Mats Arne | Uppsala University (original) (raw)
Papers by Mats Arne
European Respiratory Journal, 2015
European Respiratory Journal, Sep 1, 2014
Aim: To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary reh... more Aim: To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabilitation in primary health care with regard to functional capacity, quality of life (QoL), and exacerbations among patients with chronic obstructive pulmonary disease (COPD).
European Respiratory Journal, Sep 1, 2012
Number: 2938 Publication Number: P1128 Abstract Group: 9.1. Respiratory Function Technologists/Sc... more Number: 2938 Publication Number: P1128 Abstract Group: 9.1. Respiratory Function Technologists/Scientists Keyword 1: Spirometry Keyword 2: Primary care Keyword 3: Education Title: Quality of forced spirometry in primary care practice -Are start of test, end of test and repeatability goals met? Mats 7018 Arne mats.arne@medsci.uu.se 1,2 and Hans 7019 Carlsson hans.carlsson@liv.se 3 .
Primary Care Respiratory Journal, 2006
Primary Care Respiratory Journal, 2006
Primary care respiratory journal : journal of the General Practice Airways Group, 2011
To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabili... more To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabilitation in primary health care with regard to functional capacity, quality of life (QoL), and exacerbations among patients with chronic obstructive pulmonary disease (COPD). A 1-year longitudinal study with a quasi-experimental design was undertaken in patients with COPD, 49 in the intervention group and 54 in the control group. Functional capacity was assessed using the 6-minute walking test, and quality of life (QoL) was assessed using the Clinical COPD Questionnaire. Exacerbations were calculated by examination of patient records. No significant differences were found between the groups in functional capacity and QoL after 1 year. The exacerbations decreased in the intervention group (n = -0.2) and increased in the control group (n = 0.3) during the year after NMP. The mean difference of change in exacerbation frequency between the groups was statistically significant after one year (p...
Aims: To gain an understanding of patientsperspectives and perceptions of chronic obstructive pul... more Aims: To gain an understanding of patientsperspectives and perceptions of chronic obstructive pulmonary disease (COPD) at the time of diagnosis. Methods: A qualitative study using grounded theory. Ten patients in primary care in Sweden, newly diagnosed with COPD or with suspected COPD, were interviewed. Results: The analysis created a process model with a core category "Consequences of smoking" and main
Scandinavian Journal of Primary Health Care, 2009
Objective. Chronic diseases interfere with the life situation of the affected person in different... more Objective. Chronic diseases interfere with the life situation of the affected person in different ways. The aim was to compare the burden of disease in three chronic diseases Á chronic obstructive pulmonary disease (COPD), rheumatoid arthritis (RA), diabetes mellitus (DM) Á and in healthy subjects, with a particular interest in physical activity, quality of life, and psychological health. Design. Cross-sectional, observational study. Setting and subjects. Postal survey questionnaire to a stratified, random population of 68 460 subjects aged 18Á84 years in Sweden. The subjects included were 40Á84 years old (n 043 589) and data were analysed for COPD (n0526), RA (n01120), DM (n02149) and healthy subjects (n06960). Result: Some 84% of subjects with COPD, 74% (RA), 72% (DM), and 60% in healthy subjects (p B0.001, COPD versus RA, DM, and healthy subjects) had a physical activity level considered too low to maintain good health according to guidelines. Quality of life (EuroQol five-dimension questionnaire, EQ-5D) was lower in COPD and RA than in DM. Anxiety/depression was more common in subjects with COPD (53%) than in those with RA (48%) and DM (35%) (p B 0.001, COPD versus RA and DM), whereas mobility problems were more common in RA (55%) than COPD (48%) and DM (36%) (p B0.001, RA versus COPD and DM). All differences between groups remained significant after adjusting for age, sex, and socioeconomic background factors. Conclusion. Subjects with chronic diseases had a low level of physical activity, most evident in subjects with COPD. COPD and RA had a higher negative impact on quality of life than DM. Our results indicate that increased attention regarding physical inactivity in subjects with chronic diseases is needed to minimize the burden of disease.
