Quantification of dyspnoea using descriptors: development and initial testing of the Dyspnoea-12
Open accessAbstract
RATIONALE: Dyspnoea is a debilitating and distressing symptom that is reflected in different verbal descriptors. Evidence suggests that dyspnoea, like pain perception, consists of sensory quality and affective components. The objective of this study was to develop an instrument that measures overall dyspnoea severity using descriptors that reflect its different aspects. METHODS: 81 dyspnoea descriptors were administered to 123 patients with chronic obstructive pulmonary disease (COPD), 129 with interstitial lung disease and 106 with chronic heart failure. These were reduced to 34 items using hierarchical methods. Rasch analysis informed decisions regarding further item removal and fit to the unidimensional model. Principal component analysis (PCA) explored the underlying structure of the final item set. Validity and reliability of the new instrument were further assessed in a separate group of 53 patients with COPD. RESULTS: After removal of items with hierarchical methods (n = 47) and items that failed to fit the Rasch model (n = 22), 12 were retained. The "Dyspnoea-12" had good internal reliability (Cronbach's alpha = 0.9) and fit to the Rasch model (chi(2) p = 0.08). Items patterned into two groups called "physical"(n = 7) and "affective"(n = 5). In the separate validation study, Dyspnoea-12 correlated with the Hospital Anxiety and Depression Scale (anxiety r = 0.51; depression r = 0.44, p<0.001, respectively), 6-minute walk distance (r = -0.38, p<0.01) and MRC (Medical Research Council) grade (r = 0.48, p<0.01), and had good stability over time (intraclass correlation coefficient = 0.9, p<0.001). CONCLUSION: Dyspnoea-12 fulfills modern psychometric requirements for measurement. It provides a global score of breathlessness severity that incorporates both "physical" and "affective" aspects, and can measure dyspnoea in a variety of diseases.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Some patient-reported outcome measures are not validated in all presentations of BPD (NQ, D-12) or have limited validity (Short Evaluation of Breathing Questionnaire).
“Some patient- reported outcome measures are not validated in all presentations of BPD (NQ, 15 D- 12 29 ) or have limited validity (Short Evaluation of Breathing Questionniare 30 ).”
From Physiotherapy assessment of breathing pattern disorder: a qualitative evaluation (2023) · cites this paper as [29]
The Methods and Study two validation sections report development in patients with COPD, interstitial lung disease and chronic heart failure, followed by a separate validation study in patients with COPD. This supports a limited validation scope for the D-12, but the paper does not assess presentations of BPD or establish whether the measure has been validated in any of them. The NQ and Short Evaluation of Breathing Questionnaire are attributed to other citations in the sentence. (LLM, conf=0.78)
Experimental — accuracy not yet measuredMore recent instruments, such as Dyspnea-12 and the Multidimensional Dyspnea Profile, permit the assessment of both the presence and intensity of the descriptor.
“More recent instruments, such as Dyspnea-12 24 and the Multidimensional Dyspnea Profile, 25 permit the assessment of both the presence and intensity of the descriptor.”
From Cognitive behavioral therapy for management of dyspnea: A pilot study (2015) · cites this paper as [24]
The D-12 allows assessment of the sensory and emotional components of dyspnoea, which is recommended by international scientific societies for dyspnoea evaluation.
“D-12,46,58 used in our study, allows the assessment of the sensory and emotional components of dyspnoea, which is recommended by international scientific societies for dyspnea evaluation.59”
From Physiotherapy Education and Breathing Retraining for Patients With Hyperventilation Syndrome: An Observational Study (2026) · cites this paper as [58]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
Psychophysical bases of perceived exertion
BORG, G. A. V. (1982) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198205000-00012 · Cited by 16,580 · see citing works
Probabilistic Models for Some Intelligence and Attainment Tests
Psychology, M. (1961) · Information and Control · doi:10.1016/s0019-9958(61)80061-2 · Cited by 6,936 · see citing works
An Easy Guide to Factor Analysis
Kline, P. (2014) · Routledge eBooks · doi:10.4324/9781315788135 · Cited by 3,328 · see citing works
Development and first validation of the COPD Assessment Test
Jones, P., Harding, G., Berry, P., Wiklund, I. E., Chen, W.-H., & Leidy, N. K. (2009) · European Respiratory Journal · doi:10.1183/09031936.00102509 · Cited by 3,225 · see citing works
Self-citationJones, P. W., Quirk, F. H., Baveystock, C. M., & Littlejohns, P. (1992) · American Review of Respiratory Disease · doi:10.1164/ajrccm/145.6.1321 · Cited by 3,035 · see citing works
Self-citationBestall, J. C., Paul, E. A., Garrod, R., Garnham, R., Jones, P. W., & Wedzicha, J. A. (1999) · Thorax · doi:10.1136/thx.54.7.581 · Cited by 2,927 · see citing works
Self-citationThe St George's Respiratory Questionnaire
Jones, P., Quirk, F. H., & Baveystock, C. M. (1991) · Respiratory Medicine · doi:10.1016/s0954-6111(06)80166-6 · Cited by 2,729 · see citing works
Self-citationProbabilistic Models for some Intelligence and Attainment Tests.
