A comprehensive care management program to prevent chronic obstructive pulmonary disease hospitalizations: a randomized, controlled trial

Annals of Internal Medicine
Vincent S FanDennis E Niewoehner

Abstract

Improving a patient's ability to self-monitor and manage changes in chronic obstructive pulmonary disease (COPD) symptoms may improve outcomes. To determine the efficacy of a comprehensive care management program (CCMP) in reducing the risk for COPD hospitalization. A randomized, controlled trial comparing CCMP with guideline-based usual care. (ClinicalTrials.gov registration number: NCT00395083) SETTING: 20 Veterans Affairs hospital-based outpatient clinics. Patients hospitalized for COPD in the past year. The CCMP included COPD education during 4 individual sessions and 1 group session, an action plan for identification and treatment of exacerbations, and scheduled proactive telephone calls for case management. Patients in both the intervention and usual care groups received a COPD informational booklet; their primary care providers received a copy of COPD guidelines and were advised to manage their patients according to these guidelines. Patients were randomly assigned, stratifying by site based on random, permuted blocks of variable size. The primary outcome was time to first COPD hospitalization. Staff blinded to study group performed telephone-based assessment of COPD exacerbations and hospitalizations, and all hospitaliz...Continue Reading

Citations

Sep 27, 2012·JAMA : the Journal of the American Medical Association·Terri R FriedMichael W Rabow
Jan 16, 2013·Journal of Palliative Medicine·Robert HortonTasnim Sinuff
Dec 13, 2012·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Michele VitaccaFausto Colombo
Jan 25, 2013·Israel Journal of Health Policy Research·Jochanan Benbassat, Mark I Taragin
Aug 1, 2013·International Journal of Chronic Obstructive Pulmonary Disease·Pere Almagro, Alejandra Castro
Nov 3, 2012·International Journal of Chronic Obstructive Pulmonary Disease·Haamid H SiddiqueKathryn L Rice
May 31, 2014·International Journal of Chronic Obstructive Pulmonary Disease·Amy BlakemorePeter A Coventry
Dec 10, 2013·Enfermería clínica·José Miguel Morales-Asencio
Jan 28, 2014·American Journal of Respiratory and Critical Care Medicine·Laura C Feemster, David H Au
Jan 16, 2014·Annals of the American Thoracic Society·Valentin Prieto-CenturionJerry A Krishnan
Oct 7, 2014·Annals of the American Thoracic Society·Carlos H MartinezChristine T Cigolle
Jun 14, 2014·Current Medical Research and Opinion·Timothy H SelfChristopher K Finch
May 31, 2014·Clinics in Chest Medicine·Linda Nici, Richard L ZuWallack
Feb 18, 2016·Annals of the American Thoracic Society·Felicity C BlackstockSuzanne C Lareau
Feb 24, 2016·Expert Review of Respiratory Medicine·Michael R Jacobs, Gerard J Criner
Apr 6, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Rachel VossRebekah Gardner
Oct 10, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Heidi S SmithGerard J Criner
Mar 31, 2016·Amyotrophic Lateral Sclerosis & Frontotemporal Degeneration·Esther V HobsonChristopher J Mcdermott
Aug 11, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Francis C CordovaGerard J Criner
Apr 2, 2015·American Journal of Respiratory and Critical Care Medicine·Bartolome R CelliUNKNOWN ATS/ERS Task Force for COPD Research
Feb 3, 2015·Annals of the American Thoracic Society·David H AuHoward G Birnbaum
Jul 9, 2016·Hospital Practice·Babar BashirMarguerite Adelsberger
Mar 10, 2016·American Journal of Respiratory and Critical Care Medicine·Roberto BenzoCharlene McEvoy
Jan 28, 2017·American Journal of Respiratory and Critical Care Medicine·Claus F VogelmeierAlvar Agustí
Dec 23, 2016·Annals of the American Thoracic Society·Surya P BhattMark T Dransfield
Aug 6, 2014·Chest·Katherine Courtright, Scott Manaker
Oct 24, 2014·Chest·Samantha L HarrisonRoger S Goldstein
Feb 5, 2014·Chest·Thomas M Fuhrman, Robert Aranson
Feb 5, 2014·Chest·Katherine Courtright, Scott Manaker
May 6, 2015·Chest·David M Mannino, Byron Thomashow

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.