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Evidence-Based Medicine 2009;14:75; doi:10.1136/ebm.14.3.75
Copyright © 2009 by the BMJ Publishing Group Ltd.

THERAPEUTICS

Self-monitored, home-based pulmonary rehab was non-inferior to outpatient, hospital-based rehab for COPD

The first 150 words of the full text of this article appear below.


STUDY DESIGN

Design:

randomized controlled trial. ClinicalTrials.gov NCT00169897 [ClinicalTrials.gov] ; ISRCTN32824512 [controlled-trials.com] .

Allocation:

concealed.*

Blinding:

blinded {data collectors and analysts, outcome assessors, and safety committee}{dagger}.*


STUDY QUESTION

Setting:

10 centres in Canada.

Patients:

252 patients >=40 years of age (mean age 66 y, 56% men) who had stable chronic obstructive pulmonary disease (COPD; no change in medication or symptoms for >= 4 wks), were current or former smokers of >=10 pack-years, had an FEV1 <70% of predicted value and FEV1–FVC ratio <0.70, and had a Medical Research Council (MRC) dyspnoea score >=2. Exclusion criteria included history of asthma, congestive left heart failure as primary disease, terminal disease, dementia, and uncontrolled psychiatric illness.

Intervention:

home-based exercise programme (n = 126) or outpatient, hospital-based exercise programme (n = 126). Both groups received an educational intervention in twice-weekly sessions for 4 weeks and strength and aerobic exercises in 3 sessions/week for 8 weeks. The home-based programme was self-monitored, and the hospital-based programme was . . . [Full text of this article]

Michael Greenstone

Castle Hill Hospital, East Yorkshire, UK


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