Home or community-based rehabilitation is as effective as hospital rehabilitation for individuals with chronic obstructive pulmonary disease

Neves LF, Reis MH, Goncalves TR  Home or community-based pulmonary rehabilitation for individuals with chronic obstructive pulmonary disease: A systematic review and meta-analysis  Cadernos de Saúde Pública. 2016;32(6).

Review question

• Is home or community-based rehabilitation better than hospital rehabilitation for improvements in breathing and quality of life for individuals with chronic obstructive pulmonary disease?

Background

• Chronic obstructive pulmonary disease is an irreversible condition, which makes breathing very difficult and greatly reduces the quality of life.
• Rehabilitation generally occurs in hospitals and helps improve patient breathing.
• Home or community-based rehabilitation is a promising alternative that allows patients to obtain care from local community centres or at home.

How the review was done

• A detailed search of a number of electronic databases for studies published from January 2014 up to May 2015 was conducted. Studies that focused on home or community-based rehabilitation for chronic obstructive pulmonary disease were included in the review.
• A total of 3,172 studies were identified in the initial database search, and 23 were included in the review.
• The systematic review did not mention funding sources.  

What the researchers found

• Home and community-based rehabilitation was more effective than no treatment for breathing and quality of life.
• Reviews found that hospital, home and community-based rehabilitation had similar benefits for quality of life.
• Reviews found that hospital, home and community-based rehabilitation had similar benefits for ease of breathing and oxygen use during exercise.

Conclusion

• Home and community-based rehabilitation was more effective than no treatment for breathing and quality of life.
• Reviews found that hospital, home and community-based rehabilitation had similar benefits for quality of life, ease of breathing and oxygen use during exercise.