Evidence map›Paper›PMID 38058789›Full record

ArticleAnnals of thoracic medicine

A pulmonary rehabilitation program reduces hospitalizations in chronic obstructive pulmonary disease patients: A cost-effectiveness study.

Maria Elena Toubes-Navarro, Francisco Gude-Sampedro, José Manuel Álvarez-Dobaño, Francisco Reyes-Santias, Carlos Rábade-Castedo, Carlota Rodríguez-García, Óscar Lado-Baleato, Raquel Lago-Fidalgo, Noelia Sánchez-Martínez, Jorge Ricoy-Gabaldón and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of thoracic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Who Enrolls After Referral to Virtual Pulmonary Rehabilitation? A Descriptive Comparison.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

18 authors at 2 institutions in 1 country.

Maria Elena Toubes-NavarroDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Francisco Gude-SampedroDepartment of Clinical Epidemiology, University Clinical Hospital of Santiago de Compostela, Spain.
José Manuel Álvarez-DobañoInterdisciplinary Group of research in Pulmonology, Institute of Sanitary research from Compostela, Spain.
Francisco Reyes-SantiasDepartment of Human Resources and General Services, University Clinical Hospital of Santiago de Compostela, Spain.
Carlos Rábade-CastedoDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Carlota Rodríguez-GarcíaDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Óscar Lado-BaleatoResearch Methods Group, Health Research Institute of Santiago de Compostela, Spain.
Raquel Lago-FidalgoDepartment of Clinical Epidemiology, University Clinical Hospital of Santiago de Compostela, Spain.
Noelia Sánchez-MartínezDepartment of Clinical Epidemiology, University Clinical Hospital of Santiago de Compostela, Spain.
Jorge Ricoy-GabaldónDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Ana Casal-MouriñoDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Romina Abelleira-ParisDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Vanessa Riveiro-BlancoDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Carlos Zamarrón-SanzDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Nuria Rodríguez-NúñezDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Adriana Lama-LópezDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Lucía Ferreiro-FernándezDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Luis Valdés-CuadradoDepartment of Pulmonology, University Clinical Hospital of Santiago de Compostela, Spain.
Universidade de Santiago de Compostela · ESInstituto de Investigación Sanitaria de Santiago · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough pulmonary rehabilitation (PR) is recommended in patients with chronic obstructive pulmonary disease (COPD), there is a scarcity of data demonstrating the cost-effectiveness and effectiveness of PR in reducing exacerbations.

methodsA quasi-experimental study in 200 patients with COPD was conducted to determine the number of exacerbations 1 year before and after their participation in a PR program. Quality of life was measured using the COPD assessment test and EuroQol-5D. The costs of the program and exacerbations were assessed the year before and after participation in the PR program. The incremental cost-effectiveness ratio (ICER) was estimated in terms of quality-adjusted life years (QALYs).

resultsThe number of admissions, length of hospital stay, and admissions to the emergency department decreased after participation in the PR program by 48.2%, 46.6%, and 42.5%, respectively (

conclusionsPR contributes to reducing the number of exacerbations in patients with COPD, thereby slowing clinical deterioration. In addition, it is cost-effective in terms of QALYs.

Indexed as

Chronic obstructive pulmonary diseasecost-effectiveness studyexacerbationspulmonary rehabilitation

Identifiers

PMID38058789
PMCPMC10697305
OpenAlexW4387757326

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.