Key result
Interventions to improve pulmonary rehabilitation access in COPD patients increased referral by 3.5%-36% and uptake by 18%-21.5%, though evidence is limited by study heterogeneity.
Why the study?
Do targeted interventions improve referral and uptake to pulmonary rehabilitation in patients with COPD compared to standard care?
Population
14 papers including 46,146 patients with COPD, 409 clinicians, 82 hospital departments, and 122 general…
Comparison
Interventions to improve referral to and uptake… vs Standard care, alternative interventions, or no…
Design
Systematic_review
Authors
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Some interventions boost PR referral and uptake in COPD; extends evidence for closing the guideline-implementation gap.
Systematic Review (n=46,146)
Do targeted interventions improve referral and uptake to pulmonary rehabilitation in patients with COPD compared to standard care?
Various interventions such as computer prompts and clinician education may improve referral and uptake to pulmonary rehabilitation in COPD, but current evidence is limited by methodological heterogeneity.
Early et al. (2018) conducted a systematic review in COPD (n=46,146). Interventions to improve referral and uptake (e.g., computer prompts, education, financial incentives) vs. Standard care, alternative interventions, or no intervention was evaluated on Referral to and uptake of pulmonary rehabilitation. Interventions to improve pulmonary rehabilitation access in COPD patients increased referral by 3.5%-36% and uptake by 18%-21.5%, though evidence is limited by study heterogeneity.
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