PT - JOURNAL ARTICLE AU - Ly, Lena AU - Pascoe, Amy AU - Philip, Jennifer AU - Hudson, Peter AU - Smallwood, Natasha TI - Social determinants of advanced chronic respiratory interventions: a scoping review AID - 10.1183/16000617.0068-2023 DP - 2023 Sep 30 TA - European Respiratory Review PG - 230068 VI - 32 IP - 169 4099 - http://err.ersjournals.com/content/32/169/230068.short 4100 - http://err.ersjournals.com/content/32/169/230068.full SO - EUROPEAN RESPIRATORY REVIEW2023 Sep 30; 32 AB - Introduction Income, education, occupation, social class, sex and race/ethnicity are essential social determinants of health (SDH). Reporting of SDH when testing complex interventions for people with advanced chronic respiratory diseases or how they impact accessibility, engagement and effectiveness within sub-populations is unclear.Aims and methods This scoping review examined reporting of SDH in pulmonary rehabilitation (PR), singing for lung health (SLH) and multicomponent palliative care interventions (MPCI). Reporting of SDH was assessed from studies from PubMed and three systematic reviews.Results Eight SLH, 35 MPCI and 351 PR studies were included. Sex was most reported (PR: n=331, 94.3%; SLH: n=6, 75.0%; MPCI: n=31, 88.6%), while social class was only mentioned in one PR study (n=1, 0.3%). 18 PR studies (5.1%), two SLH studies (25.0%) and three MPCI studies (8.6%) reported no SDH. Included studies were predominantly from high-income countries (304 PR studies from 26 countries, six SLH studies from two countries and all the MPCI studies from 12 countries), published from 2000 to 2022 with reporting in PR progressively increasing.Conclusion Reporting of SDH is limited. Consequently, impacts of these social barriers on engagement in clinical trials or whether the complex interventions are effective universally or within certain sub-populations is unclear.This scoping review suggests that there is limited reporting of social determinants of health, pulmonary rehabilitation, singing for lung health and multicomponent palliative care interventions for people with advanced chronic respiratory conditions. https://bit.ly/46udRVH