Cochrane · systematic review · CD005074

Action plans with brief patient education for exacerbations in chronic obstructive pulmonary disease

Howcroft, M, Walters, EH, Wood‐Baker, R, et al. · Cochrane Database of Systematic Reviews · 2016 · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 12.5%Moderate 6 · 75%High 1 · 12.5%

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

Show all 2 versions

Action plan versus usual care for exacerbations of chronic obstructive pulmonary disease

Population: individuals with exacerbations of chronic obstructive pulmonary disease
8 questions
OutcomeEffectEvidenceStatus / GRADE
Hospitalisations for COPD/100 patient‐years (action plan + phone
Action plan vs usual care
Rate ratio 0.69 [0.47, 1.01]1 study · 743 participantsModerate
Downgraded: imprecision
Hospitalisations and emergency visits for COPD/100 patient‐years (action plan + phone
Action plan vs usual care
Rate ratio 0.59 [0.44, 0.79]1 study · 743 participantsHigh
At least 1 hospital admission
Action plan vs usual care
Odds ratio 0.69 [0.49, 0.97]2 studies · 897 participantsModerate
Downgraded: risk of bias, imprecision
Mortality (all‐cause)
Action plan vs usual care
Odds ratio 0.88 [0.59, 1.31]4 studies · 1134 participantsModerate
Downgraded: imprecision
Courses of oral corticosteroids
Action plan vs usual care
no estimate extracted2 studies · 200 participantsModerate
Downgraded: risk of bias, imprecision
Courses of antibiotics
Action plan vs usual care
no estimate extracted3 studies · 943 participantsModerate
Downgraded: risk of bias, imprecision
Respiratory‐related quality of life: SGRQ overall score Scale from 0 (best) to 100 (maximum impairment)
Action plan vs usual care
no estimate extracted3 studies · 1009 participantsModerate
Downgraded: risk of bias, imprecision
Depression score
Action plan vs usual care
no estimate extracted1 study · 154 participantsLow
Downgraded: imprecision