Editorial Chronic Respiratory Disease 10(4) 187–189 ª The Author(s) 2013 Reprints and permission: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1479972313512566 crd.sagepub.com
Ten years on
Mike Morgan1, Sally Singh1 and Carolyn Rochester2
It seems unbelievable that Chronic Respiratory Disease is now 10 years old. When it was conceived in a meeting room at the American Thoracic Society Meeting in Seattle all those years ago, it felt quite radical to consider a journal that covered only clinical topics that were germane to chronic respiratory disease and appealed to health professionals of all disciplines. Since then, the world has changed and all health economies have realised that the major challenge for the future is noncommunicable disease. When we started out, pulmonary rehabilitation was a new discipline that was striving to acquire credibility. How times have changed! Pulmonary rehabilitation has now become mainstream treatment and has the most powerful body of scientific evidence to support its widespread introduction. The health economic analysis also supports its true value as an effective treatment. The other area that has been regular subject matter for articles has been around self-management. Initially this was seen as a simple matter of giving patients an action plan and expecting them fend for themselves. We now know that this is a naive expectation and simply providing patients with knowledge is likely to be unproductive unless it is accompanied by behaviour change. Changing behaviour, however, is neither easy nor simple and requires a deliberate and sophisticated approach. We hope over the years that Chronic Respiratory Disease has raised the profile of these areas of care. The format of the journal has not changed a great deal over the decade. We started with the model of mixing original articles with clinical reviews from respected authors and less well-known authors who have been recommended by senior review series editors. Editorials have generally been linked to original articles but have also from time to time expressed the editor’s opinion but we have tried not to be too domineering. Looking back over the decade, we have taken a look at the most frequently downloaded articles and second the most cited articles. There is a trend evolving in the downloaded articles, the top three articles have been clinical review
articles describing chest physiotherapy techniques, written by senior respiratory physiotherapists.1–3 The first article described breathing techniques in chronic obstructive pulmonary disease (COPD),1 the second went on to question whether there was a role for airways clearance techniques2 and the third discussed physiotherapy techniques in cystic fibrosis.3 The total number of downloads for these three articles is, at the time of writing, in excess of 35,000. These articles were published in the early days of the journal, but the bias of downloads favouring respiratory physiotherapy persists, the systematic review of airways clearance techniques during an acute exacerbation by Hill et al.4 also features in the top downloads list. It is pleasing to see that a number of original research articles also feature in the top downloads list5,6; The Bristol COPD Knowledge Questionnaire5 was first described in Chronic Respiratory Disease and has recently been incorporated in the American Thoracic Society/European Thoracic Society Statement on pulmonary rehabilitation.7 Indeed the journal has been cited 11 times5–17 in this important document. The other notable category of popular downloads is the reviews of rare lung diseases.18,19 Interestingly, a review on pulmonary alveolar proteinosis is the most highly cited article from the journal, reflecting the broad scope of review articles and clinical research published. One of the aims of the journal is to positively impact on patient care, and we would like to think this
1 Centre of Exercise and Rehabilitation Science, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK 2 Pulmonary Rehabilitation, VA Connecticut Healthcare System, West New Haven, Connecticut, CT, USA
Corresponding author: Mike Morgan, Centre of Exercise and Rehabilitation Science, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, LE3 9QP, UK. Email: [email protected]
Downloaded from crd.sagepub.com at KAI NAN UNIV on April 23, 2015
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is reflected in the large number of downloads in these practical areas. The progress of the journal has been intentionally modest. We did not set out to make a big splash but more to gradually raise the profile of chronic respiratory disease. Along the way, we have acquired Medline listing and the beginnings of an Impact Factor. Growth has been steady and our ambitions have not primarily to boost the status of the journal but more to find a home for clinical articles of practical use and helpful review articles that are relevant to the ethos. We have tried to attract younger authors and reviewers to give them experience and bring them in to the fold. Obviously, we owe a debt of gratitude to these authors and reviewers who have been generous with their time. We apologise for leaning on a caucus of like-minded friends and colleagues, but we are grateful and will continue to do it. Since we started, 10 years ago, the world has already changed. Chronic disease management is no longer the poor relation but has become the centre of attention for most health systems. The changing demographics and the advances in medical care have put pressures on every health-care system, and chronic disease management is now the new front line of medical care. However, most health economies are under great economic pressure and most will find it difficult even to keep pace with health inflation. Over the past few years, we have learnt how to manage chronic respiratory disease much better. We know what works and we are beginning to learn what does not work or may even be disadvantageous. The journal must move with the times and one important future direction will be how to deliver high quality chronic care in an effective and cost effective manner.
