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Cochrane Review

Text of Action Plan for Chronic Obstructive Pulmonary Desease

  • Action plans for chronic obstructive pulmonary disease

    (Review)

    Turnock AC, Walters EH, Walters JAE, Wood-Baker R

    This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library2006, Issue 3

    http://www.thecochranelibrary.com

    1Action plans for chronic obstructive pulmonary disease (Review)

    Copyright 2006 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd

  • T A B L E O F C O N T E N T S

    1ABSTRACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    1PLAIN LANGUAGE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    2BACKGROUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    2OBJECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    2CRITERIA FOR CONSIDERING STUDIES FOR THIS REVIEW . . . . . . . . . . . . . . . . . .

    3SEARCH METHODS FOR IDENTIFICATION OF STUDIES . . . . . . . . . . . . . . . . . . .

    3METHODS OF THE REVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    4DESCRIPTION OF STUDIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    6METHODOLOGICAL QUALITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    6RESULTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    8DISCUSSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9AUTHORS CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9POTENTIAL CONFLICT OF INTEREST . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9SOURCES OF SUPPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    11TABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    11Characteristics of included studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    14Characteristics of excluded studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    15Characteristics of ongoing studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    16ANALYSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    16Comparison 01. Action Plan versus usual care . . . . . . . . . . . . . . . . . . . . . . . . .

    18INDEX TERMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    18COVER SHEET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    19GRAPHS AND OTHER TABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    19Analysis 01.01. Comparison 01 Action Plan versus usual care, Outcome 01 Number of admissions to hospital in 12

    months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    20Analysis 01.02. Comparison 01 Action Plan versus usual care, Outcome 02 Visits to GP/PN in 6 months . . . .

    20Analysis 01.03. Comparison 01 Action Plan versus usual care, Outcome 03 Number scheduled GP visits in 12 months

    20Analysis 01.04. Comparison 01 Action Plan versus usual care, Outcome 04 Number emergency visits to GP for COPD

    in 12 months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    21Analysis 01.05. Comparison 01 Action Plan versus usual care, Outcome 05 Number of total GP visits in 12 months

    21Analysis 01.06. Comparison 01 Action Plan versus usual care, Outcome 06 Number of times treated in the emergency

    department in 12 months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    21Analysis 01.07. Comparison 01 Action Plan versus usual care, Outcome 07 Days on Antibiotics in 6 months . . .

    22Analysis 01.08. Comparison 01 Action Plan versus usual care, Outcome 08 Days on corticosteroids in 6 months . .

    22Analysis 01.09. Comparison 01 Action Plan versus usual care, Outcome 09 Patients initiating antibiotics in 6 months

    23Analysis 01.10. Comparison 01 Action Plan versus usual care, Outcome 10 Patients initiating steroids in 6 months .

    23Analysis 01.11. Comparison 01 Action Plan versus usual care, Outcome 11 Courses of Antibiotics in 12 months . .

    24Analysis 01.12. Comparison 01 Action Plan versus usual care, Outcome 12 Courses of oral corticosteroids in 12 months

    24Analysis 01.13. Comparison 01 Action Plan versus usual care, Outcome 13 Number of subjects with >= 1 exacerbation

    COPD with antibiotics in 12 months . . . . . . . . . . . . . . . . . . . . . . . . .

    25Analysis 01.14. Comparison 01 Action Plan versus usual care, Outcome 14 Length of exacerbations . . . . . .

    25Analysis 01.15. Comparison 01 Action Plan versus usual care, Outcome 15 SGRQ symptom scores at 6 months . .

    26Analysis 01.16. Comparison 01 Action Plan versus usual care, Outcome 16 SGRQ activity scores at 6 months . . .

    26Analysis 01.17. Comparison 01 Action Plan versus usual care, Outcome 17 SGRQ impact scores at 6 months . . .

    27Analysis 01.18. Comparison 01 Action Plan versus usual care, Outcome 18 SGRQ total scores at 6 months . . . .

