Home versus outpatient pulmonary rehabilitation in COPD: a propensity-matched cohort study. Issue 10 (5th July 2019)

• Record Type: Journal Article
• Authors: Nolan, Claire Marie; Kaliaraju, Djeya; Jones, Sarah Elizabeth; Patel, Suhani; Barker, Ruth; Walsh, Jessica A; Wynne, Stephanie; Man, William
• Is Part Of: Thorax. Volume 74:Issue 10(2019)
• Page Start: 996
• Page End: 998
• Publication Date: 2019-07-05
• Subjects: chronic obstructive pulmonary disease -- home rehabilitation -- pulmonary rehabilitation; Chest -- Diseases -- Periodicals; Thorax; Chest -- Diseases; Periodicals; Periodicals; 617.54
• DOI: 10.1136/thoraxjnl-2018-212765
• Languages: English
• ISSNs: 0040-6376

Abstract

Abstract : Home-based exercise has been proposed as an equivalent treatment strategy to supervised outpatient pulmonary rehabilitation (PR), but it is not known whether its implementation into clinical practice produces similar benefits to those observed in trials. We compared the real-world responses of 154 patients with COPD undergoing home-based exercise with a matched group attending supervised PR. We observed smaller improvements in exercise capacity with home-based exercise compared with PR, but similar improvements in quality of life. We propose that supervised PR remains the standard of care, with home-based exercise a less effective alternative for those unable to attend PR.