Parameter | Inclusion Criteria | Exclusion Criteria |
---|---|---|
Participants | • Patients with COPD | • Patients with Asthma • No patients (simulation studies) |
Intervention | • Home-based pulmonary rehabilitation (home was defined as independent or supportive living environments) | • Pulmonary rehabilitation programs delivered in long-term care facilities or nursing homes • Not a program, as defined in the American Thoracic Society Consensus Statement • Program duration – less than 4 weeks |
Comparator | • Outpatient pulmonary rehabilitation delivered in a hospital or community setting • Usual care (patients managed by their General Practitioner, specialist or both according to local practices) | • Inpatient pulmonary rehabilitation programs |
Outcomes | • Safety • Health care resource utilization ○ Hospital admission ○ ER visits ○ Physician visits • Health Related Quality of Life (HRQoL) ○ Generic HRQoL tools such as EQ5D, SF36 or SF12 ○ Disease-specific HRQoL such as: ▪ COPD Assessment Test (CAT) ▪ Chronic Respiratory Disease Questionnaire (CRQ) ▪ St. George’s Respiratory Questionnaire (SGRQ) • Adherence • Frequency of exacerbation • Functional Exercise Capacity ○ Six-minute walk test/distance (6MWT/6MWD) ○ Incremental shuttle walk test (ISWT) ○ Endurance shuttle walk test (ESWT) • Maximal Exercise Capacity ○ Incremental cycle ergometry • Mental Health • Self-efficacy | • Studies without any defined clinical outcomes |
Study Design | Comparative studies: • Randomized and non-randomized controlled trials (RCTs and non-RCTs) • Cohort studies • Case-control studies | • Non-English language • Expert reviews • Editorials and opinion pieces • Case-series • Studies published prior to 2009 |