Scandinavian Journal of Primary Health Care, 2001
To assess the prevalence of respiratory symptoms, asthma and chronic obstructive pulmonary diseas... more To assess the prevalence of respiratory symptoms, asthma and chronic obstructive pulmonary disease (COPD), and to relate it to an estimated detection rate in primary health care. A two-staged study with a cross-sectional survey and a clinical validation. The adult population of Värmland, a county in Sweden. 4814 persons completed the survey and 206 the confirmative validation study. Prevalence of respiratory symptoms, of asthma and COPD. More than 40% reported respiratory symptoms. Wheeze was reported by 8.0%, shortness of breath by 11.4% and sputum production by 14.1%. Smoking was more common among women than among men. The prevalence of asthma was 8.2% and COPD 2.1%. Of persons with asthma, 33% were estimated to be undiagnosed, 67% used medication and nearly 60% attended primary health care services. Respiratory symptoms as well as asthma were common in this study and equivalent to earlier findings. The difference between the epidemiologically estimated prevalence of asthma and the lower detection rate in primary health care can be explained by at least three factors: persons who did not seek any care, were underdiagnosed or attended other health care providers.
Respiratory Medicine, 2010
Background: Chronic obstructive pulmonary disease (COPD) is an important cause of morbidity and m... more Background: Chronic obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality worldwide. Diagnosis is customarily confirmed with spirometry, but there are few studies on documented spirometry use in everyday clinical practice. Methods: In a cross-sectional survey and study of the medical records of primary and secondary care COPD patients aged 18e75 in a Swedish region, patients with COPD were randomly selected from the registers of 56 primary care centres and 14 hospital outpatient clinics. Spirometry data at diagnosis AE6 months were analyzed. Results: From 1114 patients with COPD, 533 with a new diagnosis of COPD during the fouryear study period were identified. In 59% (n Z 316), spirometry data in connection with diagnosis were found in the medical records. Spirometry data with post-bronchodilator forced expiratory volume in 1 s (FEV 1 )/ vital capacity (VC) ratios were available in 45% (n Z 241). FEV1/VC ratio <0.70 were found in 160 patients, which corresponds to 30% of the patients with a new diagnosis. Lower age, female gender, current smoking, higher body mass index (BMI) and shorter forced exhalation time were related to COPD diagnosis despite an FEV 1 /VC ratio of !0.70. The most common problem in the quality assessment was an insufficient exhalation time. a v a i l a b l e a t w w w . s c i e n c e d i r e c t . c o m j o u r n a l h o m e p a g e : w w w . e l s e v i e r . c o m / l o c a t e / r m e d Respiratory Medicine (2010) 104, 550e556
Respiratory Medicine, 2013
Pulmonary rehabilitation (PR) is an evidence-based, multidisciplinary and cost-effective interven... more Pulmonary rehabilitation (PR) is an evidence-based, multidisciplinary and cost-effective intervention that leads to improved health in patients with chronic obstructive pulmonary disease, COPD. However, the availability of PR programs varies between and within different countries. The aim of this study was to investigate the availability and content of hospital-based PR programs in patients with COPD in Sweden. A cross-sectional descriptive design was applied using a web-based questionnaire which was sent out to all hospitals in Sweden. The questionnaire consisted of 32 questions that concerned availability and content of PR in patients with COPD during 2011. Seventy out of 71 hospitals responded the electronic survey. Forty-six (66%) hospitals offered PR for patients with COPD. Around 75% of the hospitals in southern and middle parts of Sweden and 33% of the hospitals in the northern part offered PR. Thirty-four percent of the patients declined participation. A total number of 1355 patients participated in PR which represents 0.2% of the COPD population in Sweden. All hospitals had exercise training as major component and 76% offered an educational program. Not even half a percent of the patients with COPD in Sweden took part in a hospital-based PR program during 2011. There was a considerable geographic discrepancy in availability over the country. To enable a greater part of the increasing number of patients with COPD to take part in this evidence-based treatment, there is a need of evaluating other settings of PR programs; in primary care, at home and/or over the internet.
