Cochrane · systematic review · CD011682
Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease
Lenferink, A, Brusse‐Keizer, M, van der Valk, PDLPM, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
AirwaysAMSTAR 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 1 · 12.5%Low 2 · 25%Moderate 4 · 50%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
Self‐management interventions including action plans for exacerbations compared to usual care for patients with COPD
Population: patients with chronic obstructive pulmonary disease (COPD)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Health‐related quality of life (HRQoL) Self‐management interventions including action plans for exacerbations vs usual care | no estimate extracted | 10 studies · 1582 participants | High |
Respiratory‐related hospital admissions Self‐management interventions including action plans for exacerbations vs usual care | OR 0.69 [0.51, 0.94] | 14 studies · 3157 participants | Moderate Downgraded: inconsistency |
All‐cause hospital admissions Self‐management interventions including action plans for exacerbations vs usual care | OR 0.74 [0.54, 1.03] | 10 studies · 2467 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
All‐cause mortality Self‐management interventions including action plans for exacerbations vs usual care | OR 1.06 [0.71, 1.59] | 16 studies · 3296 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Respiratory‐related mortality Self‐management interventions including action plans for exacerbations vs usual care | OR 1.94 [1.2, 3.13] | 7 studies · 1219 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Dyspnoea Self‐management interventions including action plans for exacerbations vs usual care | no estimate extracted | 3 studies · 217 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
COPD exacerbations Self‐management interventions including action plans for exacerbations vs usual care | no estimate extracted | 4 studies · 740 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Courses of oral steroids Self‐management interventions including action plans for exacerbations vs usual care | OR 4.38 [0.55, 34.91] | 4 studies · 963 participants | Low Downgraded: risk of bias, imprecision, inconsistency |