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

TitreMortality of patients with COPD participating in chronic disease management programmes: a happy end?
Publication TypeJournal Article
Year of Publication2014
AuthorsPeytremann-Bridevaux, I, Taffé, P, Burnand, B, Bridevaux, PO, Puhan, MA
JournalThorax
Volume69
Issue9
Pagination865-866
Date Published09/2014
DOI10.1136/thoraxjnl-2013-204983
ISSN0040-6376
ISBN Number1468-3296 (Electronic)
Mots-clésDisease Management, Humans, Pulmonary Disease, Chronic Obstructive, Randomized Controlled Trials as Topic
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.

Notes

Publication types: Letter Publication Status: ppublish Document Type: Letter PDF: Research Letter Metanalysis

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/24718640?dopt=Abstract

First publication date (online)

04/2014

WOS ID (UT)

000340239900016

Alternate JournalThorax
Citation Key / SERVAL ID3558
Peer reviewRefereed
PubMed ID24718640

                         

IUMSP | www.iumsp.ch
Institut universitaire de médecine sociale et préventive
Route de la Corniche 10, 1010 Lausanne - Switzerland
+41 21 314 72 72 | dess.info@unisante.ch

Go to top