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

I Peytremann-Bridevaux, P Taffe, B Burnand, P O Bridevaux, M A Puhan
2014 Thorax  
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. Metaanalysis using random-effects models was performed, followed by subgroup analyses according to study length (3-12 months vs >12 months), main
more » ... component (exercise, self-management, structured followup) 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.
doi:10.1136/thoraxjnl-2013-204983 pmid:24718640 fatcat:2txtlqjqhjf4vgul5c4bftnrce