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Rochester, MD 3,4 Author Affiliations | Correspondence | Abstract | Citation | Keywords | Plain Language Summary | PDF Author Affiliations Section of General Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, United States Yale-New Haven Health System, Yale-New Haven Hospital, New Haven, Connecticut, United States Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, New Haven, Connecticut, United States VA Connecticut Healthcare System, West Haven, Connecticut, United States Address correspondence to: Nancy Kim, MD, PhD Associate Clinical Professor of Medicine Section of Internal Medicine, General Internal Medicine Yale University School of Medicine 333 Cedar Street New Haven, CT, 06510 Email: [email protected] Abstract Background: Variable hospital care for chronic obstructive pulmonary disease (COPD) and underutilization of pulmonary rehabilitation (PR) may contribute to poor outcomes