Wolins, L., Wright, B. D., & Rasch, G. (1982) · Journal of the American Statistical Association · doi:10.2307/2287805 · Cited by 2,009 · see citing works
An easy guide to factor analysis
Gudjonsson, G. H. (1994) · Personality and Individual Differences · doi:10.1016/0191-8869(94)90040-x · Cited by 1,945 · see citing works
Dyspnea: Mechanisms, Assessment, and Management: A Consensus Statement
(1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.159.1.ats898 · Cited by 1,052 · see citing works
Pallant, J., & Tennant, A. (2007) · British Journal of Clinical Psychology · doi:10.1348/014466506x96931 · Cited by 998 · see citing works
Dyspnea Mechanisms, Assessment and Management: A Consensus Statement
Editorial, A. (2005) · PULMONOLOGIYA · doi:10.18093/0869-0189-2005-0-2-9-36 · Cited by 859 · see citing works
Distinguishable Types of Dyspnea in Patients with Shortness of Breath
Simon, P. M., Schwartzstein, R. M., Weiss, J. W., Fencl, V., Teghtsoonian, M., & Weinberger, S. E. (1990) · American Review of Respiratory Disease · doi:10.1164/ajrccm/142.5.1009 · Cited by 433 · see citing works
The multiple dimensions of dyspnea: Review and hypotheses
Lansing, R. W., Gracely, R. H., & Banzett, R. B. (2009) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2008.07.012 · Cited by 355 · see citing works
Bailey, P. H. (2004) · Qualitative Health Research · doi:10.1177/1049732304265973 · Cited by 275 · see citing works
The Affective Dimension of Laboratory Dyspnea
Banzett, R. B., Pedersen, S., Schwartzstein, R. M., & Lansing, R. (2008) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200711-1675oc · Cited by 236 · see citing works
Descriptors of Breathlessness in Cardiorespiratory Diseases
Mahler, D. A., Harver, A., Lentine, T., Scott, J. A., Beck, K., & Schwartzstein, R. M. (1996) · American journal of respiratory and critical care medicine · doi:10.1164/ajrccm.154.5.8912748 · Cited by 227 · see citing works
Panic Attacks and Perception of Inspiratory Resistive Loads in Chronic Obstructive Pulmonary Disease
Livermore, N., Butler, J. E., Sharpe, L., McBain, R. A., Gandevia, S. C., & McKenzie, D. K. (2008) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200711-1700oc · Cited by 113 · see citing works
Wilson, R. C., & Jones, P. (1991) · Clinical Science · doi:10.1042/cs0800065 · Cited by 99 · see citing works
Self-citationMahler, D. A., Ward, J., Fierro-Carrion, G. A., Waterman, L. A., Lentine, T., Mejı́a-Alfaro, R., & Baird, J. C. (2004) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.1081/copd-120030829 · Cited by 77 · see citing works
Caroci, A. D. S., & Lareau, S. C. (2004) · Heart & Lung · doi:10.1016/j.hrtlng.2003.11.004 · Cited by 76 · see citing works
Descriptors of Breathlessness in Patients With Cancer and Other Cardiorespiratory Diseases
Wilcock, A., Crosby, V., Hughes, A. N., Fielding, K., Corcoran, R., & Tattersfield, A. E. (2002) · Journal of Pain and Symptom Management · doi:10.1016/s0885-3924(01)00417-1 · Cited by 61 · see citing works
Long-term outcome after respiratory rehabilitation.
Guyatt, G. H., Berman, L., & Townsend, M. (1987) · PubMed · Cited by 55 · see citing works
Qualitative aspects of breathlessness in health and disease
Smith, J. A., Albert, P., Bertella, E., Lester, J., Jack, S., & CALVERLEY, P. M. A. (2009) · Thorax · doi:10.1136/thx.2008.104869 · Cited by 55 · see citing works
On the language of breathlessness
Skevington, S. M., Pilaar, M., Routh, D. A., & MacLeod, R. (1997) · Psychology and Health · doi:10.1080/08870449708407414 · Cited by 50 · see citing works
Measurement of dyspnea: word labeled visual analog scale vs. verbal ordinal scale
Lansing, R., Moosavi, S. H., & Banzett, R. B. (2003) · Respiratory Physiology & Neurobiology · doi:10.1016/s1569-9048(02)00211-2 · Cited by 45 · see citing works
Self-citationVerbal Descriptors of Dyspnea in Patients With COPD at Different Intensity Levels of Dyspnea
von Leupoldt, A., Balewski, S., Petersen, S., Taube, K., Schubert-Heukeshoven, S., MAGNUSSEN, H., & Dahme, B. (2007) · CHEST Journal · doi:10.1378/chest.07-0103 · Cited by 45 · see citing works
Fierro-Carrion, G. A., Mahler, D. A., Ward, J., & Baird, J. C. (2004) · CHEST Journal · doi:10.1378/chest.125.1.77 · Cited by 42 · see citing works
