Integrated disease management interventions for patients with chronic obstructive pulmonary disease

Cochrane Database of Systematic Reviews

Volumn 2013, Issue 10, 2013, Pages

  Kruis, Annemarije L ^a   Smidt, Nynke ^b   Assendelft, Willem J J ^c   Gussekloo, Jacobijn ^a   Boland, Melinde R S ^d   Rutten van Mölken, Maureen ^d   Chavannes, Niels H ^a  

^a LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^b UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

^c RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

^d ERASMUS UNIVERSITY ROTTERDAM   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

CHRONIC OBSTRUCTIVE LUNG DISEASE; CHRONIC RESPIRATORY QUESTIONNAIRE; CLINICAL EFFECTIVENESS; DISEASE EXACERBATION; DYSPNEA; EMOTIONALITY; EXERCISE TOLERANCE; FATIGUE; FORCED EXPIRATORY VOLUME; HEALTH PROGRAM; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; MORTALITY; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; QUALITY OF LIFE; REVIEW; SCORING SYSTEM; SECONDARY HEALTH CARE; SIX MINUTE WALK TEST; ST. GEORGE RESPIRATORY QUESTIONNAIRE; SYSTEMATIC REVIEW; TERTIARY HEALTH CARE; AGED; DISEASE MANAGEMENT; FEMALE; INTEGRATED HEALTH CARE SYSTEM; MALE; META ANALYSIS; PATHOPHYSIOLOGY; PATIENT CARE; PROCEDURES; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RANDOMIZED CONTROLLED TRIAL (TOPIC); STATISTICS AND NUMERICAL DATA; METHODOLOGY; STATISTICS;

AGED; DELIVERY OF HEALTH CARE, INTEGRATED; DISEASE MANAGEMENT; EXERCISE TOLERANCE; FEMALE; HOSPITALIZATION; HUMANS; MALE; PATIENT CARE TEAM; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIALS AS TOPIC;

EID: 84893461598     PISSN: None     EISSN: 1469493X     Source Type: Journal    
DOI: 10.1002/14651858.CD009437.pub2     Document Type: Review

References (145)

1. Aiken LS, Butner J, Lockhart CA, Volk-Craft BE, Hamilton G, Williams FG. Outcome evaluation of a randomized trial of the PhoenixCare intervention: program of case management and coordinated care for the seriously chronically ill. Journal of Palliative Medicine 2006;9(1):111-26.
2. Bendstrup KE, Ingemann Jensen J, Holm S, Bengtsson B. Out-patient rehabilitation improves activities of daily living, quality of life and exercise tolerance in chronic obstructive pulmonary disease. European Journal of Respiratory Diseases 1997;10(12):2801-6.
3. Bourbeau J, Collet JP, Schwartzman K, Ducruet T, Nault D, Bradley C. Economic benefits of self-management education in COPD. Chest 2006;130(6):1704-11. [PUBMED: 17166985]
4. Bourbeau J, Julien M, Maltais F, Rouleau M, Beaupre A, Begin R, et al.Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Archives of Internal Medicine 2003;163(5):585-91.
5. Sedeno MF, Nault D, Hamd DH, Bourbeau J. A self-management education program including an action plan for acute COPD exacerbations. COPD 2009;6(5):352-8. [PUBMED: 19863364]
6. Boxall AM, Barclay L, Sayers A, Caplan GA. Managing chronic obstructive pulmonary disease in the community. A randomized controlled trial of home-based pulmonary rehabilitation for elderly housebound patients. Journal of Cardiopulmonary Rehabilitation 2005;25(6):378-85.
7. Cambach W, Chadwick-Straver RV, Wagenaar RC, van Keimpema AR, Kemper HC. The effects of a community-based pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomized controlled trial. European Respiratory Journal 1997;10(1):104-13.
8. Dheda K, Crawford A, Hagan G, Roberts CM. Implementation of British Thoracic Society guidelines for acute exacerbation of chronic obstructive pulmonary disease: impact on quality of life. Postgraduate Medical Journal 2004;80(941):169-71. [PUBMED: 15016940]
9. Engstrom CP, Persson LO, Larsson S, Sullivan M. Long-term effects of a pulmonary rehabilitation programme in outpatients with chronic obstructive pulmonary disease: a randomized controlled study. Scandinavian Journal of Rehabilitation Medicine 1999;31(4):207-13.
