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What do systematic reviews say?

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Evidence found and GRADE certainty

870 questions · 912 findings · 85 reviews · Airways

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No studies found 65 · 7.1%GRADE not reported 34 · 3.7%Very low 115 · 12.6%Low 273 · 29.9%Moderate 330 · 36.2%High 95 · 10.4%

Multi‐component interventions (with telehealth as a component of care) vs usual care

Anti‐cytokine, all‐cause mortality ‐ uncertain risk of bias · patients with chronic obstructive pulmonary disease

It is very uncertain whether multi‐component interventions (with telehealth as a component of care) changes mortality (all‐cause) overall analysis compared with usual care (very low certainty).

1 finding from 1 review

Multi‐component interventions (with telehealth as a component of care) vs usual care

Adverse events: number of people with 1 or more (all‐cause) · patients with chronic obstructive pulmonary disease

It is very uncertain whether multi‐component interventions (with telehealth as a component of care) changes adverse events: number of people with 1 or more (all‐cause) compared with usual care (very low certainty).

1 finding from 1 review

Remote monitoring plus usual care vs usual care

QoL · patients with chronic obstructive pulmonary disease
2 findings from 1 review

Remote monitoring plus usual care vs usual care

Time to first hospitalisation after starting intervention · patients with chronic obstructive pulmonary disease

It is very uncertain whether remote monitoring plus usual care changes time to first hospitalisation after starting intervention compared with usual care (very low certainty).

1 finding from 1 review

Remote monitoring plus usual care vs usual care

Time to first COPD‐related re‐admission · patients with chronic obstructive pulmonary disease

Remote monitoring plus usual care probably leads to lower time to first COPD‐related re‐admission compared with usual care (moderate certainty).

1 finding from 1 review

Multi‐component intervention vs other treatments/routine care

Number experiencing adverse effects · the management of chronic obstructive pulmonary disease

It is very uncertain whether multi‐component intervention changes adverse events: number of people experiencing an AE compared with other intervention or routine, usual care or control treatment (very low certainty).

1 finding from 1 review

Multi‐component intervention vs other treatments/routine care

Number of participants experiencing any serious adverse events · the management of chronic obstructive pulmonary disease

Multi‐component intervention showed no clear difference in adverse events: number of people experiencing a serious adverse event compared with other intervention or routine, usual care or control treatment (low certainty).

1 finding from 1 review

Digital intervention with or without routine supported self‐management vs control

Self‐efficacy · the management of chronic obstructive pulmonary disease
2 findings from 1 review

Multi‐component intervention vs other treatments/routine care

Exacerbations (number of people experiencing ≥ 1 exacerbations) · the management of chronic obstructive pulmonary disease

It is very uncertain whether multi‐component intervention changes exacerbations: number of people experiencing at least one exacerbation compared with other intervention or routine, usual care or control treatment (very low certainty).

1 finding from 1 review