Parshall, M. B., Welsh, J. D., Brockopp, D. Y., Heiser, R. M., Schooler, M. P., & Cassidy, K. B. (2001) · Heart & Lung · doi:10.1067/mhl.2001.112499 · Cited by 34 · see citing works
THE DANISH INSTITUTE FOR EDUCATIONAL RESEARCH
THOMSEN, E. (1961) · Applied Psychology · doi:10.1111/j.1464-0597.1961.tb01010.x · Cited by 27 · see citing works
The influence of decisions made by developers on health status questionnaire content
O'Leary, C. J., & Jones, P. M. (1998) · Quality of Life Research · doi:10.1023/a:1008882626075 · Cited by 19 · see citing works
Self-citationThe language of breathing among individuals with chronic obstructive pulmonary disease
Michaels, C., & Meek, P. (2004) · Heart & Lung · doi:10.1016/j.hrtlng.2004.06.002 · Cited by 15 · see citing works
The Language of Dyspnoea: A Systematic Review
Garrard, A., & Williams, M. (2008) · Internet Journal of Allied Health Sciences and Practice · doi:10.46743/1540-580x/2008.1184 · Cited by 13 · see citing works
Editorial: Dyspnoea and pain: an interesting analogy
Yorke, J. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02299.x · Cited by 5 · see citing works
Self-citationWilson, R. C., & Pw, J. (1991) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-199107000-00030 · Cited by 4 · see citing works
Dyspnoea and pain: an interesting analogy
Yorke, J. (2008) · Journal of Clinical Nursing · Cited by 3 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 1
- [12]Banzett RB Moosavi SH Dyspnea and pain: similarities and contrasts between two very unpleasant sensations. Am Pain Soc Bull 2001; 11: 6– 8
Cited by
Sorted by citations
Parshall, M. B., Schwartzstein, R. M., Adams, L., Banzett, R. B., Manning, H. L., Bourbeau, J., Calverley, P. M., Gift, A. G., Harver, A., Lareau, S. C., et al. (2012) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201111-2042st · Cited by 1,844 · see citing works
Evans, R. A., McAuley, H. J. C., Harrison, E. M., Shikotra, A., Singapuri, A., Sereno, M., Elneima, O., Docherty, A. B., Lone, N., Leavy, O. C., et al. (2021) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(21)00383-0 · Cited by 670 · see citing works
Raman, B., Cassar, M. P., Tunnicliffe, E. M., Filippini, N., Griffanti, L., Alfaro‐Almagro, F., Okell, T. W., Sheerin, F., Xie, C., Mahmod, M., et al. (2021) · EClinicalMedicine · doi:10.1016/j.eclinm.2020.100683 · Cited by 605 · see citing works
Dennis, A., Wamil, M., Alberts, J., Oben, J. A., Cuthbertson, D. J., Wootton, D. G., Crooks, M. G., Gabbay, M., Brady, M., Hishmeh, L., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-048391 · Cited by 562 · see citing works
Wheelock, Å. M., & Wheelock, C. E. (2013) · Molecular BioSystems · doi:10.1039/c3mb70194h · Cited by 338 · see citing works
Multidimensional Dyspnea Profile: an instrument for clinical and laboratory research
Banzett, R. B., O’Donnell, C. R., Guilfoyle, T., Parshall, M. B., Schwartzstein, R. M., Meek, P., Gracely, R. H., & Lansing, R. (2015) · European Respiratory Journal · doi:10.1183/09031936.00038914 · Cited by 332 · see citing works
Does the Use of a Handheld Fan Improve Chronic Dyspnea? A Randomized, Controlled, Crossover Trial
Galbraith, S., Fagan, P., Perkins, P., Lynch, A. G., & Booth, S. (2010) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2009.09.024 · Cited by 326 · see citing works
Dyspnoea: a multidimensional and multidisciplinary approach
Laviolette, L., & Laveneziana, P. (2014) · European Respiratory Journal · doi:10.1183/09031936.00092613 · Cited by 300 · see citing works
Patel, A. S., Siegert, R. J., Brignall, K., Gordon, P., Steer, S. E., Desai, S. R., Maher, T. M., Renzoni, E. A., Wells, A. U., Higginson, I. J., et al. (2012) · Thorax · doi:10.1136/thoraxjnl-2012-201581 · Cited by 293 · see citing works
Singh, S. J., Baldwin, M. M., Daynes, E., Evans, R. A., Greening, N. J., Jenkins, G. R., Lone, N., McAuley, H. J. C., Mehta, P., Newman, J. V., et al. (2023) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(23)00159-5 · Cited by 198 · see citing works
emPHasis-10: development of a health-related quality of life measure in pulmonary hypertension
Yorke, J., Corris, P. A., Gaine, S., Gibbs, J. S. R., Kiely, D. G., Harries, C., Pollock, V., & Armstrong, I. J. (2013) · European Respiratory Journal · doi:10.1183/09031936.00127113 · Cited by 189 · see citing works
Self-citationBeyond FEV1 in COPD: a review of patient-reported outcomes and their measurement
