Please use this identifier to cite or link to this item:
Title: Pulmonary rehabilitation outcomes in individuals with chronic obstructive pulmonary disease: a systematic review
Author: Souto-Miranda, Sara
Rodrigues, Guilherme
Spruit, Martijn A.
Marques, Alda
Keywords: COPD
Pulmonary rehabilitation
Core outcome set
Issue Date: 27-Jul-2021
Publisher: Elsevier
Abstract: Background: The magnitude of response to pulmonary rehabilitation (PR) is influenced by the selection of outcomes and measures. Objectives: This systematic review aimed to review all outcomes and measures used in clinical trials of PR for individuals with chronic obstructive pulmonary disease (COPD). Methods: The review involved a search of Scopus, Web of Knowledge, Cochrane Library, EBSCO, Science Direct and PubMed databases for studies of stable individuals with COPD undergoing PR. Frequency of reporting for each domain, outcome and measure was synthesized by using Microsoft Excel. Results: We included 267 studies (43153 individuals with COPD). A broad range of domains (n=22), outcomes (n=163) and measures (n=217) were reported. Several measures were used for the same outcome. The most reported outcomes were exercise capacity (n=218) assessed with the 6-min walk test (n=140), health-related quality of life (n=204) assessed with the Saint George's respiratory questionnaire (n=99), and symptoms (n=158) assessed with the modified Medical Research Council dyspnea scale (n=56). The least reported outcomes were comorbidities, adverse events and knowledge. Conclusions: This systematic review reinforces the need for a core outcome set for PR in individuals with COPD because of high heterogeneity in reported outcomes and measures. Future studies should assess the importance of each outcome for PR involving different stakeholders.
Peer review: yes
DOI: 10.1016/
ISSN: 1877-0657
Appears in Collections:IBIMED - Artigos
ESSUA - Artigos
DCM - Artigos
Lab3R - Artigos

Files in This Item:
File Description SizeFormat 
Published_preproof.pdf1.07 MBAdobe PDFView/Open

Formato BibTex MendeleyEndnote Degois 

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.