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
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
Current version onlySelf‐management interventions compared to usual care for people with chronic obstructive pulmonary disease
Population: people with chronic obstructive pulmonary disease (COPD)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
HRQoL Self‐management interventions vs usual care | no estimate extracted | 2778 participants | Low Downgraded: risk of bias, inconsistency |
Respiratory‐related hospital admissions Self‐management interventions vs usual care | OR 0.75 [0.57, 0.98] | 3263 participants | Very low Downgraded: risk of bias, inconsistency |
Respiratory‐related mortality Self‐management interventions vs usual care | OR 1.7 [0.89, 3.26] | 1572 participants | Low Downgraded: risk of bias, inconsistency |
All‐cause mortality Self‐management interventions vs usual care | OR 0.86 [0.59, 1.26] | 5719 participants | Low Downgraded: risk of bias, inconsistency |
All‐cause hospital admissions Self‐management interventions vs usual care | OR 0.88 [0.71, 1.08] | 2633 participants | Moderate Downgraded: risk of bias |
Health status ‐ Dyspnoea Self‐management interventions vs usual care | no estimate extracted | 356 participants | Low Downgraded: risk of bias, imprecision |
ED visits Self‐management interventions vs usual care | no estimate extracted | 1939 participants | Low Downgraded: risk of bias, inconsistency |
Health status ‐ Anxiety and depression Self‐management interventions vs usual care | no estimate extracted | 1647 participants | Moderate Downgraded: risk of bias |
COPD exacerbations Self‐management interventions vs usual care | no estimate extracted | 1401 participants | Moderate Downgraded: risk of bias |
Self management compared with control for participants with chronic obstructive pulmonary disease
Population: patients with chronic obstructive pulmonary disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
HRQoL: SGRQ total score Scale ranges from zero to 100. Lower score indicates better HRQoL Self management vs control | no estimate extracted | 10 studies · 1413 participants | Moderate |
Respiratory‐related hospital admissions: number of participants with at least one respiratory‐related hospital admission Self management vs control | OR 0.57 [0.43, 0.75] | 9 studies · 1749 participants | Moderate Downgraded: imprecision, inconsistency |
All‐cause hospital admissions: number of participants with at least one all‐cause hospital admission Self management vs control | OR 0.6 [0.4, 0.89] | 6 studies · 1365 participants | Moderate Downgraded: imprecision, inconsistency |
Dyspnoea: (m)MRC score Self management vs control | no estimate extracted | 3 studies · 119 participants | Low Downgraded: imprecision, inconsistency |
Courses of oral steroids: number of participants receiving at least one course of oral steroids Self management vs control | OR 4.42 [0.39, 50.1] | 3 studies · 901 participants | Low Downgraded: imprecision, inconsistency |
Exercise capacity: 6MWD Self management vs control | MD 33.69 | 6 studies · 570 participants | Low Downgraded: imprecision, inconsistency |
Mortality: number of deaths Self management vs control | OR 0.79 [0.58, 1.07] | 8 studies · 2134 participants | Very low Downgraded: imprecision, inconsistency |