10. Farrero E, Escarrabill J, Prats E, Maderal M, Manresa F. Impact of a hospital-based home-care program on the management of COPD patients receiving long-term oxygen therapy. Chest 2001;119(2):364-9. [PUBMED: 11171710]
11. Fernandez AM, Pascual J, Ferrando C, Arnal A, Vergara I, Sevila V. Home-based pulmonary rehabilitation in very severe COPD: is it safe and useful?. Journal of Cardiopulmonary Rehabilitation and Prevention 2009;29(5):325-31. [PUBMED: 19561524]
12. Gottlieb V, Lyngso AM, Nybo B, Frolich A, Backer V. Pulmonary rehabilitation for moderate COPD (GOLD 2)--does it have an effect?. COPD 2011;8(5):380-6. [PUBMED: 21936683]
13. Güell R, Casan P, Belda J, Sangenis M, Morante F, Guyatt GH, et al.Long-term effects of outpatient rehabilitation of COPD: A randomized trial. Chest 2000;117(4):976-83. [PUBMED: 10767227]
14. Güell R, Resqueti V, Sangenis M, Morante F, Martorell B, Casan P, et al.Impact of pulmonary rehabilitation on psychosocial morbidity in patients with severe COPD. Chest 2006;129(4):899-904. [PUBMED: 16608936]
15. Koff PB, Jones RH, Cashman JM, Voelkel NF, Vandivier RW. Proactive integrated care improves quality of life in patients with COPD. European Respiratory Journal 2009;33(5):1031-8. [PUBMED: 19129289]
16. Littlejohns P, Baveystock CM, Parnell H, Jones PW. Randomised controlled trial of the effectiveness of a respiratory health worker in reducing impairment, disability, and handicap due to chronic airflow limitation. Thorax 1991;46(8):559-64. [PUBMED: 1926024]
17. Mendes de Oliveira JC, Studart Leitao Filho FS, Malosa Sampaio LM, Negrinho de Oliveira AC, Hirata RP, Costa D, et al.Outpatient vs. home-based pulmonary rehabilitation in COPD: a randomized controlled trial. Multidisciplinary Respiratory Medicine 2010;5(6):401-8. [PUBMED: 22958267]
18. Rea H, McAuley S, Stewart A, Lamont C, Roseman P, Didsbury P. A chronic disease management programme can reduce days in hospital for patients with chronic obstructive pulmonary disease. Internal Medicine Journal 2004;34(11):608-14. [PUBMED: 15546454]
19. Rice KL, Dewan N, Bloomfield HE, Grill J, Schult TM, Nelson DB, et al.Disease management program for chronic obstructive pulmonary disease: a randomized controlled trial. American Journal of Respiratory and Critical Care Medicine 2010;182(7):890-6. [PUBMED: 20075385]
20. Smith BJ, Appleton SL, Bennett PW, Roberts GC, Del Fante P, Adams R, et al.The effect of a respiratory home nurse intervention in patients with chronic obstructive pulmonary disease (COPD). Australian and New Zealand Journal of Medicine 1999;29(5):718-25. [PUBMED: 10630654]
21. Sridhar M, Taylor R, Dawson S, Roberts NJ, Partridge MR. A nurse led intermediate care package in patients who have been hospitalised with an acute exacerbation of chronic obstructive pulmonary disease. Thorax 2008;63(3):194-200. [PUBMED: 17901162]
22. Strijbos JH, Postma DS, van Altena R, Gimeno F, Koeter GH. A comparison between an outpatient hospital-based pulmonary rehabilitation program and a home-care pulmonary rehabilitation program in patients with COPD. A follow-up of 18 months. Chest 1996;109(2):366-72. [PUBMED: 8620707]
23. Theander K, Jakobsson P, Jorgensen N, Unosson M. Effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Clinical Rehabilitation 2009;23(2):125-36. [PUBMED: 19164400]
24. Trappenburg JC, Koevoets L, de Weert-van Oene GH, Monninkhof EM, Bourbeau J, Troosters T, et al.Action Plan to enhance self-management and early detection of exacerbations in COPD patients; a multicenter RCT. BMC Pulmonary Medicine 2009;9:52. [PUBMED: 20040088]
25. Trappenburg JC, Monninkhof EM, Bourbeau J, Troosters T, Schrijvers AJ, Verheij TJ, et al.Effect of an action plan with ongoing support by a case manager on exacerbation-related outcome in patients with COPD: a multicentre randomised controlled trial. Thorax 2011;66(11):977-84. [PUBMED: 21785156]
26. Hoogendoorn M, van Wetering CR, Schols AM, Rutten-van Molken MP. Is INTERdisciplinary COMmunity-based COPD management (INTERCOM) cost-effective?. European Respiratory Journal 2010;35(1):79-87. [PUBMED: 19574331]
27. van Wetering CR, Hoogendoorn M, Mol SJ, Rutten-van Molken MP, Schols AM. Short- and long-term efficacy of a community-based COPD management programme in less advanced COPD: a randomised controlled trial. Thorax 2010;65(1):7-13. [PUBMED: 19703824]
28. Wakabayashi R, Motegi T, Yamada K, Ishii T, Jones RC, Hyland ME, et al.Efficient integrated education for older patients with chronic obstructive pulmonary disease using the Lung Information Needs Questionnaire. Geriatrics & Gerontology International 2011;11(4):422-30. [PUBMED: 21447136]
29. Wijkstra PJ, Ten Vergert EM, van Altena R, Otten V, Kraan J, Postma DS, et al.Long term benefits of rehabilitation at home on quality of life and exercise tolerance in patients with chronic obstructive pulmonary disease. Thorax 1995;50(8):824-8. [PUBMED: 7570431]
