Evidence map›Paper›PMID 42062262›Full record

ArticleNPJ primary care respiratory medicine2026

Health outcomes in older adults with COPD: the role of clinical and psychosocial factors in post-acute geriatric rehabilitation.

Veerle H E W Brouwer, Henk Jan Schuijt, Jisca W F A Vrancken, Johanna M A Visser-Meily, Wilco P Achterberg, Eléonore F van Dam van Isselt

Abstract read
In one paragraph

Article in NPJ primary care respiratory medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Veerle H E W BrouwerAxionContinu, Utrecht, The Netherlands. v.h.e.w.brouwer@lumc.nl.
Henk Jan SchuijtGeriatrics Section, Department of Internal Medicine, Amsterdam University Medical Center - location AMC, Amsterdam, The Netherlands.
Jisca W F A VranckenAxionContinu, Utrecht, The Netherlands.
Johanna M A Visser-MeilyDepartment of Rehabilitation, Physical Therapy Science and Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Wilco P AchterbergDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Eléonore F van Dam van IsseltDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Older adults with COPD hospitalised for an acute exacerbation often face frailty, comorbidity, and psychosocial challenges. This study aimed to identify clinical and psychosocial predictors of changes in disease-specific health status over three months in older adults with COPD following hospitalisation for an exacerbation and indicated for geriatric COPD rehabilitation (the GR_COPD programme). Prospective cohort study with three-month follow-up. Two Dutch hospitals; 78 patients participated in the GR_COPD programme and 80 patients received usual care. Disease-specific health status was assessed with the Clinical COPD Questionnaire (CCQ) at baseline and 3 months. Regression analyses were used to identify predictors of CCQ change, with a sensitivity analysis using the minimal clinically important difference (MCID). Baseline CCQ was the most consistent predictor of change, with patients reporting worse initial health status showing greater improvement. Participation in the GR_COPD programme and comorbidity burden were independently associated with achieving clinically meaningful improvement, whereas exacerbation history and psychosocial factors were not. Baseline health status was the most consistent predictor of short-term change in disease-specific health status following hospitalisation for COPD exacerbation. Participation in the GR_COPD programme was associated with clinically meaningful improvement in frail older adults. Taken together, these findings underscore the value of systematic baseline clinical assessment to better understand short-term trajectories in frail older adults with COPD.

Indexed as

Health StatusPulmonary Disease, Chronic ObstructiveAgedAged, 80 and overComorbidityFemaleFrail ElderlyGeriatric AssessmentHospitalizationHumansMaleNetherlandsProspective StudiesSurveys and Questionnaires

Identifiers

PMID42062262
PMCPMC13338460

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.