Jones, P., Miravitlles, M., van der Molen, T., & Kulich, K. R. (2012) · International Journal of COPD · doi:10.2147/copd.s32675 · Cited by 170 · see citing works
Self-citationYorke, J., Jones, P. W., & Swigris, J. J. (2010) · Thorax · doi:10.1136/thx.2010.139121 · Cited by 147 · see citing works
Self-citationYorke, J., Swigris, J. J., Russell, A., Moosavi, S. H., Kwong, G. N. M., Longshaw, M., & Jones, P. (2011) · CHEST Journal · doi:10.1378/chest.10-0693 · Cited by 143 · see citing works
Self-citationWalker, S., Goodfellow, H., Pookarnjanamorakot, P., Murray, E., Bindman, J., BLANDFORD, A. E., Bradbury, K. J., Cooper, B., Hamilton, F. L., Hurst, J. R., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-069217 · Cited by 130 · see citing works
Reliability and Validity of the Multidimensional Dyspnea Profile
Meek, P. M., Banzett, R., Parsall, M. B., Gracely, R. H., Schwartzstein, R. M., & Lansing, R. (2012) · Chest · doi:10.1378/chest.11-1087 · Cited by 127 · see citing works
Sullivan, D. R., Iyer, A. S., Enguidanos, S. M., Cox, C. E., Farquhar, M. C., Janssen, D. J. A., Lindell, K. O., Mularski, R. A., Smallwood, N., Turnbull, A. E., et al. (2022) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202207-1262st · Cited by 134 · see citing works
Mahler, D. A., & O’Donnell, D. E. (2015) · CHEST Journal · doi:10.1378/chest.14-0800 · Cited by 127 · see citing works
Abodonya, A. M., Abdelbasset, W. K., Awad, E. A., Elalfy, I., Salem, H. A., & ELSAYED, S. H. (2021) · Medicine · doi:10.1097/md.0000000000025339 · Cited by 121 · see citing works
Multi-organ impairment in low-risk individuals with long COVIDPreprint
Dennis, A., Wamil, M., Kapur, S., Alberts, J., Badley, A. D., Decker, G. A., Rizza, S. A., Banerjee, R., & Banerjee, A. (2020) · medRxiv · doi:10.1101/2020.10.14.20212555 · Cited by 116 · see citing works
Herigstad, M., Hayen, A., Wiech, K., & Pattinson, K. T. S. (2011) · Respiratory Medicine · doi:10.1016/j.rmed.2010.12.022 · Cited by 111 · see citing works
The development and validation of the Bronchiectasis Health Questionnaire
Spinou, A., Siegert, R. J., Guan, W., Patel, A. S., Gosker, H. R., Lee, K. K., Elston, C. M., Loebinger, M. R., Wilson, R., Garrod, R., et al. (2017) · European Respiratory Journal · doi:10.1183/13993003.01532-2016 · Cited by 111 · see citing works
Herigstad, M., Harrison, O. K., Hayen, A., Evans, E. F., Hardinge, F. M., Wiech, K., & Pattinson, K. T. S. (2017) · European Respiratory Journal · doi:10.1183/13993003.01029-2017 · Cited by 99 · see citing works
Aronson, K. I., Danoff, S. K., Russell, A., Ryerson, C. J., Suzuki, A., Wijsenbeek, M. S., Bajwah, S., Bianchi, P., Corte, T. J., Lee, J. S., et al. (2021) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202105-1193st · Cited by 100 · see citing works
Dyspnea-Related Cues Engage the Prefrontal Cortex
Herigstad, M., Hayen, A., Evans, E. F., Hardinge, F. M., Davies, R. J. O., Wiech, K., & Pattinson, K. T. S. (2015) · CHEST Journal · doi:10.1378/chest.15-0416 · Cited by 99 · see citing works
Pathophysiology of dyspnea in COPD
Anzueto, A., & Miravitlles, M. (2017) · Postgraduate Medicine · doi:10.1080/00325481.2017.1301190 · Cited by 100 · see citing works
Perez, T., Burgel, P., Paillasseur, J.-L., Caillaud, D. M., Deslée, G., Chanez, P., & Roche, N. (2015) · International Journal of COPD · doi:10.2147/copd.s82408 · Cited by 101 · see citing works
Yorke, J., Lloyd‐Williams, M., Smith, J. A., Blackhall, F. H., Harle, A. S. M., Warden, J., Ellis, J., Pilling, M. A., Haines, J., Luker, K. A., et al. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2810-x · Cited by 93 · see citing works
Self-citationJohnson, M. J., Close, L., Gillon, S., Molassiotis, A., Lee, P. H., & Farquhar, M. C. (2016) · European Respiratory Journal · doi:10.1183/13993003.02089-2015 · Cited by 89 · see citing works
Long-term health impacts of COVID-19 among 242,712 adults in England
Atchison, C. J., Davies, B., Cooper, E., Lound, A., Whitaker, M. D., Hampshire, A., Azor, A. M., Donnelly, C. A., Chadeau‐Hyam, M., Cooke, G., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-41879-2 · Cited by 94 · see citing works
Muruganandan, S., Azzopardi, M., Thomas, R., Fitzgerald, D. B., Kuok, Y. J., Cheah, H. M., Read, C., Budgeon, C. A., Eastwood, P. R., Jenkins, S. C., et al. (2020) · European Respiratory Journal · doi:10.1183/13993003.00980-2019 · Cited by 85 · see citing works
