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Meta-Analysis
. 2014 Sep;69(9):865-6.
doi: 10.1136/thoraxjnl-2013-204983. Epub 2014 Apr 9.

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

I Peytremann-Bridevaux  1 , P Taffe  1 , B Burnand  1 , P O Bridevaux  2 , M A Puhan  3
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Free article
Meta-Analysis

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

I Peytremann-Bridevaux et al. Thorax. 2014 Sep.
Free article

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.

Keywords: COPD epidemiology.

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