International journal of chronic obstructive pulmonary disease, 2011
Recent guidelines for chronic obstructive pulmonary disease (COPD) state that COPD is both preven... more Recent guidelines for chronic obstructive pulmonary disease (COPD) state that COPD is both preventable and treatable. To gain a more positive outlook on the disease it is interesting to investigate factors associated with good, self-rated health and quality of life in subjects with self-reported COPD in the population.
Disability and Rehabilitation, 2013
The aim of this study was to explore and generate an understanding of the meaning of physical exe... more The aim of this study was to explore and generate an understanding of the meaning of physical exercise in the lives of individuals with Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease (PD) participating in an exercise program. A qualitative design, using Grounded Theory methodology, was used. Eleven individuals diagnosed with PD were interviewed. The core category &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Keep moving to retain the healthy self&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; identified the continuing process of maintaining functions and activities in the individuals&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; lives, in which exercise was a major contribution. Two categories, &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Having explicit life goals&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; and &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Having confidence in one&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s own ability&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;, were important prerequisites for adherence to physical exercise. Four categories - &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Taking rational position&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;, &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Exercising to slow progression&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;, &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Exercising to achieve well-being&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; and &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Using exercise as coping strategy&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; - were generated as important for starting and maintaining exercise habits. Insights into the process of exercising in view of living with PD were generated, which have implications for strategies in promoting physical exercise in older individuals with PD. Physical exercise can contribute to the process of retaining the healthy self in older individuals with PD. Having explicit life goals and having confidence in one&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s own ability may facilitate exercise adherence. Health personnel need to be perceptive for patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; life stories in order to understand the goals of the individual and how to support the individual in his achievement of them.
European Respiratory Journal, 2015
European Respiratory Journal, Sep 1, 2014
Aim: To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary reh... more Aim: To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabilitation in primary health care with regard to functional capacity, quality of life (QoL), and exacerbations among patients with chronic obstructive pulmonary disease (COPD).
European Respiratory Journal, Sep 1, 2012
Number: 2938 Publication Number: P1128 Abstract Group: 9.1. Respiratory Function Technologists/Sc... more Number: 2938 Publication Number: P1128 Abstract Group: 9.1. Respiratory Function Technologists/Scientists Keyword 1: Spirometry Keyword 2: Primary care Keyword 3: Education Title: Quality of forced spirometry in primary care practice -Are start of test, end of test and repeatability goals met? Mats 7018 Arne mats.arne@medsci.uu.se 1,2 and Hans 7019 Carlsson hans.carlsson@liv.se 3 .
Primary Care Respiratory Journal, 2006
Primary Care Respiratory Journal, 2006
Primary care respiratory journal : journal of the General Practice Airways Group, 2011
To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabili... more To investigate the effects of a nurse-led multidisciplinary programme (NMP) of pulmonary rehabilitation in primary health care with regard to functional capacity, quality of life (QoL), and exacerbations among patients with chronic obstructive pulmonary disease (COPD). A 1-year longitudinal study with a quasi-experimental design was undertaken in patients with COPD, 49 in the intervention group and 54 in the control group. Functional capacity was assessed using the 6-minute walking test, and quality of life (QoL) was assessed using the Clinical COPD Questionnaire. Exacerbations were calculated by examination of patient records. No significant differences were found between the groups in functional capacity and QoL after 1 year. The exacerbations decreased in the intervention group (n = -0.2) and increased in the control group (n = 0.3) during the year after NMP. The mean difference of change in exacerbation frequency between the groups was statistically significant after one year (p...