The Filter Detection Task for measurement of breathing-related interoception and metacognition
Harrison, O. K., Garfinkel, S. N., Marlow, L., Finnegan, S., Marino, S., Köchli, L., Allen, M., Finnemann, J., Keur‐Huizinga, L., Harrison, S. J., et al. (2021) · Biological Psychology · doi:10.1016/j.biopsycho.2021.108185 · Cited by 84 · see citing works
Assessment of Dyspnea in Asthma: Validation of the Dyspnea-12
Yorke, J., Russell, A.-M., Swigris, J., Shuldham, C., Haigh, C., Rochnia, N., Hoyle, J., & Jones, P. W. (2011) · Journal of Asthma · doi:10.3109/02770903.2011.585412 · Cited by 79 · see citing works
Self-citationCazzola, M., Hanania, N. A., MacNee, W., Rüdell, K., Hackford, C., & Tamimi, N. (2015) · International Journal of COPD · doi:10.2147/copd.s77368 · Cited by 75 · see citing works
Swigris, J. J., Yorke, J., Sprunger, D. B., Swearingen, C. J., Pincus, T., du Bois, R. M., Brown, K. K., & Fischer, A. (2010) · Respiratory Medicine · doi:10.1016/j.rmed.2010.03.027 · Cited by 74 · see citing works
Self-citationOxygen compared to air during exercise training in COPD with exercise-induced desaturation
Alison, J. A., McKeough, Z. J., Leung, R. W. M., Holland, A. E., Hill, K., Morris, N. R., JENKINS, S. C., Spencer, L., Hill, C. J., Lee, A. L., et al. (2019) · European Respiratory Journal · doi:10.1183/13993003.02429-2018 · Cited by 75 · see citing works
Donesky, D., Selman, L. E., McDermott, K. A., Citron, T., & Howie‐Esquivel, J. (2017) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2015.0279 · Cited by 66 · see citing works
Prioritizing symptom management in the treatment of chronic heart failure
Koshy, A. O., Gallivan, E. R., McGinlay, M., Straw, S., Drozd, M., Toms, A. G., Gierula, J., Cubbon, R. M., Kearney, M. T., & Witte, K. K. (2020) · ESC Heart Failure · doi:10.1002/ehf2.12875 · Cited by 66 · see citing works
Poulos, L. M., Ampon, R. D., Currow, D. C., Marks, G. B., Toelle, B. G., & Reddel, H. K. (2021) · Respirology · doi:10.1111/resp.14070 · Cited by 65 · see citing works
Management of Dyspnea in the Terminally Ill
Pisani, L., Hill, N. S., Pacilli, A. M. G., Polastri, M., & Nava, S. (2018) · CHEST Journal · doi:10.1016/j.chest.2018.04.003 · Cited by 60 · see citing works
Development of a Barthel Index based on dyspnea for patients with respiratory diseases
Vitacca, M., Paneroni, M., Baiardi, P., Carolis, V. D., Zampogna, E., Belli, S., Carone, M., Spanevello, A., Balbi, B., & Bertolotti, G. (2016) · International Journal of COPD · doi:10.2147/copd.s104376 · Cited by 60 · see citing works
Prevalence and assessment of breathlessness in the clinical setting
Johnson, M. J., Currow, D. C., & Booth, S. (2014) · Expert Review of Respiratory Medicine · doi:10.1586/17476348.2014.879530 · Cited by 56 · see citing works
Kusunose, M., Oga, T., Nakamura, S., Hasegawa, Y., & Nishimura, K. (2017) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2017-000196 · Cited by 57 · see citing works
Managing breathlessness: a palliative care approach
Chin, C. A., & Booth, S. (2016) · Postgraduate Medical Journal · doi:10.1136/postgradmedj-2015-133578 · Cited by 56 · see citing works
Ekström, M. P., Bornefalk, H., Sköld, C. M., Janson, C., Blomberg, A., Hermansson, A. B., Igelström, H., Sandberg, J., & Sundh, J. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.05.028 · Cited by 54 · see citing works
Frisk, B., Jürgensen, M., Espehaug, B., Njøten, K. L., Søfteland, E. W., Aarli, B. B., & Kvale, G. (2023) · Scientific Reports · doi:10.1038/s41598-023-35991-y · Cited by 53 · see citing works
Dyspnoea-12 and Multidimensional Dyspnea Profile: Systematic Review of Use and Properties
Williams, M., Lewthwaite, H., Paquet, C., Johnston, K., Olsson, M., Belo, L. F., Pitta, F. D. O., Morélot‐Panzini, C., & Ekström, M. P. (2021) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2021.06.023 · Cited by 51 · see citing works
Comparison of the Dyspnoea-12 and Multidimensional Dyspnoea Profile in people with COPD
Williams, M., John, D. L., & Frith, P. A. (2016) · European Respiratory Journal · doi:10.1183/13993003.00773-2016 · Cited by 48 · see citing works
Yorke, J., Deaton, C., Campbell, M., McGowen, L., Sephton, P., Kiely, D. G., & Armstrong, I. J. (2018) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2017-000263 · Cited by 49 · see citing works