30. Wijkstra PJ, Van Altena R, Kraan J, Otten V, Postma DS, Koeter GH. Quality of life in patients with chronic obstructive pulmonary disease improves after rehabilitation at home. European Respiratory Journal 1994;7(2):269-73. [PUBMED: 8162979]
31. Wijkstra PJ, van der Mark TW, Kraan J, van Altena R, Koeter GH, Postma DS. Effects of home rehabilitation on physical performance in patients with chronic obstructive pulmonary disease (COPD). European Respiratory Journal 1996;9(1):104-10. [PUBMED: 8834342]
32. Wijkstra PJ, van der Mark TW, Kraan J, van Altena R, Koeter GH, Postma DS. Long-term effects of home rehabilitation on physical performance in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine 1996;153(4 Pt 1):1234-41. [PUBMED: 8616547]
33. Wood-Baker R, McGlone S, Venn A, Walters EH. Written action plans in chronic obstructive pulmonary disease increase appropriate treatment for acute exacerbations. Respirology (Carlton, Vic.) 2006;11(5):619-26. [PUBMED: 16916336]
34. Aimonino Ricauda N, Tibaldi V, Leff B, Scarafiotti C, Marinello R, Zanocchi M, et al.Substitutive "hospital at home" versus inpatient care for elderly patients with exacerbations of chronic obstructive pulmonary disease: a prospective randomized, controlled trial. Journal of the American Geriatrics Society 2008;56(3):493-500.
35. Bischoff EW, Akkermans R, Bourbeau J, van Weel C, Vercoulen JH, Schermer TR. Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: randomised controlled trial. BMJ (Clinical research ed.) 2012;345:e7642. [PUBMED: 23190905]
36. Carrieri-Kohlman V, Nguyen HQ, Donesky-Cuenco D, Demir-Deviren S, Neuhaus J, Stulbarg MS. Impact of brief or extended exercise training on the benefit of a dyspnea self-management program in COPD. Journal of Cardiopulmonary Rehabilitation 2005;25(5):275-84. [PUBMED: 16217231]
37. Casas A, Troosters T, Garcia-Aymerich J, Roca J, Hernandez C, Alonso A, et al.Integrated care prevents hospitalisations for exacerbations in COPD patients. European Respiratory Journal 2006;28(1):123-30. [PUBMED: 16611656]
38. De Godoy DV, De Godoy RF. A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation 2003;84(8):1154-7.
39. Eaton T, Young P, Fergusson W, Moodie L, Zeng I, O'Kane F, et al.Does early pulmonary rehabilitation reduce acute health-care utilization in COPD patients admitted with an exacerbation? A randomized controlled study. Respirology 2009;14(2):230-8. [PUBMED: 19272084]
40. Effing T, Kerstjens H, van der Valk P, Zielhuis G, van der Palen J. (Cost)-effectiveness of self-treatment of exacerbations on the severity of exacerbations in patients with COPD: the COPE II study. Thorax 2009;64(11):956-62. [PUBMED: 19736179]
41. Efraimsson EO, Hillervik C, Ehrenberg A. Effects of COPD self-care management education at a nurse-led primary health care clinic. Scandinavian Journal of Caring Sciences 2008;22(2):178-85. [PUBMED: 18489687]
42. Elliott M, Watson C, Wilkinson E, Musk AW, Lake FR. Short- and long-term hospital and community exercise programmes for patients with chronic obstructive pulmonary disease. Respirology 2004;9(3):345-51. [PUBMED: 15363006]
43. Garcia-Aymerich J, Hernandez C, Alonso A, Casas A, Rodriguez-Roisin R, Anto JM, et al.Effects of an integrated care intervention on risk factors of COPD readmission. Respiratory Medicine 2007;101(7):1462-9. [PUBMED: 17339106]
44. Gohl O, Linz H, Schonleben T, Otte B, Weineck J, Worth H. Benefits of a multimodular outpatient training program for patients with COPD [Effekte eines multimodularen ambulanten Trainingsprogramms fur Patienten mit COPD]. Pneumologie (Stuttgart, Germany) 2006;60(9):529-36. [PUBMED: 17006787]
45. Goldstein RS, Gort EH, Stubbing D, Avendano MA, Guyatt GH. Randomised controlled trial of respiratory rehabilitation. Lancet 1994;344(8934):1394-7. [PUBMED: 7968075]
46. Guell MR, de Lucas P, Galdiz JB, Montemayor T, Rodriguez Gonzalez-Moro JM, Gorostiza A, et al.Home vs hospital-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a Spanish multicenter trial [Comparacion de un programa de rehabilitacion domiciliario con uno hospitalario en pacientes con EPOC: estudio multicentrico espanol.]. Archivos de Bronconeumologia 2008;44(10):512-8. [PUBMED: 19006630]
47. Hughes SL, Weaver FM, Giobbie-Hurder A, Manheim L, Henderson W, Kubal JD, et al.Effectiveness of team-managed home-based primary care: a randomized multicenter trial. JAMA 2000;284(22):2877-85. [PUBMED: 11147984]
48. Liu YF. Effects of the comprehensive pulmonary rehabilitation programme on the quality of life of the patients with COPD in recovery period (Chinese). Chinese Journal of Clinical Rehabilitation 2002;21:3170-1.
