What do systematic reviews say?

Action plan vs usual care

Action plan showed no clear difference in hospitalisations for COPD/100 patient‐years (action plan + phone compared with usual care (moderate certainty).

• Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease 2016 · Cochrane Headline outcomes only
  Rate ratio 0.69 [0.47, 1.01]
  1 study · 743 participants
  Moderate

Action plan vs usual care

Action plan leads to lower hospitalisations and emergency visits for COPD/100 patient‐years… compared with usual care (high certainty).

• Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease 2016 · Cochrane Headline outcomes only
  Rate ratio 0.59 [0.44, 0.79]
  1 study · 743 participants
  High

Action plan vs usual care

Action plan probably leads to lower at least 1 hospital admission compared with usual care (moderate certainty).

• Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease 2016 · Cochrane Headline outcomes only
  Odds ratio 0.69 [0.49, 0.97]
  2 studies · 897 participants
  Moderate

Action plan vs usual care

Action plan showed no clear difference in mortality (all‐cause) compared with usual care (moderate certainty).

• Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease 2016 · Cochrane Headline outcomes only
  Odds ratio 0.88 [0.59, 1.31]
  4 studies · 1134 participants
  Moderate

Action plan vs usual care

• Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease 2016 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 200 participants
  Moderate

Action plan vs usual care

• Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease 2016 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 943 participants
  Moderate

Action plan vs usual care

• Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease 2016 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 1009 participants
  Moderate

Action plan vs usual care

• Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease 2016 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 154 participants
  Low

Self‐management interventions vs usual care

• Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic… 2017 · Cochrane Headline outcomes only
  no estimate extracted
  10 studies · 1582 participants
  High

Self‐management interventions vs usual care

Self‐management interventions including action plans for exacerbations probably leads to lower respiratory‐related hospital admissions compared with usual care (moderate certainty).

• Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic… 2017 · Cochrane Headline outcomes only
  OR 0.69 [0.51, 0.94]
  14 studies · 3157 participants
  Moderate

Self‐management interventions vs usual care

Self‐management interventions including action plans for exacerbations showed no clear difference in all‐cause hospital admissions compared with usual care (moderate certainty).

• Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic… 2017 · Cochrane Headline outcomes only
  OR 0.74 [0.54, 1.03]
  10 studies · 2467 participants
  Moderate

Self‐management interventions vs usual care

Self‐management interventions including action plans for exacerbations showed no clear difference in all‐cause mortality compared with usual care (moderate certainty).

• Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic… 2017 · Cochrane Headline outcomes only
  OR 1.06 [0.71, 1.59]
  16 studies · 3296 participants
  Moderate

Self‐management interventions vs usual care

It is very uncertain whether self‐management interventions including action plans for exacerbations changes respiratory‐related mortality compared with usual care (very low certainty).

• Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic… 2017 · Cochrane Headline outcomes only
  OR 1.94 [1.2, 3.13]
  7 studies · 1219 participants
  Very low

Self‐management interventions vs usual care

• Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic… 2017 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 217 participants
  Low

Self‐management interventions vs usual care

• Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic… 2017 · Cochrane Headline outcomes only
  no estimate extracted
  4 studies · 740 participants
  Moderate

Self‐management interventions vs usual care

Self‐management interventions including action plans for exacerbations showed no clear difference in courses of oral steroids compared with usual care (low certainty).

• Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic… 2017 · Cochrane Headline outcomes only
  OR 4.38 [0.55, 34.91]
  4 studies · 963 participants
  Low