Cochrane · systematic review · CD009437
Integrated disease management interventions for patients with chronic obstructive pulmonary disease
Poot, CC, Meijer, E, Kruis, AL, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 5 · 83.3%High 1 · 16.7%
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 onlyIntegrated disease management interventions compared to usual care for patients with chronic obstructive pulmonary disease
Population: patients with chronic obstructive pulmonary disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health‐related quality of life Integrated disease management interventions vs usual care | no estimate extracted | 18 studies · 4321 participants | Moderate Downgraded: inconsistency |
Functional exercise capacity Integrated disease management interventions vs usual care | no estimate extracted | 13 studies · 2071 participants | Moderate Downgraded: inconsistency |
Respiratory‐related hospital admissions Integrated disease management interventions vs usual care | OR 0.64 [0.5, 0.81] | 15 studies · 4207 participants | High |
Hospital admissions, all causes Integrated disease management interventions vs usual care | OR 0.75 [0.57, 0.98] | 10 studies · 9030 participants | Moderate Downgraded: inconsistency |
Hospital days per patient, all causes Integrated disease management interventions vs usual care | no estimate extracted | 14 studies · 3563 participants | Moderate Downgraded: inconsistency |
ED visits Integrated disease management interventions vs usual care | OR 0.69 [0.5, 0.93] | 9 studies · 8791 participants | Moderate Downgraded: inconsistency |
Integrated disease management compared to control for patients with chronic obstructive pulmonary disease
Population: patients with chronic obstructive pulmonary disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Quality of life measured on the SGRQ (St George's Respiratory Questionnaire) total score. Scale from: 0 to 100. Lower score indicates improvement Integrated disease management vs control | no estimate extracted | 13 studies · 1425 participants | High |
Quality of life measured on the CRQ dyspnoea domain Scale from: 0 to 7. Higher score indicates improvement Integrated disease management vs control | MD 1.02 [0.67, 1.36] | 4 studies · 160 participants | Moderate Downgraded: risk of bias |
Functional exercise capacity 6‐minute walking distance (6MWD) Integrated disease management vs control | MD 43.86 [21.83, 65.89] | 14 studies · 838 participants | Moderate Downgraded: risk of bias |
Respiratory‐related hospital admissions Integrated disease management vs control | OR 0.68 [0.47, 0.99] | 7 studies · 1470 participants | High |
Hospital days per patient (all causes) Integrated disease management vs control | no estimate extracted | 6 studies · 741 participants | High |