Evidence map›Paper›PMID 15504763›Full record

Trial reportBMJ (Clinical research ed.)2004

Community pulmonary rehabilitation after hospitalisation for acute exacerbations of chronic obstructive pulmonary disease: randomised controlled study.

William D-C Man, Michael I Polkey, Nora Donaldson, Barry J Gray, John Moxham

Abstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 16 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 16 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
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  5. Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2020
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  8. Self-management of health care behaviors for COPD: a systematic review and meta-analysis.International journal of chronic obstructive pulmonary disease · 2016
    Pooled it
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  11. Home care by outreach nursing for chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2012
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  14. Guideline
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  16. Guideline
  17. Trial
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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

William D-C ManRespiratory Muscle Laboratory, Guy's, King's, and St Thomas' School of Medicine, King's College Hospital, London SE5 9PJ. william.man@kcl.ac.uk
Michael I Polkey
Nora Donaldson
Barry J Gray
John Moxham

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effects of an early community based pulmonary rehabilitation programme after hospitalisation for acute exacerbations of chronic obstructive pulmonary disease (COPD).

designA single centre, randomised controlled trial.

settingAn inner city, secondary and tertiary care hospital in London.

participants42 patients admitted with an acute exacerbation of COPD.

interventionAn eight week, pulmonary rehabilitation programme for outpatients, started within 10 days of hospital discharge, or usual care.

main outcome measuresIncremental shuttle walk distance, disease specific health status (St George's respiratory questionnaire, SGRQ; chronic respiratory questionnaire, CRQ) and generic health status (medical outcomes short form 36 questionnaire, SF-36) at three months after hospital discharge.

resultsEarly pulmonary rehabilitation, compared with usual care, led to significant improvements in median incremental shuttle walk distance (60 metres, 95% confidence interval 26.6 metres to 93.4 metres, P = 0.0002), mean SGRQ total score (-12.7, -5.0 to -20.3, P = 0.002), all four domains of the CRQ (dyspnoea 5.5, 2.0 to 9.0, P = 0.003; fatigue 5.3, 1.9 to 8.8, P = 0.004; emotion 8.7, 2.4 to 15.0, P = 0.008; and mastery 7.5, 4.2 to 10.7, P < 0.001) and the mental component score of the SF-36 (20.1, 3.3 to 36.8, P = 0.02). Improvements in the physical component score of the SF-36 did not reach significance (10.6, -0.3 to 21.6, P = 0.057).

conclusionEarly pulmonary rehabilitation after admission to hospital for acute exacerbations of COPD is safe and leads to statistically and clinically significant improvements in exercise capacity and health status at three months.

Indexed as

Acute DiseaseAgedCommunity Health ServicesFemaleFollow-Up StudiesHospitalizationHumansLondonMalePulmonary Disease, Chronic ObstructiveTreatment Outcome

Identifiers

PMID15504763
PMCPMC529363

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.