Effectiveness of non-pharmacological COPD management on health-related quality of life-a systematic review

Hindelang, Michael; Kirsch, Florian und Leidl, Reiner (2020): Effectiveness of non-pharmacological COPD management on health-related quality of life-a systematic review. In: Expert Review of Pharmacoeconomics & Outcomes Research, Bd. 20, Nr. 1: S. 79-91

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is the third leading cause of mortality worldwide. The chronic progressive disease is accompanied by a high loss of health-related quality of life (HRQoL). The available drugs usually only have symptomatic effects;therefore, non-pharmacological therapies are essential too. Areas covered: This systematic review examines non-pharmacological interventions consisting of pulmonary rehabilitation, physical activity, and training versus usual care or no intervention in COPD using at least one of the following HRQoL measuring instruments: St. George's Respiratory Questionnaire, Clinical COPD Questionnaire, COPD Assessment Test, and EuroQol-5D. Of 1532 identified records from CENTRAL, MEDLINE, and EMBASE, 15 randomized controlled trials met the inclusion criteria. Pulmonary rehabilitation programs were investigated in nine studies, education and counseling-based training programs in three studies, and breathing exercises in three studies. Ten studies were found that investigated non-pharmacological treatment programs that led to a significant and clinically relevant improvement in HRQoL compared with usual care or no treatment. Expert opinion: Non-pharmacological interventions consisting of pulmonary rehabilitation, education and counseling-based training programs, and breathing exercises can improve the HRQoL of COPD patients.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin ; Betriebswirtschaft
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit ; 300 Sozialwissenschaften > 330 Wirtschaft
• ISSN: 1473-7167
• Sprache: Englisch