Evidence map›Paper›PMID 28716786›Full record

Trial reportBMJ open2017

Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: randomised controlled trial.

Simon Bourne, Ruth DeVos, Malcolm North, Anoop Chauhan, Ben Green, Thomas Brown, Victoria Cornelius, Tom Wilkinson

3 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 113 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 18 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.

NCT04482634 nacompletednot on this mapstarted 2020, after this paper: background citation

Is Tele-rehabilitation Superior to Home Exercise Program in the Pulmonary Rehabilitation of the Patients With COVID-19 With Post-intensive Care Syndrome? A Randomized Controlled Trial

TypeinterventionalSponsorKoç UniversityRan2020 to 2022Enrolled122ConditionsPulmonary Rehabilitation, COVID-19ArmsRemote controlled exercise, Home exercise
NCT05835492 active not recruitingnot on this mapstarted 2023, after this paper: background citation

A Pragmatic Real-world Multicentre Observational Research Study to Explore the Clinical and Health Economic Impact of myCOPD

TypeobservationalSponsormy mhealth LtdRan2023 to 2025Enrolled200ConditionsChronic Obstructive Pulmonary DiseaseArmsmyCOPD
NCT06805981 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of Video-Based Cervical Posture and Breathing Exercises on Musculoskeletal System, Pain and Emotional Stress Levels in Young Adults

TypeinterventionalSponsorIstanbul Medipol University HospitalRan2023 to 2024Enrolled30ConditionsYoung Adult HealthArmstelerehabilitation group, conventional rehabilitation group
3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 18 syntheses or guidelines pooled it.

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  7. Web-based pulmonary telehabilitation: a systematic review.NPJ primary care respiratory medicine · 2024
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  10. Guideline
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  17. Telerehabilitation for chronic respiratory disease.The Cochrane database of systematic reviews · 2021
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  19. Trial
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53 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Simon BournePortsmouth Hospitals NHS Trust, Portsmouth, UK.
Ruth DeVosPortsmouth Hospitals NHS Trust, Portsmouth, UK.
Malcolm NorthmyMHealth Ltd Bournemouth, UK.
Anoop ChauhanPortsmouth Hospitals NHS Trust, Portsmouth, UK.
Ben GreenPortsmouth Hospitals NHS Trust, Portsmouth, UK.
Thomas BrownPortsmouth Hospitals NHS Trust, Portsmouth, UK.
Victoria CorneliusImperial College, London, UK.
Tom WilkinsonmyMHealth Ltd Bournemouth, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo obtain evidence whether the online pulmonary rehabilitation(PR) programme 'my-PR' is non-inferior to a conventional face-to-face PR in improving physical performance and symptom scores in patients with COPD.

designA two-arm parallel single-blind, randomised controlled trial.

settingThe online arm carried out pulmonary rehabilitation in their own homes and the face to face arm in a local rehabilitation facility.

participants90 patients with a diagnosis of chronic obstructive pulmonary disease (COPD), modified Medical Research Council score of 2 or greater referred for pulmonary rehabilitation (PR), randomised in a 2:1 ratio to online (n=64) or face-to-face PR (n=26). Participants unable to use an internet-enabled device at home were excluded.

main outcome measuresCoprimary outcomes were 6 min walk distance test and the COPD assessment test (CAT) score at completion of the programme.

interventionsA 6-week PR programme organised either as group sessions in a local rehabilitation facility, or online PR via log in and access to 'myPR'.

resultsThe adjusted mean difference for the 6 min walk test (6MWT) between groups for the intention-to-treat (ITT) population was 23.8 m with the lower 95% CI well above the non-inferiority threshold of -40.5 m at -4.5 m with an upper 95% CI of +52.2 m. This result was consistent in the per-protocol (PP) population with a mean adjusted difference of 15 m (-13.7 to 43.8). The CAT score difference in the ITT was -1.0 in favour of the online intervention with the upper 95% CI well below the non-inferiority threshold of 1.8 at 0.86 and the lower 95% CI of -2.9. The PP analysis was consistent with the ITT.

conclusionPR is an evidenced-based and guideline-mandated intervention for patients with COPD with functional limitation. A 6-week programme of online-supported PR was non-inferior to a conventional model delivered in face-to-face sessions in terms of effects on 6MWT distance, and symptom scores and was safe and well tolerated.

Indexed as

InternetTelerehabilitationAgedAged, 80 and overEvidence-Based PracticeFemaleHumansLinear ModelsMaleMiddle AgedProspective StudiesPulmonary Disease, Chronic ObstructiveQuality of LifeSeverity of Illness IndexSingle-Blind MethodUnited Kingdomcopdexercisemhealth

Identifiers

PMID28716786
PMCPMC5541506

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.