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Seasonality and attendance at a pulmonary rehabilitation programme
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Pulmonary rehabilitation (PR) programmes have been shown to reduce symptoms, improve exercise tolerance and reduce readmission rates in chronic obstructive pulmonary disease (COPD).1 2 PR has the potential to reduce the economic burden of COPD upon the NHS but, if poor attendance results in groups running at less than capacity, the cost-effectiveness of the service is markedly reduced. Understanding and responding to the factors that influence attendance is vital to ensuring maximum benefit is gained from PR programmes. The role of seasonality in attendance at PR programmes has not previously been evaluated, and there is …