Why the study?
Pulmonary rehabilitation is an evidence-based recommendation for COPD, but its practical implementation in India remains poor.
Highlights the evidence for pulmonary rehabilitation in COPD and addresses the challenges of its implementation in India.
Pulmonary rehabilitation may address extrapulmonary COPD burden in India; leaves open need for local RCTs before routine adoption.
Chronic Obstructive Pulmonary Disease (COPD) is a significant public health concern in India with high prevalence and associated disability, morbidity, mortality. The progression of COPD is not confined to the lungs but includes extrapulmonary involvement that reduces the functional capacity and quality of life. Pulmonary Rehabilitation (PR) is an evidence-based intervention, targeting multiple domains of pulmonary and extrapulmonary manifestations, and therefore, is recommended as an integral part of COPD management. The practical implementation of PR in India is poor. In this review, we have summarized the latest pieces of evidence in support of PR and highlight the challenges and potential solutions for PR implementation in India.
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Bhadra et al. (2021) studied this question.
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