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                        "link" => array:1 [
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                        "tituloSerie" => "Phys Med Rehabil Clin N Am"
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                        "paginaInicial" => "667"
                        "link" => array:1 [
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                            "web" => "Medline"
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                        "editorialLocalizacion" => "Chicago"
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                        "volumen" => "133"
                        "paginaInicial" => "1205"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3509148"
                            "web" => "Medline"
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                        "paginaFinal" => "2689"
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                        "paginaFinal" => "1093"
                        "link" => array:1 [
                          0 => array:2 [
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                            0 => "D&#46;Y&#46; Sue"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Chest Med"
                        "fecha" => "1994"
                        "volumen" => "15"
                        "paginaInicial" => "369"
                        "paginaFinal" => "387"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8088099"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of exercise testing in impairment evaluation"
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                          "autores" => array:5 [
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                            2 => "J&#46;E&#46; Hansen"
                            3 => "D&#46;J&#46; Torrance"
                            4 => "K&#46; Wasserman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1987.135.1.230"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1987"
                        "volumen" => "135"
                        "paginaInicial" => "230"
                        "paginaFinal" => "235"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3800148"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of breathlessness in asbestos workers&#58; results of exercise testing"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "P&#46; Agostoni"
                            1 => "D&#46;D&#46; Smith"
                            2 => "R&#46;B&#46; Schoene"
                            3 => "H&#46;T&#46; Robertson"
                            4 => "J&#46; Butler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1987"
                        "volumen" => "135"
                        "paginaInicial" => "812"
                        "paginaFinal" => "816"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3565930"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diffusing capacity for plained dyspnea&#58; the role of cardiopulmonary exercise testing"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;Y&#46; Sue"
                            1 => "A&#46; Oren"
                            2 => "J&#46;E&#46; Hansen"
                            3 => "K&#46; Wasserman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Engl J Med"
                        "fecha" => "1987"
                        "volumen" => "316"
                        "paginaInicial" => "1301"
                        "paginaFinal" => "1306"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung function and exercise performance in smoking and nonsmoking asbestos-exposed workers"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;Y&#46; Sue"
                            1 => "A&#46; Oren"
                            2 => "J&#46;E&#46; Hansen"
                            3 => "K&#46; Wasserman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1985"
                        "volumen" => "132"
                        "paginaInicial" => "612"
                        "paginaFinal" => "618"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4037534"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of impairment and disability&#58; the role of cardiopulmonary exercise testing"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;Y&#46; Sue"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Clinical exercise testing"
                        "paginaInicial" => "217"
                        "paginaFinal" => "230"
                        "serieFecha" => "2002"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "NHLBI workshop summary&#58; scientific issues in the assessment of respiratory impairment as related to work rate increment during cycle ergometer exercise"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;R&#46; Becklake"
                            1 => "J&#46;R&#46; Rodarte"
                            2 => "A&#46;R&#46; Kalica"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm/137.6.1505"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1988"
                        "volumen" => "137"
                        "paginaInicial" => "1505"
                        "paginaFinal" => "1510"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3202384"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary impairment&#47;disability evaluation&#58; controversies and criticisms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;D&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Pulm Med"
                        "fecha" => "1995"
                        "volumen" => "2"
                        "paginaInicial" => "334"
                        "paginaFinal" => "343"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Tabela Nacional de Incapacidades por Acidentes de Trabalho e Doen&#231;as Profissionais &#40;Decreto-Lei n&#46;&#176; 352&#47;2007de 23 de Outubro&#41;&#46;"
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical exercise testing"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "N&#46;L&#46; Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "4<span class="elsevierStyleSup">th</span> edition"
                        "fecha" => "1997"
                        "editorial" => "W&#46;B&#46; Saunders Co"
                        "editorialLocalizacion" => "Philadelphia"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estimation of the exercise requirements of coal mining work"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46; Harber"
                            1 => "J&#46; Tamimie"
                            2 => "J&#46; Emory"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1984"
                        "volumen" => "85"
                        "paginaInicial" => "226"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6692703"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Role of the cardiopulmonary exercise testing and the criteria used to determine disability in patients with severe chronic obstructive pulmonary disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Ortega"
                            1 => "T&#46; Montemayor"
                            2 => "A&#46; S&#225;nchez"
                            3 => "F&#46; Cabello"
                            4 => "J&#46; Castilho"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm.150.3.8087347"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Resp Crit Care Med"
                        "fecha" => "1994"
                        "volumen" => "150"
                        "paginaInicial" => "747"
                        "paginaFinal" => "751"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8087347"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Functional evaluation in patients with chronic obstructive pulmonary disease&#58; pulmonary function test versus cardiopulmonary exercise test"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "G&#46; Fink"
                            1 => "S&#46; Moshe"
                            2 => "J&#46; Goshen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Occup Environ Med"
                        "fecha" => "2002"
                        "volumen" => "44"
                        "paginaInicial" => "54"
                        "paginaFinal" => "58"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11802466"
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Journal Information
Vol. 17. Issue 2.
Pages 77-79 (March - April 2011)
Vol. 17. Issue 2.
Pages 77-79 (March - April 2011)
Comentário
Open Access
Controvérsias no uso da Prova de Esforço Cardiopulmonar na avaliação do deficit funcional e incapacidade em Portugal
Controversies in the Cardiopulmonary Exercise Test use in evaluation of impairment and disability in Portugal
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10017
V. Martins
Corresponding author
vitoria.b.martins@gmail.com

Autor para correspondência.
