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The recent INTERCOM study emphasises the point that community-based rehabilitation is effective, even in patients with chronic obstructive pulmonary disease (COPD) with less advanced airflow obstruction.1 However, COPD and pulmonary rehabilitation guidelines recommend offering pulmonary rehabilitation (PR) to patients who consider themselves functionally disabled (usually defined as MRC Dyspnoea Scale grades 3 or above).2 3 We wished to test whether less breathless patients with COPD (ie, MRC Dyspnoea Scale grade 2) also benefit from PR.
Methods
All patients with MRC grade 2 dyspnoea referred to the Lambeth & Southwark …
Footnotes
Funding WD-CM is supported by a National Institute for Health Research Clinician Scientist award. The views expressed in this publication are those of the authors and not necessarily those of the NHS, The National Institute for Health Research or the Department of Health.
Competing interests None.
Provenance and peer review Not commissioned; not externally peer reviewed.