Show simple item record

dc.contributor.authorJenkins, Alex R.
dc.contributor.authorGowler, Holly
dc.contributor.authorCurtis, Ffion
dc.contributor.authorHolden, Neil S.
dc.contributor.authorBridle, Christopher
dc.contributor.authorJones, Arwel
dc.contributor.illustrator
dc.date.accessioned2020-11-20T12:39:58Z
dc.date.available2018-01-10T00:00:00Z
dc.date.available2020-11-20T12:39:58Z
dc.date.issued2018-01-10
dc.identifier.citationJenkins A, Gowler H, Curtis F, Holden N, Bridle C, Jones A (2018) 'Efficacy of supervised maintenance exercise following pulmonary rehabilitation on health care use: a systematic review and meta-analysis', International Journal of Chronic Obstructive Pulmonary Disease, 13, pp.257-273.en_US
dc.identifier.issn1176-9106
dc.identifier.pmid29391784
dc.identifier.doi10.2147/COPD.S150650
dc.identifier.urihttp://hdl.handle.net/10547/624626
dc.description.abstractIntroduction: The clinical benefit of continued supervised maintenance exercise programs following pulmonary rehabilitation in COPD remains unclear. This systematic review aimed to synthesize the available evidence on the efficacy of supervised maintenance exercise programs compared to usual care following pulmonary rehabilitation completion on health care use and mortality. Methods: Electronic databases (MEDLINE, Embase, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science, and PEDro) and trial registers (ClinicalTrials.gov and Current Controlled Trials) were searched for randomized trials comparing supervised maintenance exercise programs with usual care following pulmonary rehabilitation completion. Primary outcomes were respiratory-cause hospital admissions, exacerbations requiring treatment with antibiotics and/or systemic corticosteroids, and mortality. Results: Eight trials (790 COPD patients) met the inclusion criteria, six providing data for meta-analysis. Continued supervised maintenance exercise compared to usual care following pulmonary rehabilitation completion significantly reduced the risk of experiencing at least one respiratory-cause hospital admission (risk ratio 0.62, 95% confidence interval [CI] 0.47–0.81, P,0.001). Meta-analyses also suggested that supervised maintenance exercise leads to a clinically important reduction in the rate of respiratory-cause hospital admissions (rate ratio 0.72, 95% CI 0.50–1.05, P=0.09), overall risk of an exacerbation (risk ratio 0.79, 95% CI 0.52–1.19, P=0.25), and mortality (risk ratio 0.57, 95% CI 0.17–1.92, P=0.37). Conclusion: In the first systematic review of the area, current evidence demonstrates that continued supervised maintenance exercise compared to usual care following pulmonary rehabilitation reduces health care use in COPD. The variance in the quality of the evidence included in this review highlights the need for this evidence to be followed up with further high-quality randomized trials.en_US
dc.language.isoenen_US
dc.publisherDove Medical Press Ltd.en_US
dc.relation.urlhttps://www.dovepress.com/efficacy-of-supervised-maintenance-exercise-following-pulmonary-rehabi-peer-reviewed-article-COPDen_US
dc.rightsBlue - can archive post-print (ie final draft post-refereeing) or publisher's version/PDF
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectexacerbationsen_US
dc.subjecthospitalizationen_US
dc.subjecthealth outcomesen_US
dc.subjectsupervised maintenance programsen_US
dc.subjectpulmonary rehabilitationen_US
dc.subjectSubject Categories::C841 Health Psychologyen_US
dc.titleEfficacy of supervised maintenance exercise following pulmonary rehabilitation on health care use: a systematic review and meta-analysisen_US
dc.typeArticleen_US
dc.contributor.departmentUniversity of Lincolnen_US
dc.identifier.journalInternational Journal of Chronic Obstructive Pulmonary Diseaseen_US
dc.identifier.pmcidPMC5768431
dc.date.updated2020-11-20T12:33:09Z
dc.description.noteopen access


Files in this item

Thumbnail
Name:
bridle2.pdf
Size:
952.5Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record

Blue - can archive post-print (ie final draft post-refereeing) or publisher's version/PDF
Except where otherwise noted, this item's license is described as Blue - can archive post-print (ie final draft post-refereeing) or publisher's version/PDF