Tutorial PICO Question

In elderly patients (<65 years old) who suffer from chronic obstructive pulmonary disease, does pulmonary rehabilitation in conjunction with current standards of pharmacological treatment, significantly improve quality of life, as compared to current pharmacological treatment without pulmonary rehabilitation?

P - Elderly patients (65 years old) suffering from COPD

I - Pulmonary rehabilitation in conjunction with current pharmacological treatment standards

C - Standard pharmacological treatment without pulmonary rehabilitation

O - Improve patients' quality of life