Mortality of patients with COPD participating in chronic disease management programmes: a happy end?
Détails
Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_C3BA0120A0C7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Mortality of patients with COPD participating in chronic disease management programmes: a happy end?
Périodique
Thorax
ISSN
1468-3296 (Electronic)
ISSN-L
0040-6376
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
69
Numéro
9
Pages
865-866
Langue
anglais
Notes
Publication types: Letter Publication Status: ppublish Document Type: Letter PDF: Research Letter Metanalysis
Résumé
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.
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.
Pubmed
Web of science
Open Access
Oui
Création de la notice
05/09/2014 18:04
Dernière modification de la notice
20/08/2019 16:39