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What is the impact of home non-invasive ventilation on the health-related quality of life of patients with chronic obstructive pulmonary disease? A systematic review

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Abstract

Objectives

To ascertain the impact of home non-invasive ventilation (NIV) on the health-related quality of life (HRQL) of patients with moderate-to-severe chronic obstructive pulmonary disease (COPD).

Design

Systematic review.

Methods

A preliminary search of computerised databases (CINAHL, Medline, Clinical Key, Cochrane) was conducted in June 2021, without any limitations on publication date. Inclusion criteria focused on home NIV prescribed for patients with moderate-to-severe COPD. Identified papers were critically appraised for rigour and validity. Data were extracted, analysed, and a narrative synthesis completed.

Results

The review included eight studies, including five randomised controlled trials. Variations in the HRQL scores meant that the data were difficult to collate. Nevertheless, the studies did indicate an overall improved HRQL for those using NIV at home.

Conclusion

This systematic review determines that home NIV does positively impact the HRQL of those with COPD. However, the limited quality of primary studies highlights the need for more in-depth research in this area to bring about optimal standardisation of clinical practice in relation to the use of NIV at home.

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Data Availability

Data sharing not applicable to this article as no datasets were generated or analysed during the current study. As it is a systematic review.

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Funding

This research did not receive any funding.

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Authors and Affiliations

  1. The Skin Wounds and Trauma Research Centre, The Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland

    Alison Breen & Pinar Avsar

  2. The Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland

    Zena Moore, Tom O’Connor, Linda Nugent & Declan Patton

  3. Fakeeh College of Health Sciences, Jidda, Saudi Arabia

    Zena Moore, Tom O’Connor, Linda Nugent & Declan Patton

  4. Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia

    Zena Moore

  5. Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium

    Zena Moore

  6. Lida Institute, Shanghai, China

    Zena Moore & Tom O’Connor

  7. University of Wales, Cardiff, UK

    Zena Moore

  8. Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia

    Declan Patton

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  1. Alison Breen
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  2. Pinar Avsar
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Correspondence to Pinar Avsar.

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Breen, A., Avsar, P., Moore, Z. et al. What is the impact of home non-invasive ventilation on the health-related quality of life of patients with chronic obstructive pulmonary disease? A systematic review. Qual Life Res 32, 1843–1857 (2023). https://doi.org/10.1007/s11136-022-03310-z

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