ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2013
Rural-urban disparities in quality of life among patients with COPD.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01108991 (Randomized Trial of Physical Activity Self-Management Intervention for Patients With COPD), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Randomized Trial of Physical Activity Self-Management Intervention for Patients With COPD
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- RuralEuropean respiratory review : an official journal of the European Respiratory Society · 2026Pooled it
- Chronic obstructive pulmonary disease self-management activation research trial (COPD-SMART): results of recruitment and baseline patient characteristics.Contemporary clinical trials · 2015Trial
- Integrated Pulmonary Severity Score (IPSS) for COPD: A Psycho-Respiratory Risk Index Supported by Explainable Machine Learning.Diagnostics (Basel, Switzerland) · 2026Article
- Article
- Diversity and inclusivity in clinical trial populations for maintenance inhaler therapy in people with COPD: a systematic review.ERJ open research · 2026Article
- Geographic Disparities by Rural-Urban Status and Drive Time to Care in Tobacco Treatment for COPD.JAMA network open · 2025Article
- Evolution of a chronic pain management program in a Northwestern Ontario community: from structural elements to practical application.BMC health services research · 2022Article
- The Effect of Rurality and Poverty on COPD Outcomes in New Hampshire: An Analysis of Statewide Hospital Discharge Data.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2022Article
- The Additional Medical Expenditure Caused by Depressive Symptoms among Middle-Aged and Elderly Patients with Chronic Lung Diseases in China.International journal of environmental research and public health · 2022Article
- Comparing Preventable Acute Care Use of Rural Versus Urban Americans: an Observational Study of National Rates During 2008-2017.Journal of general internal medicine · 2021Observational
- Challenges Faced by Rural Primary Care Providers When Caring for COPD Patients in the Western United States.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2021Article
- A randomised trial of a web-based physical activity self-management intervention in COPD.ERJ open research · 2021Article
- Exploring community members' perceptions to adopt a Tele-COPD program in rural counties.Exploratory research in clinical and social pharmacy · 2021Article
- Journal Club: The Intersection of Racial/Ethnic Disparities in Coronavirus Disease 2019 and COPD.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2021Article
- Perceptions of Patients Regarding Mobile Health Interventions for the Management of Chronic Obstructive Pulmonary Disease: Mixed Methods Study.JMIR mHealth and uHealth · 2020Article
- Burden of Obstructive Lung Disease in Iran: Prevalence and Risk Factors for COPD in North of Iran.International journal of preventive medicine · 2020Article
- Rural Residence and Poverty Are Independent Risk Factors for Chronic Obstructive Pulmonary Disease in the United States.American journal of respiratory and critical care medicine · 2019Article
- Rural Residence and Chronic Obstructive Pulmonary Disease Exacerbations. Analysis of the SPIROMICS Cohort.Annals of the American Thoracic Society · 2018Article
- The Association Between Technology Use and Health Status in a Chronic Obstructive Pulmonary Disease Cohort: Multi-Method Study.Journal of medical Internet research · 2018Article
- Rural and Urban Living in Persons with Spinal Cord Injury and Comparing Environmental Barriers, Their Health, and Quality-of-Life Outcomes.Journal of neurotrauma · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
purposeLimited evidence in the United States suggests that among patients with chronic obstructive pulmonary disease (COPD), rural residence is associated with higher hospitalization rates and increased mortality. However, little is known about the reasons for these disparities. This study's purpose was to describe the health status of rural versus urban residence among patients with COPD and to examine factors associated with differences between these 2 locations.
methodsThis was a cross-sectional study of baseline data from a representative sample of patients with COPD enrolled in a clinical trial. Rural-urban residence was determined from ZIP code. Health status was measured using the SF-12 and health care utilization. Independent sample t-tests, chi-square tests, and multiple linear and logistic regressions were performed to examine differences between rural and urban patients.
findingsRural residence was associated with poorer health status and higher health care utilization. Among rural patients unadjusted physical functioning scores were lower on the SF-12 (30.22 vs 33.49; P = .005) that persisted after adjustment for potential confounders (β = -2.35; P = .04). However, after further adjustment for social and psychological factors only the body-mass index, airflow obstruction, dyspnea, and exercise (BODE) index was significantly associated with health status.
conclusionsIn this representative sample of patients with COPD rural residence was associated with worse health status, primarily associated with greater impairment as measured by BODE index. While rural patients reported a higher dose of smoking, a number of other unmeasured factors associated with rural residence may contribute to these disparities.
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