Pulmonary Rehabilitation Utilization in Older Adults With Chronic Obstructive Pulmonary Disease, 2003 to 2012

Nishi, Shawn P.E.; Zhang, Wei; Kuo, Yong Fang; Sharma, Gulshan

doi:10.1097/hcr.0000000000000194

Cited by 78 publications

(46 citation statements)

References 38 publications

(34 reference statements)

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“…30,31 Major challenges in realising the effectiveness of pulmonary rehabilitation are that a proportion of people who have COPD and hence AECOPD have not been diagnosed, 32 and a large proportion of those who have been diagnosed and are eligible for pulmonary rehabilitation are not being referred 22 . In addition the England and Wales national COPD audit programme, which includes data from both the acute hospital settings and primary care, reported that 31% of patients referred for rehabilitation did not attend the initial assessment, and 40% of those referred did not complete the programme 22,33 .…”

Section: Discussionmentioning

confidence: 99%

Effects of Pulmonary Rehabilitation on Exacerbation Number and Severity in People With COPD

Moore

Newson

Joshi

et al. 2017

Chest

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Conflict of Interest DisclosuresJKQ reports grants from the Medical Research Council (MRC), GlaxoSmithKline (GSK), British Lung Foundation (BLF), Wellcome Trust, during the conduct of the study, and personal fees from AstraZeneca and Boehringer Ingelheim, outside of the submitted work. MS reports other current research grants from Arthritis Research UK, Public Health England and the EU EITHealth Programme, with no conflicts of interest. SS reports grants from the National Institute for Health Research (NIHR), GlaxoSmithKline (GSK), Boehringer Ingelheim and Novartis and personal fees from Novartis and AstraZeneca. All other authors report no other conflicts of interest. 2 AbstractBackground: In previous systematic reviews, predominantly of randomised controlled trials,

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Section: Discussionmentioning

confidence: 99%

Effects of Pulmonary Rehabilitation on Exacerbation Number and Severity in People With COPD

Moore

Newson

Joshi

et al. 2017

Chest

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“…The American Association of Cardiovascular and Pulmonary Rehabilitation website lists fewer than 600 certified programs in the US for the estimated 16 million Americans diagnosed with COPD. An analysis of more than 33 000 Medicare beneficiaries with COPD from 1 January 2003 to 31 December 2012 showed that only 1239 people (3.7%) used pulmonary rehabilitation in 2012, with a dismal 1.1% increase in use over the 10 years 90. There is geographic disparity in availability because most programs are located at tertiary care centers and require patients to travel to the program two or three times a week 293032.…”

Section: Chronic Obstructive Pulmonary Disease and Pulmonary Rehabilimentioning

confidence: 99%

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Richardson

Franklin

Moy

et al. 2019

BMJ

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Much of the burden on healthcare systems is related to the management of chronic conditions such as cardiovascular disease and chronic obstructive pulmonary disease. Although conventional outpatient cardiopulmonary rehabilitation programs significantly decrease morbidity and mortality and improve function and health related quality of life for people with chronic diseases, rehabilitation programs are underused. Barriers to enrollment are multifactorial and include failure to recommend and refer patients to these services; poor communication with patients about potential benefits; and patient factors including logistical and financial barriers, comorbidities, and competing demands that make participation in facility based programs difficult. Recent advances in rehabilitation programs that involve remotely delivered technology could help deliver services to more people who might benefit. Problems with intensity, adherence, and safety of home based programs have been investigated in recent clinical trials, and larger dissemination and implementation trials are under way. This review summarizes the evidence for benefit of in-person cardiac and pulmonary rehabilitation programs. It also reviews the literature on newer developments, such as home based remotely mediated exercise programs developed to decrease cost and improve accessibility, high intensity interval training in cardiac rehabilitation, and alternative therapies such as tai chi and yoga for people with chronic obstructive pulmonary disease.

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“…Despite this, pulmonary rehabilitation is only available to a small sliver of COPD patients who could benefit [4,5], as compared to the almost universal availability of bronchodilator therapy. The reasons for this discrepancy are hard to understand, since both therapies receive strong international recommendation as standard of care [6] and some analyses judge pulmonary rehabilitation to have higher cost-effectiveness than bronchodilator therapy [7].…”

mentioning

confidence: 99%

Whither pulmonary rehabilitation? Will alternative modes help or hurt?

Casaburi

2018

Eur Respir J

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Pulmonary Rehabilitation Utilization in Older Adults With Chronic Obstructive Pulmonary Disease, 2003 to 2012

Abstract: Utilization of PR during the study period increased only 1.1% in these Medicare beneficiaries with COPD and remained low.

Cited by 78 publications

References 38 publications

Effects of Pulmonary Rehabilitation on Exacerbation Number and Severity in People With COPD

Effects of Pulmonary Rehabilitation on Exacerbation Number and Severity in People With COPD

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Whither pulmonary rehabilitation? Will alternative modes help or hurt?

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