References 1. Gosselink R. Breathing techniques in patients with chronic obstructive pulmonary disease (COPD). Chron Respir Dis 2004; 1(3): 163–172. 2. Holland AE and Button BM. Is there a role for airway clearance techniques in chronic obstructive pulmonary disease? Chron Respir Dis 2006; 3(2): 83–91.
3. Dodd ME and Prasad SA. Physiotherapy management of cystic fibrosis. Chron Respir Dis 2005; 2(3): 139–149. 4. Hill K, Patman S and Brooks D. Effect of airway clearance techniques in patients experiencing an acute exacerbation of chronic obstructive pulmonary disease: a systematic review. Chron Respir Dis 2010; 7(1): 9–17. 5. White R, Walker P, Roberts S, et al. Bristol COPD Knowledge Questionnaire (BCKQ): testing what we teach patients about COPD. Chron Respir Dis 2006; 3(3): 123–131. 6. Eaton T, Young P, Zeng I, et al. A randomized evaluation of the acute efficacy, acceptability and tolerability of flutter and active cycle of breathing with and without postural drainage in non-cystic fibrosis bronchiectasis. Chron Respir Dis 2007; 4(1): 23–30. 7. Spruit MA, Singh SJ, Garvey C, et al. An official american thoracic society/european respiratory society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013; 188(8): e13–e64. 8. Wagg K. Unravelling self-management for COPD: what next? Chron Respir Dis 2012; 9(1): 5–7. 9. Ramachandran K, McCusker C, Connors M, et al. The influence of obesity on pulmonary rehabilitation outcomes in patients with COPD. Chron Respir Dis 2008; 5(4): 205–209. 10. Greening NJ, Evans RA, Williams JE, et al. Does body mass index influence the outcomes of a waking-based pulmonary rehabilitation programme in COPD? Chron Respir Dis 2012; 9(2): 99–106. 11. Dallas MI, McCusker C, Haggerty MC, et al. Using pedometers to monitor walking activity in outcome assessment for pulmonary rehabilitation. Chron Respir Dis 2009; 6(4): 217–224. 12. Cindy Ng LW, Mackney J, Jenkins S, et al. Does exercise training change physical activity in people with COPD? A systematic review and meta-analysis. Chron Respir Dis 2012; 9(1): 17–26. 13. Keating A, Lee A and Holland AE. What prevents people with chronic obstructive pulmonary disease from attending pulmonary rehabilitation? A systematic review. Chron Respir Dis 2011; 8(2): 89–99. 14. Ong HK, Lee AL, Hill CJ, et al. Effects of pulmonary rehabilitation in bronchiectasis: a retrospective study. Chron Respir Dis 2011; 8(1): 21–30. 15. Yohannes A, Stone R, Lowe D, et al. Pulmonary rehabilitation in the United Kingdom. Chron Respir Dis 2011; 8(3): 193–199. 16. Rasekaba TM, Williams E and Hsu-Hage B. Can a chronic disease management pulmonary rehabilitation
Downloaded from crd.sagepub.com at KAI NAN UNIV on April 23, 2015
Morgan et al.
189
program for COPD reduce acute rural hospital utilization? Chron Respir Dis 2009; 6(3): 157–163. 17. Graves J, Sandrey V, Graves T, et al. Effectiveness of a group opt-in session on uptake and graduation rates for pulmonary rehabilitation. Chron Respir Dis 2010; 7(3): 159–164.
18. Ioachimescu OC and Kavuru MS. Pulmonary alveolar proteinosis. Chron Respir Dis 2006; 3(3): 149– 159. 19. Mahenthiralingam E and Vandamme P. Taxonomy and pathogenesis of the Burkholderia cepacia complex. Chron Respir Dis 2005; 2(4): 209–217.
