Evidence map›Paper›PMID 28987858›Full record

ArticleAtencion primaria2018

[Effectiveness of an educational program for respiratory rehabilitation of Chronic Obstructive Pulmonary Disease patients in Primary Care in improving the quality of life, symptoms, and clinical risk].

Cristina Blánquez Moreno, Cristina Colungo Francia, M Carme Alvira Balada, Belchin Kostov, Luis González-de Paz, Antoni Sisó-Almirall

Open access · goldAbstract read
In one paragraph

Article in Atencion primaria, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. The Determinants of Living with Long-Term Conditions: An International Cross-Sectional Study.International journal of environmental research and public health · 2021
    Observational
  5. Observational
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

6 authors at 3 institutions in 1 country.

Cristina Blánquez MorenoCentro de Salud Comte Borrell, Consorcio de Atención Primaria de Salud Barcelona Izquierda (CAPSBE), Barcelona, España. Electronic address: crisblanquez@gmail.com.
Cristina Colungo FranciaCentro de Salud Comte Borrell, Consorcio de Atención Primaria de Salud Barcelona Izquierda (CAPSBE), Barcelona, España; Grupo de Investigación Transversal en Atención Primaria, Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Barcelona, España.
M Carme Alvira BaladaCentro de Salud Comte Borrell, Consorcio de Atención Primaria de Salud Barcelona Izquierda (CAPSBE), Barcelona, España; Grupo de Investigación Transversal en Atención Primaria, Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Barcelona, España.
Belchin KostovGrupo de Investigación Transversal en Atención Primaria, Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Barcelona, España.
Luis González-de PazGrupo de Investigación Transversal en Atención Primaria, Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Barcelona, España; Centro de Salud Les Corts, Consorcio de Atención Primaria de Salud Barcelona Izquierda (CAPSBE), Barcelona, España.
Antoni Sisó-AlmirallGrupo de Investigación Transversal en Atención Primaria, Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Barcelona, España; Centro de Salud Les Corts, Consorcio de Atención Primaria de Salud Barcelona Izquierda (CAPSBE), Barcelona, España; Departamento de Medicina, Facultad de Medicina, Universidad de Barcelona, Barcelona, España.
Consorci d’Atenció Primària de Salut Barcelona Esquerra · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine the impact of an educational program to improve the management of chronic obstructive pulmonary disease (COPD) that contributes to an increase of the quality of life, exercise capacity, level of dyspnoea, and clinical risk.

designIntervention study without controls. LOCATION: Primary Healthcare Centre.

participants193 patients with COPD were invited, 73 accepted and 55 participated in the educational program.

interventionsRespiratory rehabilitation educational program with basic concepts of pulmonary and respiratory pathophysiology, respiratory physiotherapy exercises, practical workshop on the use of the most frequent inhalation devices, understanding of chronic disease and self-care measures in case of exacerbation. MAIN MEASUREMENTS: The quality of life (the COPD assessment test), exercise tolerance (the Six-Minute Walk Test), rating of perceived exertion (Borg Dyspnoea Score) and clinical risk (BODE index) were assessed by means of validated questionnaires in Spanish.

resultsA total of 43 (78.2%) participants completed the program. An improvement in the quality of life by a mean of 3.3 points was observed (95%CI; 1.76-4.84). Just over half (53.5%) of the participants obtained a clinically relevant improvement. Participants also improved their physical exercise capacity at post-intervention by increasing the distance that they walked in 6min by a mean of 20.76m (95%CI; 2.57-38.95). Improvements in the level of dyspnoea and clinical risk were also observed.

conclusionsThe educational program shows a statistically significant and clinically relevant improvement in the quality of life, fatigue, symptomatology, exercise capacity, level of dyspnoea, and clinical risk. The program is adaptable to the health care routine of healthcare centres.

Indexed as

Breathing ExercisesExercise TolerancePatient Education as TopicQuality of LifeAdultAgedBody Mass IndexDyspneaFemaleForced Expiratory VolumeHumansMaleMiddle AgedPrimary Health CareProgram EvaluationPulmonary Disease, Chronic ObstructiveAtención primariaChronic obstructive pulmonary diseaseEnfermedad pulmonar obstructiva crónicaPrimary healthcareRespiratory therapyTerapia respiratoria

Identifiers

PMID28987858
PMCPMC6837056
OpenAlexW2761776671

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.