PROCEEDINGSPulmonary Rehabilitation: WHAT WE KNOW AND WHAT WE NEED TO KNOWNici, Linda MD; Raskin, Jonathan MD; Rochester, Carolyn L. MD; Bourbeau, Jean C. MSc, MD; Carlin, Brian W. MD; Casaburi, Richard PhD, MD; Celli, Bartolome R. MD; Cote, Claudia MD; Crouch, Rebecca H. PT, MS, CCS; Diez-Morales, Luis F. MD; Donner, Claudio F. MD; Fahy, Bonnie F. MN, RN; Garvey, Chris MSN, FNP, MPA; Goldstein, Roger MBChB; Lane-Reticker, Alison MD; Lareau, Suzanne C. MS, RN; Make, Barry MD; Maltais, François MD; McCormick, James MD; Morgan, Michael D.L. MD; Ries, Andrew L. MD, MPH; Troosters, Thierry PhD, PT; ZuWallack, Richard MDAuthor Information Providence VA Medical Center, Brown University School of Medicine, Providence, Rhode Island (Dr Nici); Albert Einstein College of Medicine, Alice Lawrence Center for Health and Rehabilitation, Beth Israel Medical Center–Petrie Division, New York (Dr Raskin); Section of Pulmonary and Critical Care, Yale University School of Medicine, and Medical Director, Pulmonary Rehabilitation, VA Connecticut Healthcare System, West Haven, Connecticut (Dr Rochester); Respiratory Division, Department of Medicine, Montreal Chest Institute, MUHC, McGill University, Montreal, Quebec, Canada (Dr Bourbeau); Allegheny General Hospital, Pulmonary Rehabilitation, Lifeline Specialty Centers, Drexel University School of Medicine, Pittsburgh, Pennsylvania (Dr Carlin); Rehabilitative Sciences, Los Angeles Biomedical Research Institute at Harbor–UCLA Medical Center, UCLA School of Medicine, Torrance, California (Dr Casaburi); Caritas St. Elizabeth's Medical Center, Tufts University School of Medicine, Boston, Massachusetts (Dr Celli); University of South Florida, Bay Pines, Florida (Dr Cote); Duke Center for Living, Durham, North Carolina (Ms Crouch); Section of General Internal Medicine and Ambulatory Services, St Francis Hospital & Medical Center, University of Connecticut, Hartford (Dr Diez-Morales); Mondo Medico, Multidisciplinary and Rehabilitation Outpatient Clinic, Italian Interdisciplinary Association for Research in Respiratory Diseases, Borgomanero, Italy (Dr Donner); St Joseph's Hospital and Medical Center, Phoenix, Arizona (Ms Fahy); Seton Pulmonary and Cardiac Rehabilitation, Daly City, and University of California, San Francisco (Ms Garvey); West Park Healthcare Center, University of Toronto, Toronto, Ontario, Canada (Dr Goldstein); University of Connecticut School of Medicine, Farmington (Dr Lane-Reticker); College of Nursing, University of Colorado, Denver (Ms Lareau); Division of Pulmonary Sciences and Critical Care Medicine, National Jewish Health, University of Colorado School of Medicine, Denver (Dr Make); Centre de Pneumologie, Hospital Laval, Universite Laval, Quebec, Canada (Dr Maltais); University of Kentucky Medical Center, Lexington (Dr McCormick); Department of Respiratory Medicine, Allergy, and Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Respiratory Medicine, University of Leicester, Leicester, UK (Dr Morgan); University of California, San Diego (Dr Ries); Respiratory Division, University Hospitals Leuven, and Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium (Dr Troosters); St Francis Hospital & Medical Center, University of Connecticut School of Medicine, Hartford (Dr ZuWallack). Corresponding Author: Richard ZuWallack, MD, St Francis Hospital & Medical Center, Hartford, CT 06105 (email@example.com). Journal of Cardiopulmonary Rehabilitation and Prevention: May-June 2009 - Volume 29 - Issue 3 - p 141-151 doi: 10.1097/HCR.0b013e3181a3324a Buy Metrics AbstractIn Brief The multidisciplinary treatment of pulmonary rehabilitation (PR), which includes exercise training, self-management education, and psychosocial and nutritional intervention, is now a standard of care for chronic obstructive pulmonary disease (COPD) and has been incorporated into major guidelines. We must now focus efforts on improving its impact and widening its applicability. What is the direction of PR; where does it fit in the comprehensive care of the COPD patient; and how can clinicians best apply this important intervention? This was the charge of the roundtable discussion, Pulmonary Rehabilitation: Moving Forward, involving 20 experts from North America and Europe, which was convened in Fort Lauderdale, Florida, in early 2008. It is not meant to be an exhaustive review; rather, this report summarizes the roundtable proceedings, while providing direction to best position PR into the continuum of COPD care. By consensus, it was agreed upon that although PR is effective for other chronic respiratory diseases, the discussion focus was COPD since most of the evidence base and patient referral are for this disease. These proceedings provide insight into 3 broad areas appropriate for investigation or implementation: positioning PR in an integrated care model for COPD patients; improving the effectiveness of this intervention; and expanding the recognition, application, and accessibility to PR. It is the hope that this document will provide a catalyst for clinicians, investigators, and healthcare policy makers to help realize these goals as well as serve to suggest important areas for future research and development in PR. A roundtable discussion entitled Pulmonary Rehabilitation: Moving Forward, involving 20 experts from North America and Europe, was convened in Fort Lauderdale, Florida, in early 2008. This report summarizes the proceedings and provides direction to best position PR into the continuum of chronic obstructive pulmonary disease care. © 2009 Lippincott Williams & Wilkins, Inc.