Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review

Xavier, Diêgo Mendes; Galvão, Endi Lanza; Fonseca, Alenice Aliane; Souza, Glaciele Maria de; Lima, Vanessa Pereira

doi:10.1080/15412555.2021.2020234

Cited by 20 publications

(17 citation statements)

References 73 publications

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“…Specifically, a strict telemonitoring of COPD patient parameters might promote an early therapeutic intervention crucially affecting the risk of exacerbations. Moreover, digital innovation might improve exercise program delivery, might improve education of both patients and caregivers, and might support behavior changes with potential benefits in physical function and HR-QOL [ 46 , 185 , 186 , 187 ]. In this context, the RCT by Rutkowski et al [ 188 ] introduced a virtual reality approach to improve PR delivery in patients with chronic pulmonary diseases, reporting several advantages of this approach.…”

Section: Sustainable Strategies and Digital Innovationmentioning

confidence: 99%

Pharmacological, Nutritional, and Rehabilitative Interventions to Improve the Complex Management of Osteoporosis in Patients with Chronic Obstructive Pulmonary Disease: A Narrative Review

Sire

Lippi

Aprile

et al. 2022

JPM

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Osteoporosis is a highly prevalent condition affecting a growing number of patients affected by chronic obstructive pulmonary disease (COPD), with crucial implications for risk of fragility fractures, hospitalization, and mortality. Several risk factors have been identified to have a role in osteoporosis development in COPD patients, including corticosteroid therapy, systemic inflammation, smoke, physical activity levels, malnutrition, and sarcopenia. In this scenario, a personalized multitarget intervention focusing on the pathological mechanisms underpinning osteoporosis is mandatory to improve bone health in these frail patients. Specifically, physical exercise, nutritional approach, dietary supplements, and smoke cessation are the cornerstone of the lifestyle approach to osteoporosis in COPD patients, improving not only bone health but also physical performance and balance. On the other hand, pharmacological treatment should be considered for both the prevention and treatment of osteoporosis in patients at higher risk of fragility fractures. Despite these considerations, several barriers still affect the integration of a personalized approach to managing osteoporosis in COPD patients. However, digital innovation solutions and telemedicine might have a role in optimizing sustainable networking between hospital assistance and community settings to improve bone health and reduce sanitary costs of the long-term management of COPD patients with osteoporosis.

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Section: Sustainable Strategies and Digital Innovationmentioning

confidence: 99%

Pharmacological, Nutritional, and Rehabilitative Interventions to Improve the Complex Management of Osteoporosis in Patients with Chronic Obstructive Pulmonary Disease: A Narrative Review

Sire

Lippi

Aprile

et al. 2022

JPM

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“…The control group received usual care, conventional medication, no intervention, or outpatient/inpatient PR. Of the 11 included studies, six compared exercise-based HPR with usual care, standard medical care, or no intervention [ 32 – 35 , 38 , 40 ], three compared exercise-based HPR with outpatient or center-based PR [ 36 , 37 , 39 ] and two included both comparisons [ 16 , 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…The AMSTAR 2 tool’s emphasis items are 2, 4, 7, 9, 11, 13, and 15. For item 2, four studies [ 16 , 36 , 39 , 40 ] offered a protocol registration or publication before commencement. For item 4, only four included studies [ 16 , 36 , 39 , 40 ] showed the adoption of a specific search strategy.…”

Section: Resultsmentioning

confidence: 99%

“…For item 2, four studies [ 16 , 36 , 39 , 40 ] offered a protocol registration or publication before commencement. For item 4, only four included studies [ 16 , 36 , 39 , 40 ] showed the adoption of a specific search strategy. Regarding item 7, only one study [ 36 ] supplied a list of eliminated documents and the reasons for their exclusion.…”

