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. 2009 Oct;26(4):102-5.
doi: 10.4103/0970-2113.56341.

The impact of "World Health Organization - Government of India guidelines on chronic obstructive pulmonary diseases-2003" on quality of life

Ashok K Janmeja  1 , Prasanta R Mohapatra, Mandeep Kumar
Affiliations

The impact of "World Health Organization - Government of India guidelines on chronic obstructive pulmonary diseases-2003" on quality of life

Ashok K Janmeja et al. Lung India. 2009 Oct.

Abstract

Background: The World Health Organization-Government of India (WHO-GOI) Guidelines - 2003 for management of chronic obstructive pulmonary diseases (COPD) is a consensus statement. However, the outcome and impact of its implementation on quality of life (QOL) among COPD patients has not been studied so far.

Materials and methods: The patients were randomized to intervention group (n = 50) and control group (n = 40). All were treated and followed up for 6 months. A pulmonary physician reviewed patients of both the groups, at least 3 times in 6 months period. St. George's Respiratory Questionnaire was measured at baseline and at 6 months. Patients in control group visited the center on a "need to" basis and were prescribed conventional treatment by the doctor on duty.

Results: Forty-two patients in the intervention group and 32 in the control group completed 3 visits over the period of 6 months and were included in analysis. The severity as per the guidelines was moderate in 74% and severe in 26% in intervention group while it was moderate in 64% and severe in 36% cases in control group. Follow-up QOL scores were significantly better as compared with baseline values (P < 0.001). The QOL of the patients treated according to the guidelines were significantly better (P < 0.001) than those in the control group with conventional treatment.

Conclusion: The consensus derived recommendations of WHO-GOI Guidelines for COPD-2003 are beneficial for management of COPD patients over conventional management.

Keywords: Chronic obstructive pulmonary disease; St. George's respiratory questionnaire; quality of life.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Graphical presentation of SGRQ scores: Symptom, impact, activity, and total score in the control and intervention (cases) groups. (BL = Base line, FU1 = First follow-up after 3 months, FU2 = Second follow-up after 6 months)
See this image and copyright information in PMC

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