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Question 1

Important steps in undertaking a quality improvement initiative are to objectively assess meaningful outcomes, understand contributors to those measured outcomes, and, if indicated, institute change to improve those important outcomes. A gain of 21 m after the 8-wk initiation phase of PR is below what is expected from both clinical experience and the published literature, and is also even below the minimally clinically important difference for the 6MWT: 30 m. This objective assessment of the PR program is meaningful knowing that PR has been clearly demonstrated to improve exercise capacity and walking distance, reduce symptoms of dyspnea and leg discomfort, improve activities of daily living and health-related quality of life, improve emotional function, enhance self-efficacy, and, importantly, also reduce hospitalization and unscheduled health-care visits.

Answer 1

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Question 2

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Answer 2

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Question 3

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Answer 3

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