, A. Arrobas, J. Moita
Serviço de Pneumologia, Centro Hospitalar de Coimbra, Coimbra, Portugal
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Bibliografia
[1.]
A. Seaton.
Diagnosing and managing occupational diseases.
BMJ, 310 (1995), pp. 1282
[2.]
C. Martínez González, G. Rego Fernánde.
Enfermedades respiratórias de origen ocupacional.
Arch Bronconeumol, 36 (2000), pp. 631-644
[3.]
C. González.
The role of the pulmonologist in the assessment of disability in patients with respiratory disease.
Arch Bronconeumol, 44 (2008), pp. 204-212
[4.]
WHO. World Health Organization: International Classification of Impairments, Disabilities, and Handicaps, Geneva, 1980. p. 10-11, 26-31, 86-7.
[5.]
R.D. Rondinelli, T.A. Beller.
Impairment rating and disability evaluation of the pulmonary system.
Phys Med Rehabil Clin N Am, 12 (2001), pp. 667
[6.]
ATS/ACCP statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003;167:211.
[7.]
American Medical Association.
Guides to the Evaluation of Permanent Impairment.
4th ed, American Medical Association, (1994),
[8.]
American Thoracic Society.
Evaluation of impairment/disability secondary to respiratory disorders.
Am Rev Respir Dis, 133 (1986), pp. 1205
[9.]
Resolución de 16 de Enero de 2006, Secretaria de Estado de la Seguridad Social. Spain.
[10.]
P. Palange, S.A. Ward, K.H. Carlesen, R. Casaburi, C.G. Gallager, E. Gosselink, et al.
Recommendation to the use of exercise testing in clinical practice.
Eur Resp J, 29 (2007), pp. 185-209
[11.]
ERS Task Force on Standardization of Clinical Exercise Testing.
Clinical exercise testing with reference to lung disease: indication, standardization, and interpretation strategies.
Eur Resp J, 10 (1997), pp. 2662-2689
[12.]
J.E. Cotes, J. Zejda, B. King.
Lung function impairment as a guide to exercise limitation in work-related lung disorders.
Am Rev Respir Dis, 137 (1988), pp. 1089-1093
[13.]
K. Wasserman, et al.
Principles of exercise testing and interpretation.
4th Edition, Lippincott Williams and Wilkins, (2005),
[14.]
I.M. Weisman, R.J. Zeballos.
Cardiopulmonary exercise testing.
Pulmonary Critical Care Update series, 11 (1995), pp. 1-9
[15.]
A. Oren, D.Y. Sue, J.E. Hansen, D.J. Torrance, K. Wasserman.
The role of exercise testing in impairment evaluation.
Am Rev Respir Dis, 135 (1987), pp. 230-235
[16.]
D.Y. Sue.
Exercise testing in the evaluation of impairment and disability.
Clin Chest Med, 15 (1994), pp. 369-387
[17.]
A. Oren, D.Y. Sue, J.E. Hansen, D.J. Torrance, K. Wasserman.
The role of exercise testing in impairment evaluation.
Am Rev Respir Dis, 135 (1987), pp. 230-235
[18.]
P. Agostoni, D.D. Smith, R.B. Schoene, H.T. Robertson, J. Butler.
Evaluation of breathlessness in asbestos workers: results of exercise testing.
Am Rev Respir Dis, 135 (1987), pp. 812-816
[19.]
D.Y. Sue, A. Oren, J.E. Hansen, K. Wasserman.
Diffusing capacity for plained dyspnea: the role of cardiopulmonary exercise testing.
Engl J Med, 316 (1987), pp. 1301-1306
[20.]
D.Y. Sue, A. Oren, J.E. Hansen, K. Wasserman.
Lung function and exercise performance in smoking and nonsmoking asbestos-exposed workers.
Am Rev Respir Dis, 132 (1985), pp. 612-618
[21.]
D.Y. Sue.
Evaluation of impairment and disability: the role of cardiopulmonary exercise testing.
Clinical exercise testing, pp. 217-230
[22.]
M.R. Becklake, J.R. Rodarte, A.R. Kalica.
NHLBI workshop summary: scientific issues in the assessment of respiratory impairment as related to work rate increment during cycle ergometer exercise.
Am Rev Respir Dis, 137 (1988), pp. 1505-1510
[23.]
D.D. Smith.
Pulmonary impairment/disability evaluation: controversies and criticisms.
Clin Pulm Med, 2 (1995), pp. 334-343
[24.]
Tabela Nacional de Incapacidades por Acidentes de Trabalho e Doenças Profissionais (Decreto-Lei n.° 352/2007de 23 de Outubro).
[25.]
N.L. Jones.
Clinical exercise testing.
4th edition, W.B. Saunders Co, (1997),
[26.]
P. Harber, J. Tamimie, J. Emory.
Estimation of the exercise requirements of coal mining work.
Chest, 85 (1984), pp. 226
[27.]
F. Ortega, T. Montemayor, A. Sánchez, F. Cabello, J. Castilho.
Role of the cardiopulmonary exercise testing and the criteria used to determine disability in patients with severe chronic obstructive pulmonary disease.
Am J Resp Crit Care Med, 150 (1994), pp. 747-751
[28.]
G. Fink, S. Moshe, J. Goshen, et al.
Functional evaluation in patients with chronic obstructive pulmonary disease: pulmonary function test versus cardiopulmonary exercise test.
J Occup Environ Med, 44 (2002), pp. 54-58
Copyright © 2011. Sociedade Portuguesa de Pneumologia
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