49. Maltais F, Bourbeau J, Shapiro S, Lacasse Y, Perrault H, Baltzan M, et al.Effects of home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. Annals of Internal Medicine 2008;149(12):869-78. [PUBMED: 19075206]
50. Martin IR, McNamara D, Sutherland FR, Tilyard MW, Taylor DR. Care plans for acutely deteriorating COPD: a randomized controlled trial. Chronic Respiratory Disease 2004;1(4):191-5. [PUBMED: 16281645]
51. McGeoch GR, Willsman KJ, Dowson CA, Town GI, Frampton CM, McCartin FJ, et al.Self-management plans in the primary care of patients with chronic obstructive pulmonary disease. Respirology 2006;11(5):611-8. [PUBMED: 16916335]
52. Monninkhof E, van der Valk P, van der Palen J, van Herwaarden C, Zielhuis G. Effects of a comprehensive self-management programme in patients with chronic obstructive pulmonary disease. European Respiratory Journal 2003;22(5):815-20. [PUBMED: 14621090]
53. Ries AL, Kaplan RM, Myers R, Prewitt LM. Maintenance after pulmonary rehabilitation in chronic lung disease: a randomized trial. American Journal of Respiratory and Critical Care Medicine 2003;167(6):880-8. [PUBMED: 12505859]
54. Soler JJ, Martinez-Garcia MA, Roman P, Orero R, Terrazas S, Martinez-Pechuan A. Effectiveness of a specific program for patients with chronic obstructive pulmonary disease and frequent exacerbations [Eficacia de un programa especifico para pacientes con EPOC que presentan frecuentes agudizaciones]. Archivos de Bronconeumologia 2006;42(10):501-8. [PUBMED: 17067516]
55. Steele BG, Belza B, Cain KC, Coppersmith J, Lakshminarayan S, Howard J, et al.A randomized clinical trial of an activity and exercise adherence intervention in chronic pulmonary disease. Archives of Physical Medicine and Rehabilitation 2008;89(3):404-12. [PUBMED: 18295615]
56. Zhou Y, Hu G, Wang D, Wang S, Wang Y, Liu Z, et al.Community based integrated intervention for prevention and management of chronic obstructive pulmonary disease (COPD) in Guangdong, China: cluster randomised controlled trial. BMJ (Clinical research ed.) 2010;341:c6387. [PUBMED: 21123342]
57. Baumann HJ, Kluge S, Rummel K, Klose H, Hennigs JK, Schmoller T, et al.Low intensity, long-term outpatient rehabilitation in COPD: a randomised controlled trial. Respiratory Research 2012;13:86. [PUBMED: 23017153]
58. Fan VS, Gaziano JM, Lew R, Bourbeau J, Adams SG, Leatherman S, et al.A comprehensive care management program to prevent chronic obstructive pulmonary disease hospitalizations: a randomized, controlled trial. Annals of Internal Medicine 2012;156(10):673-83. [PUBMED: 22586006]
59. Zwar NA, Hermiz O, Comino E, Middleton S, Vagholkar S, Xuan W, et al.Care of patients with a diagnosis of chronic obstructive pulmonary disease: a cluster randomised controlled trial. Medical Journal of Australia 2012;197(7):394-8. [PUBMED: 23025736]
60. Bower P, Kennedy A, Reeves D, Rogers A, Blakeman T, Chew-Graham C, et al.A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol. Implementation Science: IS 2012;7:7. [PUBMED: 22280501]
61. Bunker JM, Reddel HK, Dennis SM, Middleton S, Van Schayck C, Crockett AJ, et al.A pragmatic cluster randomized controlled trial of early intervention for chronic obstructive pulmonary disease by practice nurse-general practitioner teams: Study Protocol. Implementation Science: IS 2012;7:83. [PUBMED: 22958678]
62. Byrnes JM, Goldstein S, Venator B, Pollicino C, Ng SK, Veroff D, et al.The impact of population-based disease management services for selected chronic conditions: the Costs to Australian Private Insurance--Coaching Health (CAPICHe) study protocol. BMC Public Health 2012;12:114. [PUBMED: 22325668]
63. Freund T, Peters-Klimm F, Rochon J, Mahler C, Gensichen J, Erler A, et al.Primary care practice-based care management for chronically ill patients (PraCMan): study protocol for a cluster randomized controlled trial [ISRCTN56104508]. Trials 2011;12:163. [PUBMED: 21714883]
