TITLE

A disease-specific self-management program reduced hospital utilization and improved health status in COPD: COMMENTARY

AUTHOR(S)
Rees, P. John
PUB. DATE
November 2003
SOURCE
ACP Journal Club;Nov/Dec2003, Vol. 139 Issue 3, p65
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Acute exacerbations are a primary outcome target in many contemporary studies of chronic obstructive pulmonary disease because exacerbations are costly and associated with substantial mortality. The study by researchers J. Bourbeau and colleagues shows that a comprehensive self-management intervention is effective in reducing hospital admissions and ED visits. The intervention used in the study by Bourbeau and colleagues must have been expensive, mainly because 7 to 8 hours of individual teaching at home was delivered by a trained health professional. The exercise program that was encouraged does not affect distance in the 6-minute walking test, unlike supervised rehabilitation programs and changes in quality-of-life scores at 12 months were not impressive. It is tempting to think that the self-management program might be the major reason for the reduction in hospital admissions with exacerbations in this study, but further studies are needed to separate the components.
ACCESSION #
11533497

 

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