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

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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, Newcombe, RG, Lonescu, AA, Thomas, J, Tunbridge, J·2000·The Lancet

DOI 10.1016/s0140-6736(99)07042-7

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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.

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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

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

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