Self-citationHow to Assess Breathlessness in Chronic Obstructive Pulmonary Disease
Lewthwaite, H., Jensen, D., & Ekström, M. P. (2021) · International Journal of COPD · doi:10.2147/copd.s277523 · Cited by 49 · see citing works
Singing for Lung Health: service evaluation of the British Lung Foundation programme
Lewis, A. P., Cave, P., & Hopkinson, N. S. (2018) · Perspectives in Public Health · doi:10.1177/1757913918774079 · Cited by 48 · see citing works
Breathlessness in cancer patients – Implications, management and challenges
Thomas, S., Bausewein, C., Higginson, I. J., & Booth, S. (2011) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2010.11.013 · Cited by 47 · see citing works
Faverio, P., Giacomi, F. D., Bonaiti, G., Stainer, A., Sardella, L., Pellegrino, G. M., Papa, G. F. S., Bini, F., Bodini, B. D., Carone, M., et al. (2019) · International Journal of Medical Sciences · doi:10.7150/ijms.32752 · Cited by 47 · see citing works
Kalluri, M., Luppi, F., Vancheri, A., Vancheri, C., Balestro, E., Varone, F., Moğulkoç, N., Cacopardo, G., Bargagli, E., Renzoni, E. A., et al. (2021) · European Respiratory Review · doi:10.1183/16000617.0026-2021 · Cited by 49 · see citing works
Currow, D. C., Quinn, S. J., Ekström, M. P., Kaasa, S., Johnson, M. J., Somogyi, A. A., & Klepstad, P. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-006818 · Cited by 47 · see citing works
Matsuda, T., Taniguchi, H., Ando, M., Kondoh, Y., Kimura, T., Kataoka, K., Sakamoto, K., Suzuki, A., Furukawa, T., & Hasegawa, Y. (2016) · Respirology · doi:10.1111/resp.12936 · Cited by 44 · see citing works
Structural Brain Changes Related to Disease Duration in Patients with Asthma
von Leupoldt, A., Brassen, S., Baumann, H. J., Klose, H. F. E., & Büchel, C. (2011) · European Respiratory Journal · doi:10.1183/13993003/erj.38.suppl_55.p2223 · Cited by 44 · see citing works
Validity and Reliability of CAT and Dyspnea-12 in Bronchiectasis and Tuberculous Destroyed Lung
Lee, B. Y., Lee, S., Lee, J., Song, J. W., Lee, S., Jang, S. H., Jung, K., Hwang, Y. I., & Oh, Y. (2012) · Tuberculosis & respiratory diseases · doi:10.4046/trd.2012.72.6.467 · Cited by 43 · see citing works
Breathlessness and COVID-19: A Call for Research
Hentsch, L., Cocetta, S., Allali, G., Santana, I., Eason, R., Adam, E., & Janssens, J.-P. (2021) · Respiration · doi:10.1159/000517400 · Cited by 41 · see citing works
Bausewein, C., Jolley, C. J., Reilly, C. C., Lobo, P., Kelly, J., Bellas, H., Madan, P., Pannell, C., Brink, E., Biase, C. D., et al. (2012) · BMC Pulmonary Medicine · doi:10.1186/1471-2466-12-58 · Cited by 42 · see citing works
Should we measure dyspnoea in everyone?
Banzett, R. B., & O’Donnell, C. R. (2014) · European Respiratory Journal · doi:10.1183/09031936.00031114 · Cited by 42 · see citing works
Cannabinoid effects on ventilation and breathlessness: A pilot study of efficacy and safety
Pickering, E. E., Semple, S. J. G., Nazir, M. S., Murphy, K., Snow, T. M., Cummin, A. R. C., Moosavi, S. H., Guz, A., & Holdcroft, A. (2011) · Chronic Respiratory Disease · doi:10.1177/1479972310391283 · Cited by 42 · see citing works
Self-citationKataoka, K., Nishiyama, O., Ogura, T., Mori, Y., Kozu, R., Arizono, S., Tsuda, T., Tomioka, H., Tomii, K., Sakamoto, K., et al. (2023) · Thorax · doi:10.1136/thorax-2022-219792 · Cited by 41 · see citing works
Yorke, J., & Armstrong, I. J. (2013) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515113514891 · Cited by 41 · see citing works
Self-citationUnraveling the Causes of Unexplained Dyspnea
O’Donnell, D. E., Milne, K. M., Vincent, S. G., & Neder, J. A. (2019) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2019.02.014 · Cited by 41 · see citing works
Outcome Measures for Clinical Trials in Interstitial Lung Diseases
Lammi, M. R., Baughman, R. P., Birring, S. S., Russell, A., Ryu, J. H., Scholand, M. B., Distler, O., LeSage, D., Sarver, C., Antoniou, K. M., et al. (2015) · Current Respiratory Medicine Reviews · doi:10.2174/1573398x11666150619183527 · Cited by 40 · see citing works
Assessment of Breathlessness in Lung Cancer: Psychometric Properties of the Dyspnea-12 Questionnaire
Tan, J.-Y. B., Yorke, J., Harle, A. S. M., Smith, J. A., Blackhall, F. H., Pilling, M. A., & Molassiotis, A. (2016) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2016.08.009 · Cited by 40 · see citing works
