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Review

Self-management interventions to improve outcomes in patients suffering from COPD

Pages 71-77 | Published online: 09 Jan 2014

References

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  • •Meta-analysis that reports the results of eight randomized clinical trials on self-management in chronic obstructive pulmonary disease (COPD). It showed no effect of self-management on health service use including hospitalization, and a trend towards better quality of life when disease-specific questionnaires were used.
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  • •Provides a critical appraisal of all the controlled trials published on self-management in COPD. It is a useful study to promote greater relevance of self-management in informing decisions in the care of COPD.
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  • ••Reports the results of a multicenter, randomized clinical trial showing a markedly reduced hospitalization and improved health status in patients with moderate-to-severe COPD. Establishes the important place of a continuum of self-management and communication with a health professional within normal practice.
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  • ••Reports the results of a randomizedclinical trial that failed to show the positive effects of self-management programs among patients with moderate-to-severe COPD. Makes the point that patients with less severe COPD and a better quality of life who are already receiving close to optimal care, are less likely to benefit from this type of intervention with respect to health-related quality of life and hospitalization.
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  • ••Reports the cost—benefit and cost-effectiveness analysis of self-management in patients with COPD. Shows that patient education in COPD reduced both direct, indirect and total costs. It is a good example of a well conducted and reported cost-effective analysis of an intervention.
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  • •Presents the results of a self-management program and demonstrates that such an intervention can be cost saving in patients with moderate-to-severe COPD. However, detailed information is lacking since this publication is only available as an abstract form.
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  • Dang-Tan T Efficacy of a Pulmonary Rehabilitation Program on Knowledge and Self-Efficacy for Dderly Chronic Obstructive Pulmonary Disease patients. McGill, Montreal, Canada (2001).

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