{
  "abstract": "Background Despite the known benefits of Pulmonary Rehabilitation (PR), a significant proportion of those that attend an assessment do not enrol in a programme. The characteristics of those declining a programme remain unexplored.Aim To compare the characteristics of those enrolling into a PR programme using the UK National Respiratory Audit Programme dataset for England and Wales.Methods 88,446 individuals with COPD attended a PR assessment between March 2019 and September 2023. A generalised linear mixed model with a logit link function was used to explore the characteristics associated with PR enrolment. Factors included age, gender, ethnicity, Medical Research Council (MRC) dyspnoea grade and index of multiple deprivation (IMD) quintile. Enrolment was defined as attending at least one PR session in any mode of delivery.Results 72,085 (82%) individuals that attended a PR assessment enrolled into a PR programme. Individuals that identified as having a Black ethnicity had significantly greater odds of enrolling in a PR programme. Age<65 years, female gender, MRC grade 4/5 or IMD1–3 quintile groups had significantly lower odds of enrolment ( figure 1). Individuals aged<60 years, those from the most deprived areas (IMD1) or with an MRC grade 5 were 54% (49–58), 36% (28–44) and 28% (18–36) less likely to enrol into a programme respectively.Abstract P32 Figure 1Plot showing odds ratios for enrolment into a pulmonary rehabilitation programme in individuals living with COPD that attended a pulmonary rehabilitation assessment by characteristic. Reference groups for each characteristic are shown with an odds ratio of 1. MRC: Medical Research Council; IMD: index of multiple deprivationConclusions There are inequities in the enrolment of a PR programme across characteristics, particularly in age, deprivation and MRC grade. Approaches targeted at individuals with characteristics less likely to enrol in PR may facilitate their access to optimal care.",
  "authors": [
    {
      "affiliations": [
        "Department of Respiratory Sciences, University of Leicester, Leicester, UK",
        "Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre – Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"
      ],
      "name": "H Drover"
    },
    {
      "affiliations": [
        "Department of Respiratory Sciences, University of Leicester, Leicester, UK",
        "Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre – Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"
      ],
      "name": "L Wang"
    },
    {
      "affiliations": [
        "Department of Respiratory Sciences, University of Leicester, Leicester, UK",
        "Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre – Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"
      ],
      "name": "MW Orme"
    },
    {
      "affiliations": [
        "Department of Respiratory Sciences, University of Leicester, Leicester, UK",
        "Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre – Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"
      ],
      "name": "M Richardson"
    },
    {
      "affiliations": [
        "School of Public Health, Imperial College London, London, UK"
      ],
      "name": "JK Quint"
    },
    {
      "affiliations": [
        "Department of Respiratory Sciences, University of Leicester, Leicester, UK",
        "Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre – Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"
      ],
      "name": "R Evans"
    },
    {
      "affiliations": [
        "Department of Respiratory Sciences, University of Leicester, Leicester, UK",
        "Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre – Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"
      ],
      "name": "SJ Singh"
    },
    {
      "affiliations": [
        "Department of Respiratory Sciences, University of Leicester, Leicester, UK",
        "Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre – Respiratory, University Hospitals of Leicester NHS Trust, Leicester, UK"
      ],
      "name": "E Daynes"
    }
  ],
  "title": "P32 Predicting enrolment to pulmonary rehabilitation in the UK",
  "uid": "c7cf7b71-fa9a-58f9-8bdc-f32aa73039f1"
}