{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:05:53Z","timestamp":1790359553191,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,11,30]],"date-time":"2017-11-30T00:00:00Z","timestamp":1512000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Central Effectiveness Unit, Department of Health (Ireland)"},{"DOI":"10.13039\/501100001634","name":"National University of Ireland Galway","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001634","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Chronic obstructive pulmonary disease is a common, preventable and treatable disease. Exercise training programmes (ETPs) improve symptoms, health\u2010related quality of life (HRQoL) and exercise capacity, but the optimal setting is unknown. In this review, we compared the effects of ETPs in different settings on HRQoL and exercise capacity. We searched (5 July 2016) the Cochrane Airways Group Specialised Register, <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link> and World Health Organization trials portal. We selected studies, extracted data and assessed risk of bias with two independent reviewers. We calculated mean differences (MD) with 95% CI. We assessed the quality of evidence using Grades of Recommendation, Assessment, Development and Evaluation.<\/jats:p><jats:p>Ten trials (934 participants) were included. Hospital (outpatient) and home\u2010based ETPs (seven trials) were equally effective at improving HRQoL on the Chronic Respiratory Questionnaire (CRQ) (dyspnoea: MD \u22120.09, 95% CI: \u22120.28 to 0.10; fatigue: MD \u22120.00, 95% CI: \u22120.18 to 0.17; emotional: MD 0.10, 95% CI: \u22120.24 to 0.45; and mastery: MD \u22120.02, 95% CI: \u22120.28 to 0.25; moderate quality) and on the St George\u2019s Respiratory Questionnaire (SGRQ) (MD \u22120.82, 95% CI: \u22127.47 to 5.83, low quality). Hospital (outpatient) and community\u2010based ETPs (three trials) were equally effective at improving HRQoL (CRQ dyspnoea: MD 0.29, 95% CI: \u22120.05 to 0.62, moderate quality; fatigue: MD \u22120.02, 95% CI: \u22121.09 to 1.05, low quality; emotional: MD 0.10, 95% CI: \u22120.40 to 0.59, moderate quality; and mastery: MD \u22120.08, 95% CI: \u22120.45 to 0.28, moderate quality). There was no difference in exercise capacity. There was low to moderate evidence that outpatient and home\u2010based ETPs are equally effective.<\/jats:p><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/resp.13247\/abstract\">See related Editorial<\/jats:ext-link><\/jats:p>","DOI":"10.1111\/resp.13224","type":"journal-article","created":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:42:35Z","timestamp":1512088955000},"page":"272-283","source":"Crossref","is-referenced-by-count":61,"title":["Comparison of outpatient and home\u2010based exercise training programmes for COPD: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7720-1722","authenticated-orcid":false,"given":"Francesca","family":"Wuytack","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery National University of Ireland  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Declan","family":"Devane","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery National University of Ireland  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Stovold","sequence":"additional","affiliation":[{"name":"Cochrane Airways Group, Population Health Research Institute St George\u2019s University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"McDonnell","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Galway University Hospital  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Casey","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine St. Vincent\u2019s University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy J.","family":"McDonnell","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine St. Vincent\u2019s University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paddy","family":"Gillespie","sequence":"additional","affiliation":[{"name":"Health Economics and Policy Analysis Centre, School of Business and Economics National University of Ireland  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Raymakers","sequence":"additional","affiliation":[{"name":"Health Economics and Policy Analysis Centre, School of Business and Economics National University of Ireland  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Lacasse","sequence":"additional","affiliation":[{"name":"Research Center Laval Hospital Institute of Cardiology and Pneumology Laval University  Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"McCarthy","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery National University of Ireland  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,30]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Global Strategy for the Diagnosis, Management and Prevention of COPD","author":"Global Initiative for Chronic Obstructive Lung Disease (GOLD)","year":"2017"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/15412550801941349"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.05.020415"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)07492-2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.06.00024505"},{"key":"e_1_2_7_7_1","volume-title":"Chronic Obstructive Pulmonary Disease","author":"World Health Organisation","year":"2015"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201309-1634ST"},{"key":"e_1_2_7_9_1","unstructured":"National Institute for Health and Care Excellence. Chronic obstructive pulmonary disease in over 16s: diagnosis and management (CG101).2010."},{"key":"e_1_2_7_10_1","first-page":"Cd003793","article-title":"Pulmonary rehabilitation for chronic obstructive pulmonary disease","author":"McCarthy B","year":"2015","journal-title":"Cochrane Database Syst. Rev."},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2012-203103"},{"key":"e_1_2_7_12_1","first-page":"645","article-title":"Home\u2010based pulmonary rehabilitation improves clinical features and systemic inflammation in chronic obstructive pulmonary disease patients","volume":"10","author":"Nascimento ES","year":"2015","journal-title":"Int. J. Chron. Obstruct. Pulmon. 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An evaluation of web based pulmonary rehabilitation.2014."},{"key":"e_1_2_7_28_1","unstructured":"my mhealth Ltd;Portsmouth Hospitals NHS Trust. Comparing online pulmonary rehabilitation 'myPR' versus conventional pulmonary rehabilitation for patients with COPD.2015."},{"key":"e_1_2_7_29_1","unstructured":"Thorax Research Foundation;National and Kapodistrian University of Athens;Greek Ministry of Development. Home rehabilitation via telemonitoring in patients with COPD.2015."},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1579-2129(08)60096-8"},{"key":"e_1_2_7_31_1","unstructured":"GuellR deLucasP GaldizJB MontemayorT RodriguezJ GorostizaA OrtegaF BellonJM GuyattGH. Effectiveness of a home based pulmonary rehabilitation program compared to a hospital based pulmonary rehabilitation program in COPD patients a Spanish multicenter randomized trial [Abstract]. 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Pulmonary rehabilitation at home versus at the gymnasium.2005."},{"key":"e_1_2_7_47_1","first-page":"193","article-title":"A Canadian, multicentre, randomized clinical trial of home\u2010based pulmonary rehabilitation in chronic obstructive pulmonary disease: rationale and methods","volume":"12","author":"Maltais F","year":"2005","journal-title":"Can. Respir. J. [Revue canadienne de pneumologie]"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2013-203808"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.13012"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2466-13-57"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2016-208514"},{"key":"e_1_2_7_52_1","unstructured":"La Trobe University;The Alfred Austin Health Monash University. Benefits and costs of home\u2010based pulmonary rehabilitation in chronic obstructive pulmonary disease.2011."}],"container-title":["Respirology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fresp.13224","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/resp.13224","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T15:03:04Z","timestamp":1695481384000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/resp.13224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,30]]},"references-count":51,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/resp.13224"],"URL":"https:\/\/doi.org\/10.1111\/resp.13224","archive":["Portico"],"relation":{},"ISSN":["1323-7799","1440-1843"],"issn-type":[{"value":"1323-7799","type":"print"},{"value":"1440-1843","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,30]]}}}