Case management may reduce length of hospital stay in patients with recurrent admissions for chronic obstructive pulmonary disease

Poole, Phillippa; Chase, Beth; Frankel, Anthony; Black, Peter

doi:10.1046/j.1440-1843.2001.00294.x

Cited by 38 publications

(42 citation statements)

References 13 publications

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“…The 20 included articles described 17 unique COPD programs. Most articles originate from the US (n = 6; describing five programs)20–25 followed by Australia (n = 4)26–29 and New Zealand (n = 2);30,31 Canada (n = 3; describing one program)32–34 the Netherlands (n = 2);35,36 Spain (n = 2;37,38 one including a Belgian comparator group38); and China (n = 1) 39…”

Section: Resultsmentioning

confidence: 99%

“…The 17 studies include 14 randomized controlled trials (RCTs), two nonrandomized controlled trials28,30 and one before–after study36 (see Table 2). In 11 of the 14 RCTs randomization was performed on the patient level, whereas three RCTs randomized on the level of care delivery centres, ie, general practices,31 nursing homes,39 or drugstores 25…”

Section: Resultsmentioning

confidence: 99%

“…Poole and colleagues30 conducted a limited return-on-investment analysis by investigating the reduction in bed days per patient needed in order to pay off the salary costs of the main care providers involved in the program.…”

Section: Resultsmentioning

confidence: 99%

“…Study sample size at baseline varies from n = 3230 to n = 453,25 with a mean (±SD) sample size of n = 163 (±104) and a median of n = 155. Average proportion of patient follow-up is 81% (±14%) in intervention arms and 78% (±16%) in control arms.…”

Section: Resultsmentioning

confidence: 99%

“…Six of the 17 included studies demonstrate at least 80% power for detecting a meaningful statistical significant change in their primary outcome measure25,29,31,32–34,36,38 and four studies failed to include sufficient patient numbers as determined by their sample size calculations 20,21,27,35. Seven studies did not mention whether their study was sufficiently powered,22–24,26,28,30,37,39 but three of these studies include less than 40 patients in each study arm26,28,30 and are most likely underpowered.…”

Section: Resultsmentioning

confidence: 99%

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Identifying potentially cost effective chronic care programs for people with COPD

Steuten

Lemmens²,

Nieboer³

et al. 2008

COPD

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Objective: To review published evidence regarding the cost effectiveness of multi-component COPD programs and to illustrate how potentially cost effective programs can be identifi ed. Methods: Systematic search of Medline and Cochrane databases for evaluations of multicomponent disease management or chronic care programs for adults with COPD, describing process, intermediate, and end results of care. Data were independently extracted by two reviewers and descriptively summarized. Results: Twenty articles describing 17 unique COPD programs were included. There is little evidence for signifi cant improvements in process and intermediate outcomes, except for increased provision of patient self-management education and improved disease-specifi c knowledge. Overall, the COPD programs generate end results equivalent to usual care, but programs containing Ն3 components show lower relative risks for hospitalization. There is limited scope for programs to break-even or save money. Conclusion: Identifying cost effective multi-component COPD programs remains a challenge due to scarce methodologically sound studies that demonstrate signifi cant improvements on process, intermediate and end results of care. Estimations of potential cost effectiveness of specifi c programs illustrated in this paper can, in the absence of 'perfect data', support timely decision-making regarding these programs. Nevertheless, well-designed health economic studies are needed to decrease the current decision uncertainty.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Identifying potentially cost effective chronic care programs for people with COPD

Steuten

Lemmens²,

Nieboer³

et al. 2008

COPD

View full text Add to dashboard Cite

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Systematic Review of the Chronic Care Model in Chronic Obstructive Pulmonary Disease Prevention and Management

Adams¹,

Smith²,

Allan³

et al. 2007

Arch Intern Med

320

279

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Background: Implementation of the chronic care model (CCM) has been shown to be an effective preventative strategy to improve outcomes in diabetes mellitus, depression, and congestive heart failure, but data are lacking regarding the effectiveness of this model in preventing complications in patients with chronic obstructive pulmonary disease. Methods: We searched the MEDLINE, CINAHL, and Cochrane databases from inception to August 2005 and included English-language articles that enrolled adults with chronic obstructive pulmonary disease and (1) contained intervention(s) with CCM component(s), (2) included a comparison group or measures at 2 points (before/after), and (3) had relevant outcomes. Two reviewers independently extracted data. Results: Symptoms, quality of life, lung function, and functional status were not significantly different between the intervention and control groups. However, pooled relative risks (95% confidence intervals

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Case Management in Care of Turkish Rheumatoid Arthritis Patients

Tokem¹,

Argon²,

Keser³

2011

Rehabilitation Nursing

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This study examined the effectiveness of a case management (CM) intervention in the care of patients with rheumatoid arthritis (RA) as a pilot study in a teaching hospital in Turkey. Two groups were compared with respect to disability, quality of life, cost, and patient satisfaction: RA patients who received CM plus usual nursing care and RA patients who received usual nursing care alone. All patients underwent follow-up interviews at 3 and 6 months after being discharged from the hospital. Disability scores were significantly better in the RA group receiving CM, but there were no significant differences between the two groups with regard to quality of life, patient satisfaction, and total healthcare costs. Using CM in the care of patients with RA may favorably affect disease-related outcomes.

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Case management may reduce length of hospital stay in patients with recurrent admissions for chronic obstructive pulmonary disease

Abstract: In a group of patients with severe COPD and recurrent admissions, case management reduced the number of days in hospital while improving the quality of life. These findings need to be confirmed in a randomized, controlled trial.

Cited by 38 publications

References 13 publications

Identifying potentially cost effective chronic care programs for people with COPD

Identifying potentially cost effective chronic care programs for people with COPD

Systematic Review of the Chronic Care Model in Chronic Obstructive Pulmonary Disease Prevention and Management

Case Management in Care of Turkish Rheumatoid Arthritis Patients

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