Self-citationBansal, T., Haji, G. S., Rossiter, H. B., Polkey, M. I., & Hull, J. H. (2018) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2018.05.002 · Cited by 40 · see citing works
Lovell, N., Etkind, S. N., Bajwah, S., Maddocks, M. M., & Higginson, I. J. (2018) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2018.09.021 · Cited by 40 · see citing works
Adler, D., & Janssens, J.-P. (2018) · Respiration · doi:10.1159/000494063 · Cited by 40 · see citing works
Young, C. A., Ealing, J., McDermott, C. J., Williams, T. L., Al‐Chalabi, A., Majeed, T., Burke, G., Pinto, A. A., Dick, D. J., Talbot, K., et al. (2019) · Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration · doi:10.1080/21678421.2019.1615951 · Cited by 38 · see citing works
Cazzola, M., Rogliani, P., Barnes, P. J., Blasi, F., Celli, B. R., Hanania, N. A., Martínez, F. J., Miller, B. E., Miravitlles, M., Page, C. P., et al. (2023) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202303-0400so · Cited by 37 · see citing works
Measuring dyspnoea: new multidimensional instruments to match our 21st century understanding
Banzett, R. B., & Moosavi, S. H. (2017) · European Respiratory Journal · doi:10.1183/13993003.02473-2016 · Cited by 35 · see citing works
Self-citationBeaumont, M., Couturaud, F., Jego, F., Pichon, R., Ber, C. L., Péran, L., Rogé, C., Renault, D., Narayan, S., & Reychler, G. (2018) · International Journal of COPD · doi:10.2147/copd.s145048 · Cited by 37 · see citing works
Gerlach, Y., Williams, M., & Coates, A. M. (2012) · International Journal of Obesity · doi:10.1038/ijo.2012.49 · Cited by 36 · see citing works
Parshall, M. B., Meek, P., Sklar, D. P., Alcock, J., & Bittner, P. (2012) · BMC Emergency Medicine · doi:10.1186/1471-227x-12-6 · Cited by 34 · see citing works
Ekström, M. P., Bornefalk, H., Sköld, M. C., Janson, C., Blomberg, A., Sandberg, J., Hermansson, A. B., Igelström, H., & Sundh, J. (2019) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2018-000381 · Cited by 32 · see citing works
Bailey, C. D., Wagland, R., Dabbour, R. S., Caress, A., Smith, J. A., & Molassiotis, A. (2010) · BMC Pulmonary Medicine · doi:10.1186/1471-2466-10-63 · Cited by 32 · see citing works
Baroi, S., McNamara, R. J., Mckenzie, D., Gandevia, S., & Brodie, M. (2017) · Telemedicine journal and e-health · doi:10.1089/tmj.2017.0160 · Cited by 29 · see citing works
Breathlessness in COPD: linking symptom clusters with brain activity
Finnegan, S., Harrison, O. K., Harmer, C. J., Herigstad, M., Rahman, N. M., Reinecke, A., & Pattinson, K. T. S. (2021) · European Respiratory Journal · doi:10.1183/13993003.04099-2020 · Cited by 30 · see citing works
A systematic review of surgical treatment for supraglottic exercise‐induced laryngeal obstruction
Siewers, K., Backer, V., & Walsted, E. S. (2019) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.257 · Cited by 31 · see citing works
Characteristics and risk factors for post-COVID-19 breathlessness after hospitalisation for COVID-19
Daines, L., Zheng, B., Elneima, O., Harrison, E. M., Lone, N., Hurst, J. R., Brown, J., Sapey, E., Chalmers, J. D., Quint, J. K., et al. (2022) · ERJ Open Research · doi:10.1183/23120541.00274-2022 · Cited by 30 · see citing works
Patient reported outcome measures in chronic obstructive pulmonary disease: Which to use?
Ekström, M. P., Sundh, J., & Larsson, K. (2016) · Expert Review of Respiratory Medicine · doi:10.1586/17476348.2016.1146595 · Cited by 29 · see citing works
Al‐Gamal, E., & Yorke, J. (2013) · Nursing and Health Sciences · doi:10.1111/nhs.12073 · Cited by 32 · see citing works
Self-citationSaketkoo, L. A., Scholand, M. B., Lammi, M. R., & Russell, A. (2020) · Journal of Scleroderma and Related Disorders · doi:10.1177/2397198320904178 · Cited by 28 · see citing works
Physiotherapy assessment of breathing pattern disorder: a qualitative evaluation
Grillo, L., Russell, A.-M., Shannon, H., & Lewis, A. (2023) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2022-001395 · Cited by 27 · see citing works
“Much of the literature has described the importance of improving the consistency of assessment and this paper offers unique insights into physiotherapists’ experiences of BPD assessment processes.”
