Evidence map›Paper›PMID 36429887›Full record

SynthesisInternational journal of environmental research and public health2022

Characteristics, Components, and Efficacy of Telerehabilitation Approaches for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.

Sara Isernia, Chiara Pagliari, Luca Nicola Cesare Bianchi, Paolo Innocente Banfi, Federica Rossetto, Francesca Borgnis, Monica Tavanelli, Lorenzo Brambilla, Francesca Baglio, CPTM Group

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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  7. Geriatric respiratory medicine 2026: from artificial intelligence to personalised management of the multimorbid patient.European respiratory review : an official journal of the European Respiratory Society · 2026
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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

10 authors at 1 institution in 1 country.

Sara IserniaIRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy.ORCID 0000-0002-0849-3984
Chiara PagliariIRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy.
Luca Nicola Cesare BianchiIRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy.ORCID 0000-0003-4932-8288
Paolo Innocente BanfiIRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy.ORCID 0000-0001-8162-0751
Federica RossettoIRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy.
Francesca BorgnisIRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy.ORCID 0000-0001-8237-6164
Monica TavanelliIRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy.
Lorenzo BrambillaIRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Firenze, Italy.
Francesca BaglioIRCCS Fondazione Don Carlo Gnocchi ONLUS, 20148 Milan, Italy.
CPTM Group
Don Carlo Gnocchi Foundation · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic obstructive pulmonary disease (COPD) is at the top of the list of non-communicable diseases with related rehabilitation needs. Digital medicine may provide continuative integrated intervention, overcoming accessibility and cost barriers.

methodsWe systematically searched for randomized controlled trials on telerehabilitation (TR) in people with COPD to profile the adopted TR strategies, focusing on TR models and the main rehabilitation actions: monitoring and assessment, decision, and feedback. Additionally, a meta-analysis was run to test the TR effect on functional capacity, dyspnea, and quality of life compared to no intervention (NI) and conventional intervention (CI).

resultsOut of the 6041 studies identified, 22 were eligible for the systematic review, and 14 were included in the meta-analyses. Results showed a heterogeneous scenario in terms of the TR features. Furthermore, only a small group of trials presented a comprehensive technological kit. The meta-analysis highlighted a significant effect of TR, especially with the asynchronous model, on all outcomes compared to NI. Moreover, a non-inferiority effect of TR on functional capacity and quality of life, and a superiority effect on dyspnea compared to CI were observed. Finally, the studies suggested a high rate of TR adherence and high safety level.

conclusionsTR is an effective strategy to increase and maintain functional capacity, breath, and quality of life in people with COPD. However, a consensus on the essential elements and features of this approach needs to be defined, and the effect of long-term maintenance merits further investigation.

Indexed as

Pulmonary Disease, Chronic ObstructiveTelerehabilitationDyspneaHumansQuality of Lifechronic obstructive pulmonary diseasecontinuity of caredigital medicinepulmonaryrehabilitationtelerehabilitation

Identifiers

PMID36429887
PMCPMC9691096
OpenAlexW4309281598

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.