Aims: To gain an understanding of patientsperspectives and perceptions of chronic obstructive pul... more Aims: To gain an understanding of patientsperspectives and perceptions of chronic obstructive pulmonary disease (COPD) at the time of diagnosis. Methods: A qualitative study using grounded theory. Ten patients in primary care in Sweden, newly diagnosed with COPD or with suspected COPD, were interviewed. Results: The analysis created a process model with a core category "Consequences of smoking" and main
Scandinavian Journal of Primary Health Care, 2009
Objective. Chronic diseases interfere with the life situation of the affected person in different... more Objective. Chronic diseases interfere with the life situation of the affected person in different ways. The aim was to compare the burden of disease in three chronic diseases Á chronic obstructive pulmonary disease (COPD), rheumatoid arthritis (RA), diabetes mellitus (DM) Á and in healthy subjects, with a particular interest in physical activity, quality of life, and psychological health. Design. Cross-sectional, observational study. Setting and subjects. Postal survey questionnaire to a stratified, random population of 68 460 subjects aged 18Á84 years in Sweden. The subjects included were 40Á84 years old (n 043 589) and data were analysed for COPD (n0526), RA (n01120), DM (n02149) and healthy subjects (n06960). Result: Some 84% of subjects with COPD, 74% (RA), 72% (DM), and 60% in healthy subjects (p B0.001, COPD versus RA, DM, and healthy subjects) had a physical activity level considered too low to maintain good health according to guidelines. Quality of life (EuroQol five-dimension questionnaire, EQ-5D) was lower in COPD and RA than in DM. Anxiety/depression was more common in subjects with COPD (53%) than in those with RA (48%) and DM (35%) (p B 0.001, COPD versus RA and DM), whereas mobility problems were more common in RA (55%) than COPD (48%) and DM (36%) (p B0.001, RA versus COPD and DM). All differences between groups remained significant after adjusting for age, sex, and socioeconomic background factors. Conclusion. Subjects with chronic diseases had a low level of physical activity, most evident in subjects with COPD. COPD and RA had a higher negative impact on quality of life than DM. Our results indicate that increased attention regarding physical inactivity in subjects with chronic diseases is needed to minimize the burden of disease.
Scandinavian Journal of Primary Health Care, 2001
To assess the prevalence of respiratory symptoms, asthma and chronic obstructive pulmonary diseas... more To assess the prevalence of respiratory symptoms, asthma and chronic obstructive pulmonary disease (COPD), and to relate it to an estimated detection rate in primary health care. A two-staged study with a cross-sectional survey and a clinical validation. The adult population of Värmland, a county in Sweden. 4814 persons completed the survey and 206 the confirmative validation study. Prevalence of respiratory symptoms, of asthma and COPD. More than 40% reported respiratory symptoms. Wheeze was reported by 8.0%, shortness of breath by 11.4% and sputum production by 14.1%. Smoking was more common among women than among men. The prevalence of asthma was 8.2% and COPD 2.1%. Of persons with asthma, 33% were estimated to be undiagnosed, 67% used medication and nearly 60% attended primary health care services. Respiratory symptoms as well as asthma were common in this study and equivalent to earlier findings. The difference between the epidemiologically estimated prevalence of asthma and the lower detection rate in primary health care can be explained by at least three factors: persons who did not seek any care, were underdiagnosed or attended other health care providers.
