ArticleBMJ open respiratory research2025
The advance care planning in respiratory rehabilitation of chronic obstructive pulmonary disease (COPD) patients.
Article in BMJ open respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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
1 citing paper in PubMed.
- What factors predict severity of palliative care symptoms and concerns in COPD in South Africa? A cross-sectional study.Palliative care and social practice · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDespite a severely degraded quality of life in the advanced stages, chronic obstructive pulmonary disease (COPD) patients rarely discuss end-of-life issues and have little access to palliative care. After knowing this fact, some organisations recommend advance care planning integrated into the respiratory rehabilitation. Considering the important role played by physiotherapists in this rehabilitation, the aim of this study is to understand the professional practices of physiotherapists regarding this planning during rehabilitation and the factors influencing these practices.
methodsThe research consisted of a qualitative study with physiotherapists practising in France and conducting respiratory rehabilitation with COPD patients. Semi-structured interviews were conducted, followed by a thematic analysis.
resultsThis study shows that discussions relating to the end of life are very frequent during respiratory rehabilitation. This high prevalence appears to be influenced both by the context in which respiratory rehabilitation is completed and by the trusting relationship established between the physiotherapist and their patients. Nevertheless, these discussions are merely a draft of advance care planning, which is a broader concept. It appears that a lack of knowledge about advance care planning itself, combined with insufficient training in palliative care among professionals, as well as a lack of rigour in therapeutic education, hinders the implementation of advance care planning.
conclusionIn spite of the limited training in palliative care and sometimes the imprecise therapeutic education, physiotherapists appear to play an important role in addressing end-of-life issues during respiratory rehabilitation. However, physiotherapists are not the only professionals who should raise these topics. This is especially important in the French healthcare system, where fewer than half of COPD patients have access to rehabilitation with a physiotherapist.
Indexed as
Identifiers
What OpenQuestion holds
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.