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Systematic review (protocol) of clinical effectiveness and models of care of low-resource pulmonary rehabilitation.
- Source :
-
NPJ primary care respiratory medicine [NPJ Prim Care Respir Med] 2019 Apr 05; Vol. 29 (1), pp. 10. Date of Electronic Publication: 2019 Apr 05. - Publication Year :
- 2019
-
Abstract
- More than half of the people with chronic respiratory diseases (CRDs) live in low- and middle-income countries (LMICs). The increasing disability, reduced productivity, associated anxiety and depression from CRDs result in social isolation and economic hardship for patients and their families. Pulmonary rehabilitation (PR) is a guideline-recommended multidisciplinary and multifaceted intervention that improves the physical and psychological condition of people with CRD. However, PR services are underprovided and uptake is poor in LMICs, especially in low-resourced setting. We aim to systematically assess the effectiveness, applicable components and mode of delivery of PR. We will search MEDLINE, EMBASE, CABI, AMED and CENTRAL from January 1990 using a PICOS search strategy (Population: adults with CRD (including chronic obstructive pulmonary disease, post-tuberculosis, remodelled asthma); Intervention: PR; Comparator: usual care; Outcomes: functional exercise capacity and Health-Related Quality-of-Life; Setting: low-resource settings). Two reviewers will independently screen titles/abstracts and full texts for eligibility and extract data from included papers. We will use the Cochrane Risk-of-Bias tool, rating the quality of evidence using GRADE. We will use narrative synthesis to answer our three objectives: What is the effectiveness of PR in low-resource settings? What components are used in effective studies? What models of service delivery are used? This systematic review will inform the potential impact and practical models of low-resource PR for the betterment of patients with CRDs to improve their substantial health-care burden and address poor quality of life.
Details
- Language :
- English
- ISSN :
- 2055-1010
- Volume :
- 29
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- NPJ primary care respiratory medicine
- Publication Type :
- Academic Journal
- Accession number :
- 30952884
- Full Text :
- https://doi.org/10.1038/s41533-019-0122-1