“…Two retrospective observational studies have shown that patients who have a MRC dyspnoea score of 2 obtain similar improvement in exercise capacity to patients with MRC scores of 3–5 76 77. Both studies examined approximately 450 patients who completed outpatient pulmonary rehabilitation and in each study more than 100 patients with MRC dyspnoea scores of 2 were included.…”
“…Two retrospective observational studies have shown that patients who have a MRC dyspnoea score of 2 obtain similar improvement in exercise capacity to patients with MRC scores of 3–5 76 77. Both studies examined approximately 450 patients who completed outpatient pulmonary rehabilitation and in each study more than 100 patients with MRC dyspnoea scores of 2 were included.…”
“…15 In summary, we have described the development of a PR model for people with COPD. As such, pre-and postintervention assessments were not blinded.…”
Tiered PR may be an effective way of increasing access to PR services. Further prospective data are needed to evaluate the service fully with regard to patient throughput and costs.
“…2 Individuals with mMRC scores 1 and 2 have been shown to improve exercise performance and health status as much as individuals with higher mMRC scores. [12][13][14][15] PR programs for mild COPD have also been successful with similar improvements in exercise capacity, quality of life scores, and symptoms as in programs for more severe COPD. 16,17 Evidence has shown that degree of lung impairment alone (assessed by spirometry) is poorly correlated with exercise capacity 12,18 and health status.…”
This study demonstrates that patients in all COPD categories may improve exercise capacity, symptoms, and health status with PR programs, and COPD categories alone may not be sufficient to discriminate which patients may benefit most from them.
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