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

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Ressource 1Download: Peytremann-Bridevaux 2014_COPD chronic disease management and mortality_author copy (1).pdf (674.98 [Ko])
State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_C3BA0120A0C7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
UNIL/CHUV
Title
Mortality of patients with COPD participating in chronic disease management programmes: a happy end?
Journal
Thorax
Author(s)
Peytremann-Bridevaux I., Taffe P., Burnand B., Bridevaux P.O., Puhan M.A.
ISSN
1468-3296 (Electronic)
ISSN-L
0040-6376
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
69
Number
9
Pages
865-866
Language
english
Notes
Publication types: Letter Publication Status: ppublish Document Type: Letter PDF: Research Letter Metanalysis
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.
URN
urn:nbn:ch:serval-BIB_C3BA0120A0C70
OAI-PMH
oai:serval.unil.ch:BIB_C3BA0120A0C7
DOI
10.1136/thoraxjnl-2013-204983
Pubmed
24718640
Web of science
000340239900016
Open Access
Yes
Create date
05/09/2014 17:04
Last modification date
20/08/2019 15:39
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