Downloaded from crd.sagepub.com at KAI NAN UNIV on April 23, 2015
Ten years on
Mike Morgan1, Sally Singh1 and Carolyn Rochester2
It seems unbelievable that Chronic Respiratory Disease is now 10 years old. When it was conceived in a meeting room at the American Thoracic Society Meeting in Seattle all those years ago, it felt quite radical to consider a journal that covered only clinical topics that were germane to chronic respiratory disease and appealed to health professionals of all disciplines. Since then, the world has changed and all health economies have realised that the major challenge for the future is noncommunicable disease. When we started out, pulmonary rehabilitation was a new discipline that was striving to acquire credibility. How times have changed! Pulmonary rehabilitation has now become mainstream treatment and has the most powerful body of scientific evidence to support its widespread introduction. The health economic analysis also supports its true value as an effective treatment. The other area that has been regular subject matter for articles has been around self-management. Initially this was seen as a simple matter of giving patients an action plan and expecting them fend for themselves. We now know that this is a naive expectation and simply providing patients with knowledge is likely to be unproductive unless it is accompanied by behaviour change. Changing behaviour, however, is neither easy nor simple and requires a deliberate and sophisticated approach. We hope over the years that Chronic Respiratory Disease has raised the profile of these areas of care. The format of the journal has not changed a great deal over the decade. We started with the model of mixing original articles with clinical reviews from respected authors and less well-known authors who have been recommended by senior review series editors. Editorials have generally been linked to original articles but have also from time to time expressed the editor’s opinion but we have tried not to be too domineering. Looking back over the decade, we have taken a look at the most frequently downloaded articles and second the most cited articles. There is a trend evolving in the downloaded articles, the top three articles have been clinical review
articles describing chest physiotherapy techniques, written by senior respiratory physiotherapists.1–3 The first article described breathing techniques in chronic obstructive pulmonary disease (COPD),1 the second went on to question whether there was a role for airways clearance techniques2 and the third discussed physiotherapy techniques in cystic fibrosis.3 The total number of downloads for these three articles is, at the time of writing, in excess of 35,000. These articles were published in the early days of the journal, but the bias of downloads favouring respiratory physiotherapy persists, the systematic review of airways clearance techniques during an acute exacerbation by Hill et al.4 also features in the top downloads list. It is pleasing to see that a number of original research articles also feature in the top downloads list5,6; The Bristol COPD Knowledge Questionnaire5 was first described in Chronic Respiratory Disease and has recently been incorporated in the American Thoracic Society/European Thoracic Society Statement on pulmonary rehabilitation.7 Indeed the journal has been cited 11 times5–17 in this important document. The other notable category of popular downloads is the reviews of rare lung diseases.18,19 Interestingly, a review on pulmonary alveolar proteinosis is the most highly cited article from the journal, reflecting the broad scope of review articles and clinical research published. One of the aims of the journal is to positively impact on patient care, and we would like to think this
1 Centre of Exercise and Rehabilitation Science, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK 2 Pulmonary Rehabilitation, VA Connecticut Healthcare System, West New Haven, Connecticut, CT, USA
Corresponding author: Mike Morgan, Centre of Exercise and Rehabilitation Science, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, LE3 9QP, UK. Email: [email protected]
Downloaded from crd.sagepub.com at KAI NAN UNIV on April 23, 2015
188
Chronic Respiratory Disease 10(4)
is reflected in the large number of downloads in these practical areas. The progress of the journal has been intentionally modest. We did not set out to make a big splash but more to gradually raise the profile of chronic respiratory disease. Along the way, we have acquired Medline listing and the beginnings of an Impact Factor. Growth has been steady and our ambitions have not primarily to boost the status of the journal but more to find a home for clinical articles of practical use and helpful review articles that are relevant to the ethos. We have tried to attract younger authors and reviewers to give them experience and bring them in to the fold. Obviously, we owe a debt of gratitude to these authors and reviewers who have been generous with their time. We apologise for leaning on a caucus of like-minded friends and colleagues, but we are grateful and will continue to do it. Since we started, 10 years ago, the world has already changed. Chronic disease management is no longer the poor relation but has become the centre of attention for most health systems. The changing demographics and the advances in medical care have put pressures on every health-care system, and chronic disease management is now the new front line of medical care. However, most health economies are under great economic pressure and most will find it difficult even to keep pace with health inflation. Over the past few years, we have learnt how to manage chronic respiratory disease much better. We know what works and we are beginning to learn what does not work or may even be disadvantageous. The journal must move with the times and one important future direction will be how to deliver high quality chronic care in an effective and cost effective manner.
