CoChat
Sign Up
Cited by 952Chronic Obstructive Pulmonary Disease (COPD) ResearchMedical Practices and RehabilitationCystic Fibrosis Research Advances

Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial

Griffiths, TL, Burr, ML, Campbell, IA, Lewis-Jenkins, V, Mullins, J, Shiels, K, Turner-Lawlor, PJ, Payne, N +4 more·2000·The Lancet
DOI 10.1016/s0140-6736(99)07042-7
Open this paper in CoChat — free account

Abstract

Background Pulmonary rehabilitation seems to be an effective intervention in patients with chronic obstructive pulmonary disease. We undertook a randomised controlled trial to assess the effect of outpatient pulmonary rehabilitation on use of health care and patients' wellbeing over 1 year.Methods 200 patients with disabling chronic lung disease (the majority with chronic obstructive pulmonary disease) were randomly assigned a 6-week multidisciplinary rehabilitation programme (18 visits) or standard medical management. Use of health services was assessed from hospital and general-practice records. Analysis was by intention to treat.Findings There was no difference between the rehabilitation (n=99) and control (n=101) groups in the number of patients admitted to hospital (40 vs 41) but the number of days these patients spent in hospital differed significantly (mean 10.4 [SD 9.7] vs 21.0 [20.7], p=0.022). The rehabilitation group had more primary-care consultations at the general-practitioner's premises than did the control group (8.6 [6.8] vs 7.3 [8.3], p=0.033) but fewer primary-care home visits (1.5 [2.8] vs 2.8 [4.6], p=0.037). Compared with control, the rehabilitation group also showed greater improvements in walking ability and in general and disease-specific health status.Interpretation For patients chronically disabled by obstructive pulmonary disease, an intensive, multidisciplinary, outpatient programme of rehabilitation is an effective intervention, in the short term and the long term, that decreases use of health services.

Integrity signals

Registry

Crossref · 10.1016/s0140-6736(99)07042-7

Cites

33 of 33 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Participation in supervised whole-body exercise training has been shown in several randomized controlled trials to improve symptoms of anxiety and depression as a consequence of training-related gains in functional capacity.

    “Subsequent participation in supervised whole-body exercise training has been shown in several randomized controlled trials95–98 to improve symptoms of anxiety and depression as a consequence of training-related gains in functional capacity.”

    From Anxiety and Depression in COPD (2008) · cites this paper as [97]

  • Griffiths and colleagues reported reduced symptoms of anxiety and depression following a 6-week PR program, with symptoms of depression remaining significantly reduced at 12-month follow-up.

    “Griffiths and colleagues97 reported reduced symptoms of anxiety and depression following a 6-week PR program, with symptoms of depression remaining significantly reduced at 12-month follow-up.”

    From Anxiety and Depression in COPD (2008) · cites this paper as [97]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Griffiths, T., Burr, M., Campbell, I., Lewis-Jenkins, V, Mullins, J., Shiels, K., Turner-Lawlor, P., Payne, N., Newcombe, R., Lonescu, A., Thomas, J., & Tunbridge, J.
ORCID
Payne, N
Venue
The Lancet
Publisher
Elsevier BV
Published
2000-01
Volume
355
Issue
9201
Pages
362-368
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(99)07042-7
OpenAlex
W2170075933
Cited by
952
References
33
Citations by year
2026: 9 · 2025: 13 · 2024: 19 · 2023: 21 · 2022: 21 · 2021: 21 · 2020: 23 · 2019: 32 · 2018: 32 · 2017: 36 · 2016: 35 · 2015: 44 · 2014: 50 · 2013: 40 · 2012: 38
FWCI
33.11
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
Funders
Office of Research and Development
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
Keywords
pulmonary rehabilitation, chronic obstructive pulmonary disease, outpatient rehabilitation, multidisciplinary rehabilitation, health care utilization, hospitalization, primary care visits, walking ability, health status, long-term outcomes
MeSH terms
Aged, Ambulatory Care, Dietary Services, Exercise Therapy, Female, Health Services, Humans, Lung Diseases, Obstructive, Male, Occupational Therapy, Patient Education as Topic, Quality of Life, Respiratory Mechanics, Physical Therapy Modalities

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review