Respiratory Medicine, 2010
Background: Chronic obstructive pulmonary disease (COPD) is an important cause of morbidity and m... more Background: Chronic obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality worldwide. Diagnosis is customarily confirmed with spirometry, but there are few studies on documented spirometry use in everyday clinical practice. Methods: In a cross-sectional survey and study of the medical records of primary and secondary care COPD patients aged 18e75 in a Swedish region, patients with COPD were randomly selected from the registers of 56 primary care centres and 14 hospital outpatient clinics. Spirometry data at diagnosis AE6 months were analyzed. Results: From 1114 patients with COPD, 533 with a new diagnosis of COPD during the fouryear study period were identified. In 59% (n Z 316), spirometry data in connection with diagnosis were found in the medical records. Spirometry data with post-bronchodilator forced expiratory volume in 1 s (FEV 1 )/ vital capacity (VC) ratios were available in 45% (n Z 241). FEV1/VC ratio <0.70 were found in 160 patients, which corresponds to 30% of the patients with a new diagnosis. Lower age, female gender, current smoking, higher body mass index (BMI) and shorter forced exhalation time were related to COPD diagnosis despite an FEV 1 /VC ratio of !0.70. The most common problem in the quality assessment was an insufficient exhalation time. a v a i l a b l e a t w w w . s c i e n c e d i r e c t . c o m j o u r n a l h o m e p a g e : w w w . e l s e v i e r . c o m / l o c a t e / r m e d Respiratory Medicine (2010) 104, 550e556
Respiratory Medicine, 2013
Pulmonary rehabilitation (PR) is an evidence-based, multidisciplinary and cost-effective interven... more Pulmonary rehabilitation (PR) is an evidence-based, multidisciplinary and cost-effective intervention that leads to improved health in patients with chronic obstructive pulmonary disease, COPD. However, the availability of PR programs varies between and within different countries. The aim of this study was to investigate the availability and content of hospital-based PR programs in patients with COPD in Sweden. A cross-sectional descriptive design was applied using a web-based questionnaire which was sent out to all hospitals in Sweden. The questionnaire consisted of 32 questions that concerned availability and content of PR in patients with COPD during 2011. Seventy out of 71 hospitals responded the electronic survey. Forty-six (66%) hospitals offered PR for patients with COPD. Around 75% of the hospitals in southern and middle parts of Sweden and 33% of the hospitals in the northern part offered PR. Thirty-four percent of the patients declined participation. A total number of 1355 patients participated in PR which represents 0.2% of the COPD population in Sweden. All hospitals had exercise training as major component and 76% offered an educational program. Not even half a percent of the patients with COPD in Sweden took part in a hospital-based PR program during 2011. There was a considerable geographic discrepancy in availability over the country. To enable a greater part of the increasing number of patients with COPD to take part in this evidence-based treatment, there is a need of evaluating other settings of PR programs; in primary care, at home and/or over the internet.
International journal of chronic obstructive pulmonary disease, 2011
Recent guidelines for chronic obstructive pulmonary disease (COPD) state that COPD is both preven... more Recent guidelines for chronic obstructive pulmonary disease (COPD) state that COPD is both preventable and treatable. To gain a more positive outlook on the disease it is interesting to investigate factors associated with good, self-rated health and quality of life in subjects with self-reported COPD in the population.
Disability and Rehabilitation, 2013
The aim of this study was to explore and generate an understanding of the meaning of physical exe... more The aim of this study was to explore and generate an understanding of the meaning of physical exercise in the lives of individuals with Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease (PD) participating in an exercise program. A qualitative design, using Grounded Theory methodology, was used. Eleven individuals diagnosed with PD were interviewed. The core category &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Keep moving to retain the healthy self&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; identified the continuing process of maintaining functions and activities in the individuals&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; lives, in which exercise was a major contribution. Two categories, &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Having explicit life goals&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; and &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Having confidence in one&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s own ability&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;, were important prerequisites for adherence to physical exercise. Four categories - &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Taking rational position&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;, &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Exercising to slow progression&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;, &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Exercising to achieve well-being&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; and &amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Using exercise as coping strategy&amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; - were generated as important for starting and maintaining exercise habits. Insights into the process of exercising in view of living with PD were generated, which have implications for strategies in promoting physical exercise in older individuals with PD. Physical exercise can contribute to the process of retaining the healthy self in older individuals with PD. Having explicit life goals and having confidence in one&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s own ability may facilitate exercise adherence. Health personnel need to be perceptive for patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; life stories in order to understand the goals of the individual and how to support the individual in his achievement of them.