Lee, S., Lee, J. S., Song, J. W., Choi, C., Shim, T. S., Kim, T., Cho, Y. S., Moon, H., Lee, S., & Oh, Y. (2010) · Tuberculosis & respiratory diseases · doi:10.4046/trd.2010.69.3.171 · Cited by 27 · see citing works
Sundh, J., Bornefalk, H., Sköld, C. M., Janson, C., Blomberg, A., Sandberg, J., Hermansson, A. B., Igelström, H., & Ekström, M. P. (2019) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2019-000418 · Cited by 27 · see citing works
Chronic refractory breathlessness is a distinct clinical syndrome
Johnson, M. J., & Currow, D. C. (2015) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0000000000000150 · Cited by 28 · see citing works
Development of a dyspnoea word cue set for studies of emotional processing in COPD
Herigstad, M., Hayen, A., Reinecke, A., & Pattinson, K. T. S. (2015) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2015.12.006 · Cited by 26 · see citing works
High Prevalence of Laryngeal Obstruction during Exercise in Severe Asthma
Hull, J. H., Walsted, E. S., Pavitt, M. J., Menzies-Gow, A. N., Backer, V., & Sandhu, G. S. (2018) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201809-1734le · Cited by 26 · see citing works
Intravenous iron and chronic obstructive pulmonary disease: a randomised controlled trial
Santer, P., Mcgahey, A., Frise, M. C., Petousi, N., Talbot, N. P., Baskerville, R., Bafadhel, M., Nickol, A. H., & Robbins, P. A. (2020) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2020-000577 · Cited by 26 · see citing works
Hylton, H., Long, A., Francis, C., Taylor, R. R., Ricketts, W. M., Singh, R., & Pfeffer, P. (2022) · Clinical Medicine · doi:10.7861/clinmed.2021-0759 · Cited by 26 · see citing works
Yorke, J., Johnson, M. J., Punnett, G., Smith, J. A., Blackhall, F. H., Lloyd‐Williams, M., Mackereth, P., Haines, J., Ryder, W. D. J., Krishan, A., et al. (2022) · BMJ Supportive & Palliative Care · doi:10.1136/spcare-2022-003924 · Cited by 26 · see citing works
Self-citationYorke, J., Spencer, L. G., Duck, A., Ratcliffe, S. J., Kwong, G. N. M., Longshaw, M., Belkin, A., & Swigris, J. J. (2014) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2014-000024 · Cited by 26 · see citing works
Self-citationRoutine dyspnea assessment and documentation: Nurses’ experience yields wide acceptance
Baker, K. M., DeSanto‐Madeya, S., & Banzett, R. B. (2017) · BMC Nursing · doi:10.1186/s12912-016-0196-9 · Cited by 24 · see citing works
Caruso, R., Arrigoni, C., Groppelli, K., Magon, A., Dellafiore, F., Pittella, F., Grugnetti, A. M., Chessa, M., & Yorke, J. (2018) · Acta bio-medica dell'Ateneo parmense/Acta biomedica · doi:10.23750/abm.v88i4.6341 · Cited by 25 · see citing works
Self-citationAlyami, M., Jenkins, S., Lababidi, H. M., & Hill, K. (2015) · Annals of Thoracic Medicine · doi:10.4103/1817-1737.150730 · Cited by 26 · see citing works
The role of impulse oscillometry in detecting airway dysfunction in athletes
Price, O. J., Ansley, L., Bikov, A., & Hull, J. H. (2015) · Journal of Asthma · doi:10.3109/02770903.2015.1063647 · Cited by 24 · see citing works
Prospective Use of Descriptors of Dyspnea to Diagnose Common Respiratory Diseases
Chang, A. S., Munson, J. C., Gifford, A. H., & Mahler, D. A. (2015) · CHEST Journal · doi:10.1378/chest.15-0308 · Cited by 24 · see citing works
- Authors
- Yorke, J., Moosavi, S. H., Shuldham, C., & Jones, P. W.
- Affiliations
- University of Salford (GB)
- Charing Cross Hospital (GB)
- Royal Brompton & Harefield NHS Foundation Trust (GB)
- St George's, University of London (GB)
- Corresponding author
- Yorke, J
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 2009-12-08
- Volume
- 65
- Issue
- 1
- Pages
- 21-26
- ISSN
- 0040-6376 (ISSN-L)
- PMC
- PMC2795166
- OpenAlex
- W2101443745
- Cited by
- 369
- References
- 36
- Citations by year
- 2026: 30 · 2025: 38 · 2024: 26 · 2023: 34 · 2022: 36 · 2021: 41 · 2020: 17 · 2019: 22 · 2018: 20 · 2017: 16 · 2016: 20 · 2015: 18 · 2014: 7 · 2013: 10 · 2012: 12
- FWCI
- 9.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- St George's Online Research Archive (St George's University of London) (acceptedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- University of Salford Institutional Repository (University of Salford) (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Royal Brompton and Harefield NHS Foundation Trust
- Action Medical Research
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Social Sciences › Education › Health Education and Validation
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- dyspnea, symptom assessment, chronic obstructive pulmonary disease, interstitial lung disease, chronic heart failure, Rasch analysis, psychometric validation, anxiety and depression
- MeSH terms
- Aged, Anxiety Disorders, Chronic Disease, Depressive Disorder, Disability Evaluation, Dyspnea, Epidemiologic Methods, Female, Heart Failure, Humans, Male, Terminology as Topic, Psychometrics, Lung Diseases, Interstitial, Pulmonary Disease, Chronic Obstructive
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
