Pulmonary telerehabilitation vs. conventional pulmonary rehabilitation - a secondary responder analysis

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Home-based pulmonary telerehabilitation (PTR) has been proposed to be equivalent to supervised outpatient pulmonary rehabilitation (PR) but available randomised trials have failed to reach the minimal important changes (MIC). The purpose of this study was to analyse the proportion of MIC responders and non-responders on short-term (10 weeks from baseline) and long-term (62 weeks from baseline) in total and between groups in 134 patients with COPD randomised (1:1) to either home-based PTR or traditional hospital-based outpatient PR. Difference between PTR and PR on 6MWD response proportion could not be shown at 10 (OR=0.72, CI=0.34 to 1.51, p=0.381) or 62 weeks (OR=1.12, CI=0.40 to 3.14, p=0.834). While the evidence and knowledge of PTR accumulate, outpatient supervised PR for now remains the standard of care, with home-based PTR as a strong secondary option for those unable to attend out-patient programmes.

OriginalsprogEngelsk
TidsskriftThorax
Vol/bind78
Udgave nummer10
Sider (fra-til)1039-1042
Antal sider4
ISSN0040-6376
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
AT, TK, CSU and NSG have no competing interests to report in relation to the presented work. HH received personal grants from the Danish Lung Foundation (charitable funding nr.: na), Telemedical Center, Regional Capital Copenhagen (governmental funding nr.: na), TrygFonden Foundation (charitable funding nr.: 111704) during the conduct of this study. The grants covered expenses conducting the trial, salary and university fee for the PhD study.

Funding Information:
AT, TK, CSU and NSG have no competing interests to report in relation to the presented work. HH received personal grants from the Danish Lung Foundation (charitable funding), Telemedical Center, Regional Capital Copenhagen (governmental funding), TrygFonden Foundation (charitable funding) during the conduct of this study. The grants covered expenses conducting the trial, salary and university fee for the PhD study.

Publisher Copyright:
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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