References 1. Gosselink R. Breathing techniques in patients with chronic obstructive pulmonary disease (COPD). Chron Respir Dis 2004; 1(3): 163–172. 2. Holland AE and Button BM. Is there a role for airway clearance techniques in chronic obstructive pulmonary disease? Chron Respir Dis 2006; 3(2): 83–91.
3. Dodd ME and Prasad SA. Physiotherapy management of cystic fibrosis. Chron Respir Dis 2005; 2(3): 139–149. 4. Hill K, Patman S and Brooks D. Effect of airway clearance techniques in patients experiencing an acute exacerbation of chronic obstructive pulmonary disease: a systematic review. Chron Respir Dis 2010; 7(1): 9–17. 5. White R, Walker P, Roberts S, et al. Bristol COPD Knowledge Questionnaire (BCKQ): testing what we teach patients about COPD. Chron Respir Dis 2006; 3(3): 123–131. 6. Eaton T, Young P, Zeng I, et al. A randomized evaluation of the acute efficacy, acceptability and tolerability of flutter and active cycle of breathing with and without postural drainage in non-cystic fibrosis bronchiectasis. Chron Respir Dis 2007; 4(1): 23–30. 7. Spruit MA, Singh SJ, Garvey C, et al. An official american thoracic society/european respiratory society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013; 188(8): e13–e64. 8. Wagg K. Unravelling self-management for COPD: what next? Chron Respir Dis 2012; 9(1): 5–7. 9. Ramachandran K, McCusker C, Connors M, et al. The influence of obesity on pulmonary rehabilitation outcomes in patients with COPD. Chron Respir Dis 2008; 5(4): 205–209. 10. Greening NJ, Evans RA, Williams JE, et al. Does body mass index influence the outcomes of a waking-based pulmonary rehabilitation programme in COPD? Chron Respir Dis 2012; 9(2): 99–106. 11. Dallas MI, McCusker C, Haggerty MC, et al. Using pedometers to monitor walking activity in outcome assessment for pulmonary rehabilitation. Chron Respir Dis 2009; 6(4): 217–224. 12. Cindy Ng LW, Mackney J, Jenkins S, et al. Does exercise training change physical activity in people with COPD? A systematic review and meta-analysis. Chron Respir Dis 2012; 9(1): 17–26. 13. Keating A, Lee A and Holland AE. What prevents people with chronic obstructive pulmonary disease from attending pulmonary rehabilitation? A systematic review. Chron Respir Dis 2011; 8(2): 89–99. 14. Ong HK, Lee AL, Hill CJ, et al. Effects of pulmonary rehabilitation in bronchiectasis: a retrospective study. Chron Respir Dis 2011; 8(1): 21–30. 15. Yohannes A, Stone R, Lowe D, et al. Pulmonary rehabilitation in the United Kingdom. Chron Respir Dis 2011; 8(3): 193–199. 16. Rasekaba TM, Williams E and Hsu-Hage B. Can a chronic disease management pulmonary rehabilitation
Downloaded from crd.sagepub.com at KAI NAN UNIV on April 23, 2015
Morgan et al.
189
program for COPD reduce acute rural hospital utilization? Chron Respir Dis 2009; 6(3): 157–163. 17. Graves J, Sandrey V, Graves T, et al. Effectiveness of a group opt-in session on uptake and graduation rates for pulmonary rehabilitation. Chron Respir Dis 2010; 7(3): 159–164.
18. Ioachimescu OC and Kavuru MS. Pulmonary alveolar proteinosis. Chron Respir Dis 2006; 3(3): 149– 159. 19. Mahenthiralingam E and Vandamme P. Taxonomy and pathogenesis of the Burkholderia cepacia complex. Chron Respir Dis 2005; 2(4): 209–217.
Downloaded from crd.sagepub.com at KAI NAN UNIV on April 23, 2015
