Cochrane · systematic review · CD002990

Self‐management interventions for people with chronic obstructive pulmonary disease

Schrijver, J, Lenferink, A, Brusse-Keizer, M, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Airways2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 11.1%Low 5 · 55.6%Moderate 3 · 33.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Self‐management interventions compared to usual care for people with chronic obstructive pulmonary disease

Population: people with chronic obstructive pulmonary disease (COPD)
9 questions
OutcomeEffectEvidenceStatus / GRADE
HRQoL
Self‐management interventions vs usual care
no estimate extracted2778 participantsLow
Downgraded: risk of bias, inconsistency
Respiratory‐related hospital admissions
Self‐management interventions vs usual care
OR 0.75 [0.57, 0.98]3263 participantsVery low
Downgraded: risk of bias, inconsistency
Respiratory‐related mortality
Self‐management interventions vs usual care
OR 1.7 [0.89, 3.26]1572 participantsLow
Downgraded: risk of bias, inconsistency
All‐cause mortality
Self‐management interventions vs usual care
OR 0.86 [0.59, 1.26]5719 participantsLow
Downgraded: risk of bias, inconsistency
All‐cause hospital admissions
Self‐management interventions vs usual care
OR 0.88 [0.71, 1.08]2633 participantsModerate
Downgraded: risk of bias
Health status ‐ Dyspnoea
Self‐management interventions vs usual care
no estimate extracted356 participantsLow
Downgraded: risk of bias, imprecision
ED visits
Self‐management interventions vs usual care
no estimate extracted1939 participantsLow
Downgraded: risk of bias, inconsistency
Health status ‐ Anxiety and depression
Self‐management interventions vs usual care
no estimate extracted1647 participantsModerate
Downgraded: risk of bias
COPD exacerbations
Self‐management interventions vs usual care
no estimate extracted1401 participantsModerate
Downgraded: risk of bias