64. Gomez A, Roman M, Larraz C, Esteva M, Mir I, Thomas V, et al.Efficacy of respiratory rehabilitation on patients with moderate COPD in primary care and maintenance of benefits at 2 years [Eficacia de la rehabilitacion respiratoria en pacientes con EPOC moderada en atencion primaria y mantenimiento de los beneficios a los 2 anos]. Atencion Primaria / Sociedad Espanola de Medicina de Familia y Comunitaria 2006;38(4):230-3. [PUBMED: 16978561]
65. Jones SM, Albert P, Warburton CJ, Calverley PMA, Davies L. Effect of a case management study on primary care use and prescribing for AECOPD. British Thoracic Society Winter Meeting; 2009 December 2-4; London. Lonodn, 2009.
66. Kruis AL, Boland MR, Schoonvelde CH, Assendelft WJ, Rutten-van Molken MP, Gussekloo J, et al.RECODE: design and baseline results of a cluster randomized trial on cost-effectiveness of integrated COPD management in primary care. BMC Pulmonary Medicine 2013;13:17. [PUBMED: 23522095]
67. Murphy K, Casey D, Devane D, Cooney A, McCarthy B, Mee L, et al.A cluster randomised controlled trial evaluating the effectiveness of a structured pulmonary rehabilitation education programme for improving the health status of people with chronic obstructive pulmonary disease (COPD): The PRINCE Study protocol. BMC Pulmonary Medicine 2011;11:4. [PUBMED: 21244668]
68. Roman M, Larraz C, Gomez A, Ripoll J, Mir I, Miranda EZ, et al.Efficacy of pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease: a randomized controlled trial. BMC Family Practice 2013;14:21. [PUBMED: 23399113]
69. Adams SG, Smith PK, Allan PF, Anzueto A, Pugh JA, Cornell JE. Systematic review of the chronic care model in chronic obstructive pulmonary disease prevention and management. Archives of Internal Medicine 2007;167(6):551-61. [PUBMED: 17389286]
70. Agusti A, Calverley PM, Celli B, Coxson HO, Edwards LD, Lomas DA, et al.Characterisation of COPD heterogeneity in the ECLIPSE cohort. Respiratory Research 2010;11:122. [PUBMED: 20831787]
71. Badamgarav E, Weingarten SR, Henning JM, Knight K, Hasselblad V, Gano A Jr, et al.Effectiveness of disease management programs in depression: a systematic review. American Journal of Psychiatry 2003;160(12):2080-90. [PUBMED: 14638573]
72. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Archives of General Psychiatry 1961;4:561-71. [PUBMED: 13688369]
73. Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax 1999;54(7):581-6. [PUBMED: 10377201]
74. Bonomi AE, Wagner EH, Glasgow RE, VonKorff M. Assessment of chronic illness care (ACIC): a practical tool to measure quality improvement. Health Services Research 2002;37(3):791-820. [PUBMED: 12132606]
75. Borg G. Perceived exertion as an indicator of somatic stress. Scandinavian Journal of Rehabilitation Medicine 1970;2(2):92-8. [PUBMED: 5523831]
76. Bourbeau J, Saad N. Integrated care model with self-management in chronic obstructive pulmonary disease: From family physicians to specialists. Chronic Respiratory Disease 2013;10:93-4. [PUBMED: 23382555]
77. Britton M. The burden of COPD in the U.K.: results from the Confronting COPD survey. Respiratory Medicine 2003;97(Suppl C):S71-9. [PUBMED: 12647945]
78. Burgel PR, Paillasseur JL, Caillaud D, Tillie-Leblond I, Chanez P, Escamilla R, et al.Clinical COPD phenotypes: a novel approach using principal component and cluster analyses. European Respiratory Journal 2010;36(3):531-9. [PUBMED: 20075045]
79. Calverley PM, Walker P. Chronic obstructive pulmonary disease. Lancet 2003;362(9389):1053-61. [PUBMED: 14522537]
80. Campbell MK, Mollison J, Grimshaw JM. Cluster trials in implementation research: estimation of intracluster correlation coefficients and sample size. Statistics in Medicine 2001;20(3):391-9. [PUBMED: 11180309]
81. Care Continuum Alliance (CCA) Definition of Disease Management. www.carecontinuum.org/ (accessed 19 May 2011).
82. Chavannes NH. Integrated chronic obstructive pulmonary disease management in primary care. Disease Management & Health Outcomes 2008;16(5):1.
