ArticleChest2020
A Geographic Analysis of Racial Disparities in Use of Pulmonary Rehabilitation After Hospitalization for COPD Exacerbation.
Article in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 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
- Application of the RE-AIM framework to evaluate the implementation of telehealth pulmonary rehabilitation in a randomized controlled trial among African-American and Hispanic patients with advanced stage Chronic Obstructive Pulmonary Disease.BMC health services research · 2023Trial
- Feasibility of a Health Coaching and Home-Based Rehabilitation Intervention With Remote Monitoring for COPD.Respiratory care · 2021Trial
- Using wearable and nearable devices in telerehabilitation for COPD: a scoping review of digital endpoints in home-based programs.Frontiers in digital health · 2026Review
- Investigating Disparities in Physical Therapy Utilization: An Intersectionality Perspective.Archives of rehabilitation research and clinical translation · 2025Article
- Characteristics of Virtual Pulmonary Rehabilitation Programs in the United States: Results from a National Electronic Survey.Annals of the American Thoracic Society · 2025Article
- Safety and Feasibility of a Two-Way Audiovisual Teleconferenced Pulmonary Rehabilitation Program.CHEST pulmonary · 2025Article
- Use of Pulmonary Rehabilitation after Chronic Obstructive Pulmonary Disease Hospitalization: An Analysis of Statewide Patient and Hospital Data.Annals of the American Thoracic Society · 2024Article
- Barriers to Pulmonary Rehabilitation.Respiratory care · 2024Article
- Pulmonary Rehabilitation Utilization in Older Adults with Chronic Obstructive Pulmonary Disease, 2013-2019.Annals of the American Thoracic Society · 2024Article
- Protected characteristics reported in pulmonary rehabilitation: a scoping review.European respiratory review : an official journal of the European Respiratory Society · 2024Article
- Variations in COPD Health Care Access and Outcomes: A Rapid Review.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- Feasibility Trial of a Comprehensive, Highly Patient-Centered COPD Self-Management Support Program.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- The Current State of Health Inequities in COPD.Respiratory care · 2024Review
- Experience in Accessing Healthcare in Ethnic Minority Patients with Chronic Respiratory Diseases: A Qualitative Meta-Synthesis.Healthcare (Basel, Switzerland) · 2023Review
- Influence of ethnicity on adherence to nonsurgical interventions for COPD: a scoping review.ERJ open research · 2023Article
- Disparities in Guideline Concordant Statin Treatment in Individuals With Chronic Obstructive Pulmonary Disease.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2023Article
- Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease: Medicine's Best-kept Secret That Could Save Medicare a Billion Dollars a Year.Annals of the American Thoracic Society · 2023Article
- Pulmonary rehabilitation after severe exacerbation of COPD: a nationwide population study.Respiratory research · 2023Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundGuidelines recommend pulmonary rehabilitation (PR) after hospitalization for an exacerbation of COPD, but few patients enroll in PR. We explored whether density of PR programs explained regional variation and racial disparities in receipt of PR.
methodsWe used Centers for Medicare & Medicaid Services data from 223,832 Medicare beneficiaries hospitalized for COPD during 2012 who were eligible for PR postdischarge. We used Hospital-Referral Regions (HRR) as the unit of analysis. For each HRR, we calculated the density of PR programs as a measure of program access and estimated risk-standardized rates of PR within 6 months of discharge overall, and for non-Hispanic, white, and black beneficiaries. We used linear regression to examine the relationship between access to PR and HRR PR rates. We tested for racial disparity in PR rates among non-Hispanic white and black beneficiaries living in the same HRRs.
resultsAcross 306 HRRs, the median number of PR programs per 1,000 Medicare beneficiaries was 0.06 (interquartile range [IQR], 0.04-0.10). Risk-standardized rates of PR ranged from 0.53% to 6.67% (median, 1.93%). Density of PR programs was positively associated with PR rates overall and among non-Hispanic white beneficiaries (P < .001), but this relationship was not observed among black beneficiaries. Rates were higher among non-Hispanic white beneficiaries (median, 2.08%; IQR, 1.54%-2.87%) compared with black beneficiaries (median, 1.19%; IQR, 1.15%-1.20%).
conclusionsGreater PR program density was associated with higher rates of PR for non-Hispanic white but not black beneficiaries. Further research is needed to identify reasons for this discrepancy and strategies to increase receipt of PR for black patients.
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