit, Helge
YR 2019
UL https://publications.ersnet.org//content/28/154/180101.abstract
AB 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