83. Cote CG, Celli BR. BODE index: a new tool to stage and monitor progression of chronic obstructive pulmonary disease. Pneumonologia i Alergologia Polska: organ Polskiego Towarzystwa Ftyzjopneumonologicznego, Polskiego Towarzystwa Alergologicznego, i Instytutu Gruzlicy i Chorob Pluc 2009;77(3):305-13. [PUBMED: 19591105]
84. De Angelis C, Drazen JM, Frizelle FA, Haug C, Hoey J, Horton R, et al.Clinical trial registration: a statement from the International Committee of Medical Journal Editors. Annals of Internal Medicine 2004;141(6):477-8. [PUBMED: 15355883]
85. Dellby U. Drastically improving health care with focus on managing the patient with a disease: the macro and micro perspective. International Journal of Health Care Quality Assurance 1996;9(2):4-8. [PUBMED: 10157563]
86. Domingo-Salvany A, Lamarca R, Ferrer M, Garcia-Aymerich J, Alonso J, Felez M, et al.Health-related quality of life and mortality in male patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine 2002;166(5):680-5. [PUBMED: 12204865]
87. Effing T, Monninkhof EEM, van der Valk PP, Zielhuis GGA, Walters EH, van der Palen JJ, et al.Self-management education for patients with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews 2007, Issue 4. [DOI: 10.1002/14651858.CD002990.pub2]
88. Ellrodt G, Cook DJ, Lee J, Cho M, Hunt D, Weingarten S. Evidence-based disease management. JAMA 1997;278(20):1687-92. [PUBMED: 9388089]
89. Engstrom CP, Persson LO, Larsson S, Ryden A, Sullivan M. Functional status and well being in chronic obstructive pulmonary disease with regard to clinical parameters and smoking: a descriptive and comparative study. Thorax 1996;51(8):825-30. [PUBMED: 8795672]
90. Cochrane Effective Practice and Organization of Care Review Group. Data collection checklist. http://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CEgQFjAA&url=http%3A%2F%2Fepoc.cochrane.org%2Fsites%2Fepoc.cochrane.org%2Ffiles%2Fuploads%2Fdatacollectionchecklist.pdf&ei=nI9OUr-JD8Sf7gawloGwCA&usg=AFQjCNFVkZnWv1phsYMRgjKiVmxcSgdSgg&bvm=bv.53537100, d.ZGU&cad=rja (accessed 4/10/13).
91. Epstein RS, Sherwood LM. From outcomes research to disease management: a guide for the perplexed. Annals of Internal Medicine 1996;124(9):832-7. [PUBMED: 8610953]
92. The EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy 1990;16(3):199-208. [PUBMED: 10109801]
93. Fan VS, Curtis JR, Tu SP, McDonell MB, Fihn SD. Using quality of life to predict hospitalization and mortality in patients with obstructive lung diseases. Chest 2002;122(2):429-36. [PUBMED: 12171813]
94. Faxon DP, Schwamm LH, Pasternak RC, Peterson ED, McNeil BJ, Bufalino V, et al.Improving quality of care through disease management: principles and recommendations from the American Heart Association's Expert Panel on Disease Management. Circulation 2004;109(21):2651-4. [PUBMED: 15173048]
95. Gerardi DA, Lovett L, Benoit-Connors ML, Reardon JZ, ZuWallack RL. Variables related to increased mortality following out-patient pulmonary rehabilitation. European Respiratory Journal 1996;9(3):431-5. [PUBMED: 8730000]
96. Glasgow RE, Wagner EH, Schaefer J, Mahoney LD, Reid RJ, Greene SM. Development and validation of the Patient Assessment of Chronic Illness Care (PACIC). Medical Care 2005;43(5):436-44. [PUBMED: 15838407]
97. GOLD. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease 2009. http://www.goldcopd.com/ (accessed 4/10/13).
98. Gonseth J, Guallar-Castillon P, Banegas JR, Rodriguez-Artalejo F. The effectiveness of disease management programmes in reducing hospital re-admission in older patients with heart failure: a systematic review and meta-analysis of published reports. European Heart Journal 2004;25(18):1570-95. [PUBMED: 15351157]
99. GRADE Working Group. Grading quality of evidence and strength of recommendations. BMJ 2004;328:1490-4.
100. Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW. A measure of quality of life for clinical trials in chronic lung disease. Thorax 1987;42(10):773-8. [PUBMED: 3321537]
101. Guyatt GH, Oxman AD, Vist G, Kunz R, Brozek J, Alonso-Coello P, et al.GRADE guidelines: 4. Rating the quality of evidence--study limitations (risk of bias). Journal of Clinical Epidemiology. Elsevier, 2011; Vol. 64, issue 4:407-15.
102. Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
103. Hurst JR, Vestbo J, Anzueto A, Locantore N, Mullerova H, Tal-Singer R, et al.Susceptibility to exacerbation in chronic obstructive pulmonary disease. New England Journal of Medicine 2010;363(12):1128-38. [PUBMED: 20843247]
104. Jones PW, Quirk FH, Baveystock CM. The St George's Respiratory Questionnaire. Respiratory Medicine 1991;85 Suppl B:25-31; discussion 33-7. [PUBMED: 1759018]
105. Jones PW. St. George's Respiratory Questionnaire: MCID. COPD 2005;2(1):75-9. [PUBMED: 17136966]
106. Jones PW, Harding G, Berry P, Wiklund I, Chen WH, Kline Leidy N. Development and first validation of the COPD Assessment Test. European Respiratory Journal 2009;34(3):648-54. [PUBMED: 19720809]
107. Karner C, Chong J, Poole P. Tiotropium versus placebo for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews 2012, Issue 7. [DOI: 10.1002/14651858.CD009285.pub2]
108. Kerry SM, Bland JM. The intracluster correlation coefficient in cluster randomisation. BMJ (Clinical research ed.) 1998;316(7142):1455. [PUBMED: 9572764]
109. Knight K, Badamgarav E, Henning JM, Hasselblad V, Gano AD Jr, Ofman JJ, et al.A systematic review of diabetes disease management programs. American Journal of Managed Care 2005;11(4):242-50. [PUBMED: 15839184]
110. Kocks JW, Tuinenga MG, Uil SM, van den Berg JW, Stahl E, van der Molen T. Health status measurement in COPD: the minimal clinically important difference of the clinical COPD questionnaire. Respiratory Research 2006;7:62. [PUBMED: 16603063]
111. Lacasse Y, Goldstein R, Lasserson TJ, Martin S. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews 2006, Issue 4. [DOI: 10.1002/14651858.CD003793.pub2]
112. Lefebvre C, Manheimer E, Glanville J. Chapter 6: Searching for studies. In Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions 5.1 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
113. Lemmens KM, Nieboer AP, Huijsman R. A systematic review of integrated use of disease-management interventions in asthma and COPD. Respiratory Medicine 2009;103(5):670-91. [PUBMED: 19155168]
114. Lopez AD, Shibuya K, Rao C, Mathers CD, Hansell AL, Held LS, et al.Chronic obstructive pulmonary disease: current burden and future projections. European Respiratory Journal 2006;27(2):397-412. [PUBMED: 16452599]
115. Martinez FJ, Foster G, Curtis JL, Criner G, Weinmann G, Fishman A, et al.Predictors of mortality in patients with emphysema and severe airflow obstruction. American Journal of Respiratory and Critical Care Medicine 2006;173(12):1326-34. [PUBMED: 16543549]
116. Neumeyer-Gromen A, Lampert T, Stark K, Kallischnigg G. Disease management programs for depression: a systematic review and meta-analysis of randomized controlled trials. Medical Care 2004;42(12):1211-21. [PUBMED: 15550801]
117. Niesink A, Trappenburg JC, de Weert-van Oene GH, Lammers JW, Verheij TJ, Schrijvers AJ. Systematic review of the effects of chronic disease management on quality-of-life in people with chronic obstructive pulmonary disease. Respiratory Medicine 2007;101(11):2233-9. [PUBMED: 17804213]
118. Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack L, et al.The effectiveness of disease and case management for people with diabetes. A systematic review. American Journal of Preventive Medicine 2002;22(Suppl 4):15-38. [PUBMED: 11985933]
119. Norris SL, Glasgow RE, Engelgau MM, O'Connor PJ, McCulloch D. Chronic disease management: a definition and systematic approach to component interventions. Disease Management and Health Outcomes 2003;11(8):477-88.
120. Peytremann-Bridevaux I, Staeger P, Bridevaux PO, Ghali WA, Burnand B. Effectiveness of chronic obstructive pulmonary disease-management programs: systematic review and meta-analysis. American Journal of Medicine 2008;121(5):433-43.e4. [PUBMED: 18456040]
121. Peytremann-Bridevaux I, Burnand B. Letter to the editor. Disease management: a proposal for a new definition. International Journal of Integrated Care 2009;9:1.
