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DC Field | Value | Language |
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dc.contributor.author | Patel, S | - |
dc.contributor.author | Palmer, MD | - |
dc.contributor.author | Nolan, CM | - |
dc.contributor.author | Barker, RE | - |
dc.contributor.author | Walsh, JA | - |
dc.contributor.author | Wynne, SC | - |
dc.contributor.author | Jones, SE | - |
dc.contributor.author | Shannon, H | - |
dc.contributor.author | Hopkinson, NS | - |
dc.contributor.author | Kon, SSC | - |
dc.contributor.author | Gao, W | - |
dc.contributor.author | Maddocks, M | - |
dc.contributor.author | Man, WDC | - |
dc.date.accessioned | 2022-11-27T11:31:08Z | - |
dc.date.available | 2022-11-27T11:31:08Z | - |
dc.date.issued | 2020-11-01 | - |
dc.identifier | ORCID iDs: Claire Marie Nolan https://orcid.org/0000-0001-9067-599X; Ruth Emily Barker https://orcid.org/0000-0002-7022-0194; Jessica Anne Walsh http://orcid.org/0000-0002-9103-3945; Nicholas S Hopkinson https://orcid.org/0000-0003-3235-0454. | - |
dc.identifier.citation | Patel, S. et al. (2021) 'Supervised pulmonary rehabilitation using minimal or specialist exercise equipment in COPD: A propensity-matched analysis ', Thorax, 76 (3), pp. 264 - 271. doi: 10.1136/thoraxjnl-2020-215281. | en_US |
dc.identifier.issn | 0040-6376 | - |
dc.identifier.uri | https://bura.brunel.ac.uk/handle/2438/25553 | - |
dc.description | Data availability statement Data are available upon reasonable request. | en_US |
dc.description.abstract | Copyright © Author(s) (or their employer(s)) 2021. Background Many trials supporting the benefits of pulmonary rehabilitation (PR) have used specialist exercise equipment, such as treadmills and cycle ergometers. However, access to specialist equipment may not be feasible in some settings. There is growing interest in delivering PR programmes with minimal, low-cost equipment, but uncertainty remains regarding their efficacy compared with programmes using specialist equipment. Methods Using propensity score matching, 318 consecutive patients with COPD undergoing supervised PR using minimal equipment (PR-min) were compared 1:1 with a control group of 318 patients with COPD who underwent supervised PR using specialist equipment (PR-gym). A non-inferiority analysis was performed for the primary outcome (incremental shuttle walk (ISW)) and secondary outcomes (Chronic Respiratory Disease Questionnaire (CRQ)-domain and total scores). Results Similar improvements in ISW and CRQ-domains were observed in PR-min and PR-gym groups (mean difference ISW: 3 m (95% CI-16 to 9); CRQ-Total: 0.9 (95% CI-2.7 to 4.5)). The 95% CI between group differences for ISW and CRQ-Total did not cross the predefined non-inferiority margins. However, completion rates were lower in PR-min compared with PR-gym (64% vs 73%; p=0.014). Conclusions In patients with COPD, PR delivered using minimal equipment produces clinically significant benefits in exercise capacity and health-related quality of life that are non-inferior to rehabilitation delivered using specialist equipment. This study provides support for the provision of PR using minimal exercise equipment, particularly in areas where access to specialist exercise equipment is limited. | en_US |
dc.description.sponsorship | a National Institute for Health Research (NIHR) Research for Patient Benefit grant PB-PG-0816-20022; NIHR Clinical Doctoral Research Fellowship (NIHR 300566); NIHR Clinical Doctoral Research Fellowship (ICA-CDRF-2017-03-018); NIHR Clinical Trials Fellowship (CTF-2017-06-005); British Lung Foundation Project Grant (IPFPG17-15); NIHR Doctoral Research Fellowship (DRF-2015-08-004); NIHR Career Development Fellowship (CDF-2017-10-009); NIHR Applied Research Collaboration South London (NIHR ARC South London); National Institute for Health Research (NIHR). | en_US |
dc.format.extent | 264 - 271 | - |
dc.format.medium | Print-Electronic | - |
dc.language.iso | en | en_US |
dc.publisher | BMJ Publishing | en_US |
dc.rights | Copyright information: © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | - |
dc.title | Supervised pulmonary rehabilitation using minimal or specialist exercise equipment in COPD: A propensity-matched analysis | en_US |
dc.type | Article | en_US |
dc.identifier.doi | https://doi.org/10.1136/thoraxjnl-2020-215281 | - |
dc.relation.isPartOf | Thorax | - |
pubs.issue | 3 | - |
pubs.publication-status | Published | - |
pubs.volume | 76 | - |
dc.identifier.eissn | 1468-3296 | - |
dc.rights.holder | Author(s) (or their employer(s)) | - |
Appears in Collections: | Dept of Health Sciences Research Papers |
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