Evidence map›Paper›PMID 29391784›Full record

SynthesisInternational journal of chronic obstructive pulmonary disease2018

Efficacy of supervised maintenance exercise following pulmonary rehabilitation on health care use: a systematic review and meta-analysis.

Alex R Jenkins, Holly Gowler, Ffion Curtis, Neil S Holden, Christopher Bridle, Arwel W Jones

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic ReviewVideo-Audio Media
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International journal of chronic obstructive pulmonary disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 42 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 11 pooled it
6.6field-weighted citation impact, top 3% 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.

NCT04223362 nacompletednot on this mapstarted 2020, after this paper: background citation

PICk-UP: PersonalIsed CommUnity-based Physical Activities for Patients With Chronic Obstructive Pulmonary Disease

TypeinterventionalSponsorAveiro UniversityRan2020 to 2023Enrolled61ConditionsCOPDArmsCommunity-based physical activity programme, Pulmonary Rehabilitation
NCT07394712 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comprehensive Maintenance Program: a Health Haven for COPD in Lleida.The NAPOLEON Project.

TypeinterventionalSponsorInstitut de Recerca Biomèdica de LleidaRan2025 to 2026Enrolled86ConditionsCOPD - Chronic Obstructive Pulmonary Disease, Pulmonary Rehabilitation, Randomised Controlled TrialArmsInterdisciplinary intervention
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 11 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
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  3. Guideline
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  6. Efficacy of Repeating Pulmonary Rehabilitation in People with COPD: A Systematic Review.International journal of chronic obstructive pulmonary disease · 2022
    Pooled it
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  12. Trial
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  16. Article
  17. Article
  18. Effectiveness of repeated pulmonary rehabilitation in patients with chronic obstructive pulmonary disease.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2026
    Article
  19. Review
  20. Article
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 1 institution in 1 country.

Alex R JenkinsLincoln Institute for Health, University of Lincoln, Lincoln, UK.
Holly GowlerLincoln Institute for Health, University of Lincoln, Lincoln, UK.
Ffion CurtisLincoln Institute for Health, University of Lincoln, Lincoln, UK.
Neil S HoldenSchool of Life Sciences, University of Lincoln, Lincoln, UK.
Christopher BridleLincoln Institute for Health, University of Lincoln, Lincoln, UK.
Arwel W JonesLincoln Institute for Health, University of Lincoln, Lincoln, UK.
University of Lincoln · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The clinical benefit of continued supervised maintenance exercise programs following pulmonary rehabilitation in COPD remains unclear. This systematic review aimed to synthesize the available evidence on the efficacy of supervised maintenance exercise programs compared to usual care following pulmonary rehabilitation completion on health care use and mortality. Methods: Electronic databases (MEDLINE, Embase, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science, and PEDro) and trial registers (ClinicalTrials.gov and Current Controlled Trials) were searched for randomized trials comparing supervised maintenance exercise programs with usual care following pulmonary rehabilitation completion. Primary outcomes were respiratory-cause hospital admissions, exacerbations requiring treatment with antibiotics and/or systemic corticosteroids, and mortality. Results: Eight trials (790 COPD patients) met the inclusion criteria, six providing data for meta-analysis. Continued supervised maintenance exercise compared to usual care following pulmonary rehabilitation completion significantly reduced the risk of experiencing at least one respiratory-cause hospital admission (risk ratio 0.62, 95% confidence interval [CI] 0.47-0.81, Conclusion: In the first systematic review of the area, current evidence demonstrates that continued supervised maintenance exercise compared to usual care following pulmonary rehabilitation reduces health care use in COPD. The variance in the quality of the evidence included in this review highlights the need for this evidence to be followed up with further high-quality randomized trials.

Indexed as

RespirationAgedChi-Square DistributionDisease ProgressionExercise TherapyExercise ToleranceFemaleForced Expiratory VolumeHumansLungMaleMiddle AgedOdds RatioPatient AdmissionPulmonary Disease, Chronic ObstructiveRecovery of Functionexacerbationshealth outcomeshospitalizationpulmonary rehabilitationsupervised maintenance programs

Identifiers

PMID29391784
PMCPMC5768431
OpenAlexW2782676886

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.