Chronic Obstructive Airway Disease

Howland, Jonathan; Nelson, Ehren R.; Barlow, Peter B.; McHugo, G; Meier, Frederick A.; Brent, Patricia L.; Laser-Wolston, Nancy; Parker, H. Worth

doi:10.1378/chest.90.2.233

Cited by 42 publications

(27 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, Tougaard and colleagues 17 found better physical function and total function in favour of the intervention group, and Littlejohns et al 23 showed a significantly greater improvement in physical function in the intervention group. Other studies used the Health Status Questionnaire 2.0, 20 the General Health Questionnaire, 18 and a self-designed questionnaire (consisting of elements of the health locus of control scale, respiratory health questionnaire, Zung scales, and SIP scales) 22 to measure general health status. In the latest two studies general HRQoL was not significantly different between the self-management education and control group, although Gourley et al 20 showed significantly improved scores for the well being dimension of the Health Status Questionnaire 2.0 in the intervention group.…”

Section: Discussionmentioning

confidence: 99%

Self-management education for patients with chronic obstructive pulmonary disease: a systematic review

Monninkhof

2003

Thorax

118

View full text Add to dashboard Cite

Background:The idea of self-management is to teach patients how to carry out the activities of daily living optimally in the face of their physiological impairment, and to prevent or decrease the severity of exacerbations by means of life style adaptation. In chronic obstructive pulmonary disease (COPD) the value of self-management education is not clear. This review was undertaken to clarify the effectiveness of self-management programmes in COPD. Methods: A search was made of the Cochrane Airways Group trial registers, Medline, reference lists, and abstracts of medical conferences for controlled trials of self-management education in patients with COPD. Two reviewers independently assessed each paper for methodological quality and extracted the data. Results: The reviewers included 12 articles describing eight randomised controlled trials and one controlled clinical trial in which self-management education was compared with usual care. The studies assessed a broad spectrum of outcome measures with different follow up times so meta-analysis could not be undertaken. Self-management education had no effect on hospital admissions, emergency room visits, days lost from work, and lung function. Inconclusive results were observed on health related quality of life, COPD symptoms, and use of healthcare facilities such as doctor and nurse visits. Selfmanagement education reduced the need for rescue medication and led to increased use of courses of oral steroids and antibiotics for respiratory symptoms. Conclusions: Insufficient data were obtained to make recommendations because of the wide variation in outcome measures used and other limitations to generalisations in the current published literature. Further research in this area is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Self-management education for patients with chronic obstructive pulmonary disease: a systematic review

Monninkhof

2003

Thorax

118

View full text Add to dashboard Cite

show abstract

“…7 Only four other published studies have reported randomised controlled trials of group self-management education in COPD and none of these attempted to recruit patients from disease registers. [41][42][43][44][45] Unlike BELLA, all of these studies relied on education from healthcare professionals, along with exercise or other components delivered by healthcare professionals in three studies. [43][44][45] More recently, Rice and colleagues have described large reductions in emergency department attendance and all-cause hospitalisation in patients with COPD at high risk of hospitalisation, with a diseasemanagement intervention consisting of a single 1-1.5 hour group education session and monthly follow-up phone calls by a case manager.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Self-management support for moderate-to-severe chronic obstructive pulmonary disease: a pilot randomised controlled trial

Taylor

Sohanpal²,

Bremner³

et al. 2012

Br J Gen Pract

View full text Add to dashboard Cite

show abstract

“…None of these studies had a randomized controlled design, and the conclusions, therefore, remain preliminary. In addition, one study has suggested that an education programme may substantially reduce the utilization of health care resources by COPD patients [3], although other studies have suggested that education programmes only affect health-related knowledge without affecting health status, as such [4][5][6].…”

mentioning

confidence: 99%

Muscle weakness is related to utilization of health care resources in COPD patients

Decramer¹,

Gosselink²,

Troosters³

et al. 1997

Eur Respir J

404

236

View full text Add to dashboard Cite

The factors determining utilization of health care resources in patients with chronic obstructive pulmonary disease (COPD) are poorly understood. In order to obtain insight into these factors, we studied the utilization of health care resources in 57 stable COPD patients with a forced expiratory volume in one second (FEV1) of 36±9% predicted.Patients were divided into two groups: admitted at least twice in the last year (high medical consumption; n=23) or not admitted in the last year (low medical consumption; n=34). Other variables related to utilization of health care resources studied were: the number of hospital days; the number of out-patient visits to a pulmonary department in the last year; and the average daily dose (ADD) of corticosteroids taken in the last 6 months. The actual cost of utilization of health care resources, however, was not studied. In addition, pulmonary function, serum electrolytes, blood gas values, 6 min walking distance, respiratory and peripheral muscle force, and appraisal of self-care agency (ASA score) were studied.Pulmonary function, serum electrolytes, blood gas values, ASA score and walking distance were not different between the two groups (e.g. FEV1 36±8 vs 36±10% pred). Respiratory muscle forces tended to be lower in the high medical consumption group, this tendency almost reaching statistical significance for maximal expiratory pressure (PE,max) (p=0.08). Peripheral muscle force, however, was clearly reduced in the high medical consumption group (quadriceps force 63±20 vs 82±26% pred; p<0.05). The number of admissions, the number of hospital days, the number of out-patient visits, and ADD were interrelated and also related to ventilatory and peripheral muscle force (r -0.18 to -0.38). This relationship was statistically significant for PE,max, whilst a similar tendency was present for maximal inspiratory pressure (PI,max). In stepwise multiple regression analysis, only quadriceps force was a significant determinant of utilization of health care services.We conclude that utilization of health care services in patients with chronic obstructive pulmonary disease is related to ventilatory and peripheral muscle force. Whether or not reduced muscle force is simply an expression of disease severity remains to be determined.

show abstract

Chronic Obstructive Airway Disease

Cited by 42 publications

References 6 publications

Self-management education for patients with chronic obstructive pulmonary disease: a systematic review

Self-management education for patients with chronic obstructive pulmonary disease: a systematic review

Self-management support for moderate-to-severe chronic obstructive pulmonary disease: a pilot randomised controlled trial

Muscle weakness is related to utilization of health care resources in COPD patients

Contact Info

Product

Resources

About