Pulmonary rehabilitation in patients with MRC Dyspnoea Scale 2

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. All patients with MRC grade 2 dyspnoea referred to the Lambeth & Southwark …