ArticleThorax2017
Socioeconomic deprivation and the outcome of pulmonary rehabilitation in England and Wales.
Article in Thorax, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Equity in pulmonary rehabilitation delivery: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025Pooled it
- Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease: An Official American Thoracic Society Clinical Practice Guideline.American journal of respiratory and critical care medicine · 2023Guideline
- Association between low water intake and lung function impairment in elderly adults: a cross-sectional study.Public health action · 2026Article
- Pulmonary rehabilitation for pulmonary hypertension in high-altitude areas: a mixed-methods study of medical staff's perspectives.Frontiers in public health · 2026Article
- Feasibility of a real-world digital hybrid pulmonary rehabilitation model using a smartphone app.ERJ open research · 2025Article
- Improving access to pulmonary rehabilitation for patients with COPD treated for substance misuse in the London Borough of Islington.BMJ open quality · 2025Article
- Referral to pulmonary rehabilitation and palliative care services in people with idiopathic pulmonary fibrosis in England, 2010-2019.NPJ primary care respiratory medicine · 2024Article
- Unravelling the complex interplay of factors behind exercise limitations and physical inactivity in COPD.Breathe (Sheffield, England) · 2024Review
- Barriers to Pulmonary Rehabilitation.Respiratory care · 2024Article
- Social determinants of advanced chronic respiratory interventions: a scoping review.European respiratory review : an official journal of the European Respiratory Society · 2023Article
- Insufficient Patient Access to Pulmonary Rehabilitation: A Multifaceted Problem.Annals of the American Thoracic Society · 2023Article
- Clinical Effects of Pulmonary Rehabilitation in Very Old Patients with COPD.Journal of clinical medicine · 2023Article
- General practice management of COPD patients following acute exacerbations: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Article
- Pulmonary Telerehabilitation for People With Chronic Obstructive Pulmonary Disease in Brazil: A Mixed-Methods Feasibility Study.International journal of telerehabilitation · 2023Article
- Article
- Article
- Predictors of pulmonary rehabilitation completion in the UK.ERJ open research · 2021Article
- Gender does not impact the short- or long-term outcomes of home-based pulmonary rehabilitation in patients with COPD.ERJ open research · 2020Article
- Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide survey.BMJ open · 2020Article
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11 authors.
Funding
Abstract
backgroundPulmonary rehabilitation (PR) improves exercise capacity and health status in patients with COPD, but many patients assessed for PR do not complete therapy. It is unknown whether socioeconomic deprivation associates with rates of completion of PR or the magnitude of clinical benefits bequeathed by PR.
methodsPR services across England and Wales enrolled patients to the National PR audit in 2015. Deprivation was assessed using Index of Multiple Deprivation (IMD) derived from postcodes. Study outcomes were completion of therapy and change in measures of exercise performance and health status. Univariate and multivariate analyses investigated associations between IMD and these outcomes.
results210 PR programmes enrolled 7413 patients. Compared with the general population, the PR sample lived in relatively deprived neighbourhoods. There was a statistically significant association between rates of completion of PR and quintile of deprivation (70% in the least and 50% in the most deprived quintiles). After baseline adjustments, the risk ratio (95% CI) for patients in the most deprived relative to the least deprived quintile was 0.79 (0.73 to 0.85), p<0.001. After baseline adjustments, IMD was not significantly associated with improvements in exercise performance and health status.
conclusionsIn a large national dataset, we have shown that patients living in more deprived areas are less likely to complete PR. However, deprivation was not associated with clinical outcomes in patients who complete therapy. Interventions targeted at enhancing referral, uptake and completion of PR among patients living in deprived areas could reduce morbidity and healthcare costs in such hard-to-reach populations.
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