Pulmonary Rehabilitation in Persons With COPD

Overview

Journal Respir Care

Publisher Mary Ann Liebert

Specialty Pulmonary Medicine

Date 2023 Jun 23

PMID 37353335

Authors

Chris Garvey

Affiliations

Soon will be listed here.

Abstract

Pulmonary rehabilitation (PR) is a high-value intervention for persons with COPD and other chronic lung diseases. It is associated with improvement in exercise capacity, dyspnea, health-related quality of life, and depression as well as a reduction in hospitalization and improved survival when PR follows COPD-related hospitalizations. PR is underused in the United States and other countries despite strong evidence of both clinical effectiveness and cost-effectiveness. Additional challenges include a lack of equitable reimbursement and poor access, particularly in rural settings. Models, for example, virtual PR, may be an option for improving access but coverage in the United States by Medicare is tenuous. In addition, virtual PR models have considerable heterogeneity, which challenges uniform efficacy and selection of optimal candidates.

Citing Articles

Point: Center-Based Pulmonary Rehabilitation Is the Standard.

Casaburi R Respir Care. 2024; 69(6):755-762.

PMID: 38531638 PMC: 11147624. DOI: 10.4187/respcare.11785.

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