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Mortality of patients with COPD participating in chronic disease management programmes: A happy end?


Peytremann-Bridevaux, I; Taffe, P; Burnand, B; Bridevaux, P O; Puhan, Milo A (2014). Mortality of patients with COPD participating in chronic disease management programmes: A happy end? Thorax, 69(9):865-866.

Abstract

BACKGROUND: Concerns about increased mortality could question the role of COPD chronic disease management (CDM) programmes. We aimed at extending a recent Cochrane review to assess the effects of CDM on mortality in patients with COPD.
METHODS: Mortality data were available for 25 out of 29 trials identified in a COPD integrated care systematic review. Meta-analysis using random-effects models was performed, followed by subgroup analyses according to study length (3-12 months vs >12 months), main intervention component (exercise, self-management, structured follow-up) and use of an action plan.
RESULTS: The meta-analysis showed no impact of CDM on mortality (pooled OR: 1.00, 95% CI 0.79 to 1.28).
CONCLUSIONS: These results do not suggest that CDM programmes expose patients with COPD to excessive mortality risk.

Abstract

BACKGROUND: Concerns about increased mortality could question the role of COPD chronic disease management (CDM) programmes. We aimed at extending a recent Cochrane review to assess the effects of CDM on mortality in patients with COPD.
METHODS: Mortality data were available for 25 out of 29 trials identified in a COPD integrated care systematic review. Meta-analysis using random-effects models was performed, followed by subgroup analyses according to study length (3-12 months vs >12 months), main intervention component (exercise, self-management, structured follow-up) and use of an action plan.
RESULTS: The meta-analysis showed no impact of CDM on mortality (pooled OR: 1.00, 95% CI 0.79 to 1.28).
CONCLUSIONS: These results do not suggest that CDM programmes expose patients with COPD to excessive mortality risk.

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7 citations in Web of Science®
8 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Epidemiology, Biostatistics and Prevention Institute (EBPI)
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2014
Deposited On:13 Feb 2015 12:14
Last Modified:05 Apr 2016 18:56
Publisher:BMJ Publishing Group
ISSN:0040-6376
Publisher DOI:https://doi.org/10.1136/thoraxjnl-2013-204983
PubMed ID:24718640

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