PMID- 37629620
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230829
IS  - 2075-1729 (Print)
IS  - 2075-1729 (Electronic)
IS  - 2075-1729 (Linking)
VI  - 13
IP  - 8
DP  - 2023 Aug 17
TI  - Predictors of Quality-of-Life Improvement at Different Minimum Clinically 
      Important Difference Values in Patients with Chronic Obstructive Pulmonary 
      Disease after Climatic Rehabilitation Treatment.
LID - 10.3390/life13081763 [doi]
LID - 1763
AB  - BACKGROUND: The minimum clinically important difference (MCID) for the St 
      George's Respiratory Questionnaire (SGRQ) is debated in chronic obstructive 
      pulmonary disease (COPD) quality-of-life (QoL) assessments. This study aimed to 
      determine whether there is a difference in predictors of clinically significant 
      improvement between the traditional (value of 4) and newly proposed MCID SGRQ 
      (value of 7) after climatic rehabilitation treatment. Climatic rehabilitation 
      treatment consists of two main parts: climatotherapy, which typically involves 
      the controlled exposure of individuals to natural environmental elements, and 
      climatic rehabilitation, which includes other therapeutic factors such as 
      physical activities as well as educating the patient to change their lifestyle. 
      METHODS: This study included 90 consecutive patients diagnosed with COPD who 
      underwent structured complex pulmonary rehabilitation in High Tatras, part of the 
      Carpathian Mountains. The examination before and after treatment included 
      spirometry, QoL assessment using the SGRQ, 6 min walk test (6-MWT), and the Borg, 
      Beck and Zung scale. RESULTS: Patients showed statistically significant 
      improvement after the intervention in FEV1, FEV1/FVC, 6-MWT, (p < 0.001), anxiety 
      scores, depression, and improvement in dyspnoea both before and after the 6-MWT 
      (p < 0.001). For both MCID for SGRQ levels 4 and 7, we confirmed the same 
      predictors of clinical improvement for bronchial obstruction grade (spirometry) 
      and exercise capacity (6-MWT), for quality of life in activity score and total 
      score. CONCLUSION: The results suggest that both the proposed MCID for SGRQ 
      values could be sufficient to assess the clinical significance of the achieved 
      change in health status when assessing the need for pulmonary rehabilitation 
      comprising climatotherapy in patients with COPD.
FAU - Kubincova, Anna
AU  - Kubincova A
AD  - Department of Physical Medicine, Balneology and Medical Rehabilitation, Medical 
      Faculty of P. J. Safarik University and L. Pasteur University Hospital in Kosice, 
      04190 Kosice, Slovakia.
FAU - Takac, Peter
AU  - Takac P
AUID- ORCID: 0000-0002-6615-1894
AD  - Department of Physical Medicine, Balneology and Medical Rehabilitation, Medical 
      Faculty of P. J. Safarik University and L. Pasteur University Hospital in Kosice, 
      04190 Kosice, Slovakia.
FAU - Demjanovic Kendrova, Lucia
AU  - Demjanovic Kendrova L
AD  - Department of Physiotherapy, Faculty of Health Care, University of Presov, 08001 
      Presov, Slovakia.
FAU - Joppa, Pavol
AU  - Joppa P
AD  - Department of Pneumology and Phtiseology, Medical Faculty of P. J. Safarik 
      University and L. Pasteur University Hospital in Kosice, 04190 Kosice, Slovakia.
LA  - eng
PT  - Journal Article
DEP - 20230817
PL  - Switzerland
TA  - Life (Basel)
JT  - Life (Basel, Switzerland)
JID - 101580444
PMC - PMC10455286
OTO - NOTNLM
OT  - COPD
OT  - climatic rehabilitation
OT  - climatotherapy
OT  - minimum clinically important difference (MCID) quality of life (SGRQ)
OT  - pulmonary rehabilitation
COIS- The authors declare no conflict of interest.
EDAT- 2023/08/26 10:45
MHDA- 2023/08/26 10:46
PMCR- 2023/08/17
CRDT- 2023/08/26 01:20
PHST- 2023/06/30 00:00 [received]
PHST- 2023/08/13 00:00 [revised]
PHST- 2023/08/15 00:00 [accepted]
PHST- 2023/08/26 10:46 [medline]
PHST- 2023/08/26 10:45 [pubmed]
PHST- 2023/08/26 01:20 [entrez]
PHST- 2023/08/17 00:00 [pmc-release]
AID - life13081763 [pii]
AID - life-13-01763 [pii]
AID - 10.3390/life13081763 [doi]
PST - epublish
SO  - Life (Basel). 2023 Aug 17;13(8):1763. doi: 10.3390/life13081763.