We read with great interest the article by Finnerty et al (June 2001).1This large, randomized, controlled trial showed that, in patients with COPD, outpatient rehabilitation can improve walking distance and health-related quality of life for 12 weeks. These results were obtained in a nonteaching hospital, so the authors suggested that the results of previous studies could now be extrapolated beyond centers dedicated to these regimens. Still, several earlier studies have shown comparable positive results even after rehabilitation in the home setting.2–5 In the present paper, the studies by Wijkstra et al2and Cambach et al3were both cited as outpatient rehabilitation programs. However, the patients in these studies received their training from a local physical therapist in the community and were not supervised by hospital staff. Studies with a comparable design, like Strijbos et al4and Hernandez et al5 also showed that rehabilitation programs carried out in a home setting were beneficial. Thus, rehabilitation programs can be very effective in specific groups of patients with COPD in different settings. If these patients receive adequate training, it can be beneficial not only in an outpatient setting beyond a teaching hospital but even in a setting in the community, with no direct supervision from the hospital.