Evidence map›Paper›PMID 35121602›Full record

ArticleBMJ open2022

What should pulmonary rehabilitation look like for people living with post-tuberculosis lung disease in the Bishkek and Chui region of the Kyrgyz Republic? A qualitative exploration.

Maamed Mademilov, Gulzada Mirzalieva, Zainab K Yusuf, Mark W Orme, Claire Bourne, Azamat Akylbekov, Amy V Jones, Ruhme B Miah, Rupert Jones, Andy Barton and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Equity in pulmonary rehabilitation delivery: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025
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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

13 authors at 5 institutions in 2 countries.

Maamed Mademilov *Respiratory medicine, National Center for Cardiology and Therapy named after academician Mirsaid Mirrakhimov under the Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan mademilov@gmail.com.ORCID 0000-0001-8528-3115
Gulzada Mirzalieva *Respiratory medicine, National Center for Cardiology and Therapy named after academician Mirsaid Mirrakhimov under the Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan.
Zainab K YusufDepartment of Respiratory Sciences, University of Leicester Department of Respiratory Sciences, Leicester, UK.ORCID 0000-0001-7859-5102
Mark W OrmeDepartment of Respiratory Sciences, University of Leicester Department of Respiratory Sciences, Leicester, UK.ORCID 0000-0003-4678-6574
Claire BourneCentre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre - Respiratory, University Hospitals of Leicester NHS Trust, University Hospitals of Leicester NHS Trust, Leicester, UK.
Azamat AkylbekovRespiratory medicine, National Center for Cardiology and Therapy named after academician Mirsaid Mirrakhimov under the Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan.ORCID 0000-0001-5761-399X
Amy V JonesDepartment of Respiratory Sciences, University of Leicester Department of Respiratory Sciences, Leicester, UK.ORCID 0000-0001-6565-8645
Ruhme B MiahDepartment of Respiratory Sciences, University of Leicester Department of Respiratory Sciences, Leicester, UK.
Rupert JonesFaculty of Health, University of Plymouth, Plymouth, UK.
Andy BartonDepartment of Respiratory Sciences, University of Leicester Department of Respiratory Sciences, Leicester, UK.
Dominic MalcolmSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Talant SooronbaevRespiratory medicine, National Center for Cardiology and Therapy named after academician Mirsaid Mirrakhimov under the Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan.
Sally J SinghDepartment of Respiratory Sciences, University of Leicester Department of Respiratory Sciences, Leicester, UK.
University of Leicester · GBNational Center of Cardiology and Internal Medicine · KGLoughborough University · GBUniversity Hospitals of Leicester NHS Trust · GBUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAfter experiencing tuberculosis (TB), many people develop post-tuberculosis lung disease (PTBLD). Pulmonary rehabilitation (PR) centrally comprising of education and exercise is recommended internationally for people living with chronic respiratory diseases. However, no such service exists in Kyrgyzstan. This study investigated the opinions of healthcare professionals who would be expected to be potential future referrers to PR and adults living with PTBLD about what a PR programme could look like in Kyrgyzstan.

designA qualitative study using interviews and focus groups. Grounded theory and thematic analysis were used for data collection and analysis.

participants63 participants; 15 referrers (12 male, 3 female; 12 pulmonolgists, 3 TB specialists) and 48 adults (26 male, 22 female) living with PTBLD.

settingParticipants were recruited from hospital settings in Bishkek and Chuy Region, Kygryzstan.

methodsFifteen semistructured interviews were conducted with referrers and nine focus group discussions were conducted with adults living with PTBLD.

resultsFive key themes were developed: (1) living with PTBLD; (2) attitude to PR, which emphasised the perceived importance and potential benefits of implemention; (3) barriers/facilitators to PR, which included time and cost, and the importance of appropriate communication in enabling participation; (4) interventional components of PR, which described culturally and demographically appropriate physical activities including rhythmic movements, dance and volleyball; and (5) psychosocial support, which demonstrated the importance of psychological support for patients coping with the effects of stigma.

conclusionsPotential referrers and adults living with PTBLD expressed their support for the implementation of PR. The culture-specific and population-specific issues highlighted in this work demonstrate the need to address stigma and provide certain types of exercise training/education modules for this specific clinical population. In other respects the currently known attitudes/barriers to PR, identified in Western research, appear to apply. The principles of culturally adapting PR may be helpful for those looking to establish similar clinical services in other low-income and middle-income countries and in Central Asia in particular. TRIAL REGISTRATION NUMBER: ISRCTN11122503.

Indexed as

Lung DiseasesTuberculosisAdultExerciseFemaleHumansKyrgyzstanMaleQualitative Researchqualitative researchrehabilitation medicinerespiratory infectionsrespiratory medicine (see thoracic medicine)tuberculosis

Identifiers

PMID35121602
PMCPMC8819799
OpenAlexW4210442339

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.