TY - JOUR
T1 - Mortality of patients with copd participating in chronic disease management programmes
T2 - A happy end?
AU - Peytremann-Bridevaux, I.
AU - Taffe, P.
AU - Burnand, B.
AU - Bridevaux, P. O.
AU - Puhan, M. A.
PY - 2014
Y1 - 2014
N2 - 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. Metaanalysis 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 followup) 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 withCOPD to excessive mortality risk.
AB - 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. Metaanalysis 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 followup) 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 withCOPD to excessive mortality risk.
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U2 - 10.1136/thoraxjnl-2013-204983
DO - 10.1136/thoraxjnl-2013-204983
M3 - Article
C2 - 24718640
AN - SCOPUS:84905965195
SN - 0040-6376
VL - 69
SP - 865
EP - 866
JO - Thorax
JF - Thorax
IS - 9
ER -