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
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
Current version onlyAction plan versus usual care for exacerbations of chronic obstructive pulmonary disease
Population: individuals with exacerbations of chronic obstructive pulmonary disease
| Outcome | Effect | Evidence | Status / 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 participants | Moderate 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 participants | High |
At least 1 hospital admission Action plan vs usual care | Odds ratio 0.69 [0.49, 0.97] | 2 studies · 897 participants | Moderate Downgraded: risk of bias, imprecision |
Mortality (all‐cause) Action plan vs usual care | Odds ratio 0.88 [0.59, 1.31] | 4 studies · 1134 participants | Moderate Downgraded: imprecision |
Courses of oral corticosteroids Action plan vs usual care | no estimate extracted | 2 studies · 200 participants | Moderate Downgraded: risk of bias, imprecision |
Courses of antibiotics Action plan vs usual care | no estimate extracted | 3 studies · 943 participants | Moderate 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 extracted | 3 studies · 1009 participants | Moderate Downgraded: risk of bias, imprecision |
Depression score Action plan vs usual care | no estimate extracted | 1 study · 154 participants | Low Downgraded: imprecision |
Action plans, with limited patient education only, versus usual care for exacerbations of COPD
Population: patients with exacerbations of chronic obstructive pulmonary disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hospital admission Action plans, with limited patient education only, vs usual care | no estimate extracted | 2 studies · 205 participants | Moderate |
Emergency department attendance for COPD Action plans, with limited patient education only, vs usual care | no estimate extracted | 2 studies · 201 participants | Moderate |
GP visits/phone contacts for COPD (all or urgent) Action plans, with limited patient education only, vs usual care | no estimate extracted | 3 studies · 256 participants | Moderate |
Courses of oral corticosteroids Action plans, with limited patient education only, vs usual care | no estimate extracted | 2 studies · 200 participants | Moderate |
Improvement in SGRQ impact score Action plans, with limited patient education only, vs usual care | no estimate extracted | 4 studies · 412 participants | Moderate |