122. Pimouguet C, Le Goff M, Thiebaut R, Dartigues JF, Helmer C. Effectiveness of disease-management programs for improving diabetes care: a meta-analysis. Canadian Medical Association Journal 2010;183(2):E115-27. [PUBMED: 21149524]
123. Pinto-Plata VM, Cote C, Cabral H, Taylor J, Celli BR. The 6-min walk distance: change over time and value as a predictor of survival in severe COPD. European Respiratory Journal 2004;23(1):28-33. [PUBMED: 14738227]
124. Puhan MA, Soesilo I, Guyatt GH, Schunemann HJ. Combining scores from different patient reported outcome measures in meta-analyses: when is it justified?. Health and Quality of Life Outcomes 2006;4:94. [PUBMED: 17156420]
125. Puhan MA, Mador MJ, Held U, Goldstein R, Guyatt GH, Schunemann HJ. Interpretation of treatment changes in 6-minute walk distance in patients with COPD. European Respiratory Journal 2008;32(3):637-43. [PUBMED: 18550610]
126. Rao JNK, Scott AJ. A simple method for the analysis of clustered binary data. Biometrics 1992;48:577-85.
127. Redelmeier DA, Bayoumi AM, Goldstein RS, Guyatt GH. Interpreting small differences in functional status: the Six Minute Walk test in chronic lung disease patients. American Journal of Respiratory and Critical Care Medicine 1997;155(4):1278-82. [PUBMED: 9105067]
128. The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2008.
129. Roccaforte R, Demers C, Baldassarre F, Teo KK, Yusuf S. Effectiveness of comprehensive disease management programmes in improving clinical outcomes in heart failure patients. A meta-analysis. European Journal of Heart Failure 2005;7(7):1133-44. [PUBMED: 16198629]
130. Schrijvers G. Disease management: a proposal for a new definition. International Journal of Integrated Care 2009;9:e06. [PUBMED: 19340329]
131. Seemungal TA, Donaldson GC, Paul EA, Bestall JC, Jeffries DJ, Wedzicha JA. Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine 1998;157(5 Pt 1):1418-22. [PUBMED: 9603117]
132. Seemungal TA, Donaldson GC, Bhowmik A, Jeffries DJ, Wedzicha JA. Time course and recovery of exacerbations in patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine 2000;161(5):1608-13. [PUBMED: 10806163]
133. Singh S. The use of field walking tests for assessment of functional capacity in patients with chronic airways obstruction. Physiotherapy 1992;78:102-4.
134. Steuten LM, Lemmens KM, Nieboer AP, Vrijhoef HJ. Identifying potentially cost effective chronic care programs for people with COPD. International Journal of Chronic Obstructive Pulmonary Disease 2009;4:87-100. [PUBMED: 19436687]
135. Tiep BL. Disease management of COPD with pulmonary rehabilitation. Chest 1997;112(6):1630-56. [PUBMED: 9404764]
136. van der Molen T, Willemse BW, Schokker S, ten Hacken NH, Postma DS, Juniper EF. Development, validity and responsiveness of the Clinical COPD Questionnaire. Health and Quality of Life Outcomes 2003;1:13. [PUBMED: 12773199]
137. Wagner EH, Austin BT, Von Korff M. Improving outcomes in chronic illness. Managed Care Quarterly 1996;4(2):12-25. [PUBMED: 10157259]
138. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Affairs (Project Hope) 2001;20(6):64-78. [PUBMED: 11816692]
139. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care 1992;30(6):473-83. [PUBMED: 1593914]
140. Wedzicha JA. The heterogeneity of chronic obstructive pulmonary disease. Thorax 2000;55(8):631-2. [PUBMED: 10899236]
141. Weingarten SR, Henning JM, Badamgarav E, Knight K, Hasselblad V, Gano A Jr, et al.Interventions used in disease management programmes for patients with chronic illness - which ones work? Meta-analysis of published reports. BMJ (Clinical Research Ed.) 2002;325(7370):925. [PUBMED: 12399340]
142. World Health Organization. World Health Statistics 2008. Available from: http://www.who.int/whosis/whostat/2008/en/index.html.
143. Yang IA, Clarke MS, Sim EHA, Fong KM. Inhaled corticosteroids for stable chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews 2012, Issue 7. [DOI: 10.1002/14651858.CD002991.pub3]
144. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica 1983;67(6):361-70. [PUBMED: 6880820]
145. Zitter M. A new paradigm in health care delivery: disease management. In: Todd WE, Nash D editor(s). Disease Management: a Systems Approach to Improving Patient Outcomes. Chicago: American Hospital Association, 1997:1-25.