2018
DOI: 10.1164/rccm.201711-2182oc
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Disease Management plus Recommended Care versus Recommended Care Alone for Ambulatory Patients with Chronic Obstructive Pulmonary Disease

Abstract: DM added to RC was not superior to RC alone in delaying first hospital admission or death among ambulatory COPD patients. Clinical trial registration available at www.clinicaltrials.gov, ID NCT00982384.

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Cited by 11 publications
(22 citation statements)
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“…These results were consistent in both the per-protocol and intention-to-treat analyses. Therefore, the effect of Proactive iCare on quality of life appears to be large, sustained, and greater than most other studies of integrated care for COPD 15,16,18,21,28 . Proactive iCare also improved the 6MWD by 40m at nine months compared to Usual Care, which is similar to the 45m improvement that was seen at three months in our rural study 26 , and similar to other integrated care studies 18,19 .…”
Section: Early Warning For Copd Exacerbationsmentioning
confidence: 84%
See 2 more Smart Citations
“…These results were consistent in both the per-protocol and intention-to-treat analyses. Therefore, the effect of Proactive iCare on quality of life appears to be large, sustained, and greater than most other studies of integrated care for COPD 15,16,18,21,28 . Proactive iCare also improved the 6MWD by 40m at nine months compared to Usual Care, which is similar to the 45m improvement that was seen at three months in our rural study 26 , and similar to other integrated care studies 18,19 .…”
Section: Early Warning For Copd Exacerbationsmentioning
confidence: 84%
“…Multiple studies have evaluated the impact of integrated care on outcomes for COPD 15-21,28 . Two Cochrane reviews concluded that integrated care/self-care programs improve quality of life and exercise tolerance for COPD, and decrease hospitalizations and hospital length of stay for COPD exacerbations 18,19 .…”
Section: Methodsmentioning
confidence: 99%
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“…17 Diagnosis-or severity-based identification of patients with COPD, for example, without accounting for complex psychosocial and socioeconomic factors-data more likely to be available to local health systems-may be insufficient to identify patients in need of or likely to respond to community-based interventions. [23][24][25] Health systems that take the lead on targeted care management programs will be the first to realize the returns. As long as, on average, most health systems are not engaging in such proactive population health management, there is a relative opportunity for those health systems and insurers with sufficiently advanced analytics to identify at-risk patients likely to benefit from such interventions.…”
Section: Local Data For Local Interventionsmentioning
confidence: 99%
“…11,12 However, a more recent study found no benefit to active outpatient disease management compared to standard care. 13 It should be noted that standard care in this trial included pulmonary clinic follow-up, physical activity, and smoking cessation—important aspects of COPD care which may be difficult to provide consistently.…”
mentioning
confidence: 99%