Conclusions
COPD
COPD
The results of this study do not support the hypothesis that LVRS is a substantially superior treatment compared with BLVR, in terms of health outcomes achieved 1 year post-procedure. These broadly similar results at 12 months were obtained with a longer length of stay initially for LVRS but with less need for subsequent interventions than was the case with valve placement. The findings should help the lung volume reduction MDT to frame treatment options for patients and guide discussions around shared decision making, in individuals with severe COPD who are suitable for both LVRS and BLVR.