Does pulmonary rehabilitation give additional benefit over tiotropium therapy in primary care management of chronic obstructive pulmonary disease? Randomized controlled clinical trial in Hong Kong Chinese

Lindsay, M. Patrice; Lee, A.; Chan, K. S.; Poon, Peter; Han, Ling-cai; Wong, Wendy; Wong, Sunny H.

doi:10.1111/j.1365-2710.2005.00686.x

Cited by 18 publications

(13 citation statements)

References 29 publications

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“…Lindsay et al 35 reported insufficient data with which to calculate effect size/ SMD. Berry et al 38 reported estimated means for repeated measures analysis (adjusted for age and gender) for QOL measures and physical function.…”

Section: Resultsmentioning

confidence: 99%

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Exercise training combined with psychological interventions for people with chronic obstructive pulmonary disease

2014

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Section: Resultsmentioning

confidence: 99%

“…Exercise and psychological interventions 29 Wijkstra et al 30 Guell et al 31 Kayahan et al 32 Emery et al 33 Ries et al 34 de Godoy et al 6 Lindsay et al 35 de Godoy and de Godoy 5 Norweg et al 36 de Blok et al 37 Berry et al 29 Wijkstra et al 30 Guell et al 31 Kayahan et al Guell et al 31 Kayahan et al 32 Emery et al…”

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confidence: 99%

Exercise training combined with psychological interventions for people with chronic obstructive pulmonary disease

2014

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“…In contrast, post-resistance exercise quality of life was shown to be better than baseline quality of life (28) and post-standard treatment quality of life (29) (1 analysis each). The effects that combining a given rehabilitation program with creatine, (13) tiotropium, (17,30) or hypertonic saline (31) had on quality of life did not differ from those observed when the rehabilitation program was used in isolation. Duiverman et al (15) compared the use of rehabilitation programs in isolation with the that of those same programs in combination with noninvasive ventilation and found that the latter improved quality of life in 2 of 4 analysis examining the degree of fatigue.…”

Section: Symptomsmentioning

confidence: 95%

“…There were no significant differences between patients who underwent the standard treatment and those who performed resistance exercises regarding pulmonary function, (29) although pulmonary function improved in both groups of patients. Combining rehabilitation programs with ventilation-feedback training, (14) tiotropium use, (30) or noninvasive ventilation (15) was ineffective in improving the pulmonary function of patients with moderate to very severe COPD in relation to that of those who exclusively underwent a rehabilitation program.…”

Section: Pulmonary Functionmentioning

confidence: 98%

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Programas de reabilitação pulmonar em pacientes com DPOC

et al. 2011

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Pulmonary rehabilitation programs are aimed at providing benefits to COPD patients, in various aspects. Our objective was to review the literature on COPD patient rehabilitation. This systematic review involved articles written in English, Spanish, or Portuguese; published between 2005 and; and indexed in national and international databases. Articles were classified in accordance with the Global Initiative for Chronic Obstructive Lung Disease criteria for the determination of the level of scientific evidence (grade of recommendation A, B, or C). The outcome measures were exercise, quality of life, symptoms, exacerbations, mortality, and pulmonary function. Treatments were classified as standard rehabilitation, partial rehabilitation, strength exercises, and resistance exercises. Of the 40 articles selected, 4, 18, and 18 were classified as grades A, B, and C, respectively. Of the 181 analyses made in these articles, 61,50,23,23,20, and 4, respectively, were related to the outcome measures quality of life, exercise, symptoms, exacerbations, pulmonary function, and mortality. The standard rehabilitation programs showed positive effects on all of the outcomes evaluated, except for mortality (because of the small number of analyses). However, we found no differences among the various rehabilitation programs regarding their effects on the outcomes studied. Rehabilitation programs can be considered important tools for the treatment of COPD. Therefore, health administrators should implement public policies including such programs in the routine of health care facilities.Keywords: Rehabilitation; Pulmonary disease, chronic obstructive; Review. ResumoProgramas de reabilitação pulmonar visam à melhora do paciente com DPOC em vários aspectos. Esta revisão teve como objetivo avaliar a literatura sobre reabilitação em pacientes com DPOC. Foi realizada uma revisão sistemática incluindo artigos publicados entre 2005 e 2009, indexados em bases de dados nacionais e internacionais e escritos em inglês, espanhol ou português. Os artigos foram classificados segundo o critério da Global Initiative for Chronic Obstructive Lung Disease para nível de evidência científica (grau de recomendação A, B e C). Os desfechos exercício, qualidade de vida, sintomas, exacerbações, mortalidade e função pulmonar foram pesquisados. Os tratamentos foram classificados como reabilitação padrão, reabilitação parcial, exercícios de força e exercícios de resistência. Dos 40 artigos selecionados, 4, 18 e 18 foram classificados com graus A, B e C, respectivamente. Das 181 análises oriundas desses artigos, 61,50,23,23, 20 e 4, respectivamente, foram relacionadas aos desfechos qualidade de vida, exercício, sintomas, exacerbação, função pulmonar e mortalidade. Em todos os desfechos avaliados, os programas de reabilitação padrão tiveram efeitos positivos sobre os desfechos estudados, exceto para mortalidade pelo reduzido número de análises. Entretanto, não foram verificadas diferenças nos efeitos sobre os desfechos estudados quando os diferentes program...

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Tiotropium for stable chronic obstructive pulmonary disease

Barr

Bourbeau

Camargo

2005

Cochrane Database of Systematic Reviews

131

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Does pulmonary rehabilitation give additional benefit over tiotropium therapy in primary care management of chronic obstructive pulmonary disease? Randomized controlled clinical trial in Hong Kong Chinese

Abstract: Tiotropium therapy has improved health outcomes in COPD patients in primary care settings. A 6 weekly PRP did not give any additional benefits in patients already given tiotropium.

Cited by 18 publications

References 29 publications

Exercise training combined with psychological interventions for people with chronic obstructive pulmonary disease

Exercise training combined with psychological interventions for people with chronic obstructive pulmonary disease

Programas de reabilitação pulmonar em pacientes com DPOC

Tiotropium for stable chronic obstructive pulmonary disease

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