Section: Resultsmentioning

confidence: 99%

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Effects of exercise-based home pulmonary rehabilitation on patients with chronic obstructive pulmonary disease: An overview of systematic review

et al. 2022

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Background Clinical research on exercise-based home pulmonary rehabilitation (HPR) effectiveness in chronic obstructive pulmonary disease (COPD) treatment is rising, as are associated systematic reviews/meta-analyses (SRs/MAs). However, different SRs/MAs vary in outcome indicators, analysis methodologies, literature quality, and findings. This overview aimed to describe the findings of these SRs/MAs and assess their methodological quality. Methods From inception until April 2022, we searched PubMed, Web of Science, Cochrane Library, EMBASE, China National Knowledge Infrastructure (CNKI), and Wan Fang. Two researchers searched these SRs/MAs separately, collected the data, and cross-checked it using predetermined rules. The Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR 2) was used to evaluate the methodological quality of each contained SR/MA. The evidence was assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2009 (PRISMA-2009). The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) was used to determine the validity of the results. Results A total of 433 records were found, with 44 chosen for full-text review. There were 11 SRs/MAs that matched the inclusion criteria. Our overview included studies published from 2010 to 2022. According to the AMSTAR 2 tool, one had low methodological quality, while the other 10 SRs/MAs had very low quality. The PRISMA statement revealed a low rate of complete reporting for eight items. The GRADE tool, on the other hand, revealed that the evidence quality for most outcomes was very low to moderate. Conclusion According to current research, exercise-based HPR may benefit COPD patients. Nevertheless, this finding is restricted by the low quality of the included SRs/MAs. And more high-quality and large-sample studies are needed in the future. Prospero ID: CRD42022322768. https://www.crd.york.ac.uk/prospero/#recordDetails

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“…Interestingly, in a recent RCT by Rutkowski et al [ 63 ], virtual was proposed as a promising tool for boosting PR benefits in patients with chronic pulmonary diseases. Although the quality of evidence is still low, all those techniques that include exercise training, education, and behavior change are shown to be as safe and effective for the improving exercise capacity and health-related quality of life as other forms of PR delivery [ 24 , 64 , 65 , 66 ].…”

Section: Telemedicine and Technological Innovation To Overcome The Ba...mentioning

confidence: 99%

Closing the Gap between Inpatient and Outpatient Settings: Integrating Pulmonary Rehabilitation and Technological Advances in the Comprehensive Management of Frail Patients

Lippi

D’Abrosca

Folli

et al. 2022

IJERPH

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Pulmonary rehabilitation (PR) is a well-established intervention supported by strong evidence that is used to treat patients affected by chronic respiratory diseases. However, several barriers still affect its spreading in rehabilitation clinical practices. Although chronic respiratory diseases are common age-related disorders, there is still a gap of knowledge regarding the implementation of sustainable strategies integrating PR in the rehabilitation management of frail patients at high risk of respiratory complications. Therefore, in the present study, we characterized the effects of PR in frail patients, highlighting the evidence supporting its role in improving the complex rehabilitative management of these patients. Moreover, we propose a novel organizational model promoting PR programs for frail patients in both inpatient and outpatient settings. Our model emphasizes the role of interdisciplinary care, specifically tailored to patients and environmental characteristics. In this scenario, cutting-edge technology and telemedicine solutions might be implemented as safe and sustainable strategies filling the gap between inpatient and outpatient settings. Future research should focus on large-scale sustainable interventions to improve the quality of life and global health of frail patients. Moreover, evidence-based therapeutic paths should be promoted and taught in training courses promoting multiprofessional PR knowledge to increase awareness and better address its delivery in frail patients.

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Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review

Cited by 20 publications

References 73 publications

Pharmacological, Nutritional, and Rehabilitative Interventions to Improve the Complex Management of Osteoporosis in Patients with Chronic Obstructive Pulmonary Disease: A Narrative Review

Pharmacological, Nutritional, and Rehabilitative Interventions to Improve the Complex Management of Osteoporosis in Patients with Chronic Obstructive Pulmonary Disease: A Narrative Review

Effects of exercise-based home pulmonary rehabilitation on patients with chronic obstructive pulmonary disease: An overview of systematic review

Closing the Gap between Inpatient and Outpatient Settings: Integrating Pulmonary Rehabilitation and Technological Advances in the Comprehensive Management of Frail Patients

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