Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Quality of life | |||||
[97]
Systematic review |
618 people 11 RCTs in this analysis |
Difference in fatigue component of Chronic Respiratory Disease Questionnaire (CRQ)
with pulmonary rehabilitation with usual care Absolute results not reported |
WMD 0.92 95% CI 0.71 to 1.13 The effect was larger than the minimally clinically important difference of 0.5 units |
Effect size not calculated | pulmonary rehabilitation |
[104]
RCT |
39 people with COPD |
Mean difference in fatigue component of CRQ
8 weeks
from 9.8 to 17.4 (+7.6) with home-based pulmonary rehabilitation from 11.6 to 13.2 (+1.6) with control |
P <0.004 |
Effect size not calculated | home-based pulmonary rehabilitation |
[97]
Systematic review |
618 people 11 RCTs in this analysis |
Difference in emotional function component of CRQ
with pulmonary rehabilitation with usual care Absolute results not reported |
WMD 0.76 95% CI 0.52 to 1.00 The effect was larger than the minimally clinically important difference of 0.5 units |
Effect size not calculated | pulmonary rehabilitation |
[104]
RCT |
39 people with COPD |
Mean difference in emotional function component of CRQ
8 weeks
from 22.1 to 33.5 (+11.4) with home-based pulmonary rehabilitation from 27.0 to 29.7 (+2.7) with control |
P <0.008 |
Effect size not calculated | home-based pulmonary rehabilitation |
[97]
Systematic review |
618 people 11 RCTs in this analysis |
Difference in mastery component of CRQ
with pulmonary rehabilitation with usual care Absolute results not reported |
WMD 0.97 95% CI 0.74 to 1.20 The effect was larger than the minimally clinically important difference of 0.5 units |
Effect size not calculated | pulmonary rehabilitation |
[102]
RCT |
54 people with mild to moderate COPD (FEV1 30–80% predicted) |
Difference in symptoms domain of St George's Respiratory Questionnaire (SGRQ) from baseline
8 weeks
from 60 to 38 (–22) with pulmonary rehabilitation from 60 to 46 (–14) with control |
P <0.05 |
Effect size not calculated | pulmonary rehabilitation |
[102]
RCT |
54 people with mild to moderate COPD (FEV1 30–80% predicted) |
Difference in activity domain of SGRQ from baseline
8 weeks
from 67 to 43 (–24) with pulmonary rehabilitation from 70 to 67 (–3) with control |
P <0.05 |
Effect size not calculated | pulmonary rehabilitation |
[102]
RCT |
54 people with mild to moderate COPD (FEV1 30–80% predicted) |
Difference in impact domain of SGRQ from baseline
8 weeks
from 36 to 17 (–19) with pulmonary rehabilitation from 33 to 33 (no change) with with control |
P <0.05 |
Effect size not calculated | pulmonary rehabilitation |
[100]
RCT |
24 people with severe COPD |
Difference in symptoms domain of SGRQ from baseline
8 weeks
from 51 to 40 (–11) with pulmonary rehabilitation from 50 to 49 (–1) with control |
P <0.05 |
Effect size not calculated | pulmonary rehabilitation |
[100]
RCT |
24 people with severe COPD |
Difference in activity domain of SGRQ from baseline
8 weeks
from 75 to 63 (–12) with pulmonary rehabilitation from 75 to 79 (+4) with control |
P <0.05 |
Effect size not calculated | pulmonary rehabilitation |
[100]
RCT |
24 people with severe COPD |
Difference in impact domain of SGRQ from baseline
8 weeks
from 47 to 37 (–10) with pulmonary rehabilitation from 49 to 45 (–4) with control |
P >0.05 |
Not significant | |
[101]
RCT |
30 people with COPD |
Difference in symptoms domain of SGRQ from baseline
12 weeks
+10.6 with pulmonary rehabilitation –0.5 with control |
Significance not assessed |
||
[101]
RCT |
30 people with COPD |
Difference in activity domain of SGRQ from baseline
12 weeks
+2.5 with pulmonary rehabilitation +2.7 with control |
Significance not assessed |
||
[101]
RCT |
30 people with COPD |
Difference in impact domain of SGRQ from baseline
12 weeks
+9.7 with pulmonary rehabilitation +3.4 with control |
Significance not assessed |
||
[103]
Systematic review |
269 people with COPD 3 RCTs in this analysis |
Difference in health-related quality of life (HRQL) anxiety score
12 months
with pulmonary rehabilitation with standard care Absolute numbers not reported |
SMD –0.33 95% CI –0.57 to –0.09 P = 0.008 |
Effect size not calculated | pulmonary rehabilitation |
[103]
Systematic review |
269 people with COPD 3 RCTs in this analysis |
Difference in depression score
12 months
with pulmonary rehabilitation with standard care Absolute numbers not reported |
SMD –0.58 95% CI –0.93 to –0.23 P = 0.001 |
Effect size not calculated | pulmonary rehabilitation |
[100]
RCT |
24 people with severe COPD |
Change in Beck Depression Inventory
8 weeks
from 14 to 6 (–8) with pulmonary rehabilitation from 18 to 16 (–2) with control |
P <0.01 |
Effect size not calculated | pulmonary rehabilitation |
[100]
RCT |
24 people with severe COPD |
Change in State Trait Anxiety Inventory
8 weeks
from 9 to 8 (–1) with pulmonary rehabilitation from 19 to 21 (+2) with control |
P >0.05 |
Not significant |