    27Analysis 01.19. Comparison 01 Action Plan versus usual care, Outcome 19 SGRQ symptom scores at 12 months .

    28Analysis 01.20. Comparison 01 Action Plan versus usual care, Outcome 20 SGRQ activity scores at 12 months . .

    28Analysis 01.21. Comparison 01 Action Plan versus usual care, Outcome 21 SGRQ impact scores at 12 months . .

    29Analysis 01.22. Comparison 01 Action Plan versus usual care, Outcome 22 SGRQ total scores at 12 months . . .

    iAction plans for chronic obstructive pulmonary disease (Review)

    Copyright 2006 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd

  • 29Analysis 01.23. Comparison 01 Action Plan versus usual care, Outcome 23 FEV1 (mls) at 6 months . . . . . .

    29Analysis 01.24. Comparison 01 Action Plan versus usual care, Outcome 24 FEV1 (mls) at 12 months . . . . .

    30Analysis 01.25. Comparison 01 Action Plan versus usual care, Outcome 25 FEV1 % predicted at 6 months . . .

    30Analysis 01.26. Comparison 01 Action Plan versus usual care, Outcome 26 FEV1 % predicted at 12 months . . .

    30Analysis 01.27. Comparison 01 Action Plan versus usual care, Outcome 27 FEV1/FVC at 6 months . . . . . .

    31Analysis 01.28. Comparison 01 Action Plan versus usual care, Outcome 28 FEV1/FVC at 12 months . . . . .

    31Analysis 01.29. Comparison 01 Action Plan versus usual care, Outcome 29 Functional Capacity . . . . . . .

    31Analysis 01.30. Comparison 01 Action Plan versus usual care, Outcome 30 Number of days symptoms recorded in 6

    months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    32Analysis 01.31. Comparison 01 Action Plan versus usual care, Outcome 31 Days of breathing recorded as usual in 6

    months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    32Analysis 01.32. Comparison 01 Action Plan versus usual care, Outcome 32 Days of breathing recorded as mild in 6

    months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    32Analysis 01.33. Comparison 01 Action Plan versus usual care, Outcome 33 Days of breathing recorded as moderate in 6

    months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    33Analysis 01.34. Comparison 01 Action Plan versus usual care, Outcome 34 Days of breathing recorded as severe in 6

    months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    33Analysis 01.35. Comparison 01 Action Plan versus usual care, Outcome 35 Mortality . . . . . . . . . . .

    34Analysis 01.36. Comparison 01 Action Plan versus usual care, Outcome 36 Days lost from work . . . . . . .

    34Analysis 01.37. Comparison 01 Action Plan versus usual care, Outcome 37 HADS anxiety . . . . . . . . .

    34Analysis 01.38. Comparison 01 Action Plan versus usual care, Outcome 38 HADS depression . . . . . . . .

    35Analysis 01.39. Comparison 01 Action Plan versus usual care, Outcome 39 SMI well knowledge . . . . . . .

    35Analysis 01.40. Comparison 01 Action Plan versus usual care, Outcome 40 SMI well actions . . . . . . . . .

    35Analysis 01.41. Comparison 01 Action Plan versus usual care, Outcome 41 SMI early exacerbation knowledge . .

    36Analysis 01.42. Comparison 01 Action Plan versus usual care, Outcome 42 SMI early exacerbation actions . . . .

    36Analysis 01.43. Comparison 01 Action Plan versus usual care, Outcome 43 SMI severe exacerbation knowledge . .

    36Analysis 01.44. Comparison 01 Action Plan versus usual care, Outcome 44 SMI severe exacerbation actions . . .

    iiAction plans for chronic obstructive pulmonary disease (Review)

    Copyright 2006 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd

  • Action plans for chronic obstructive pulmonary disease(Review)

    Turnock AC, Walters EH, Walters JAE, Wood-Baker R

    This record should be cited as:

    Turnock AC, Walters EH, Walters JAE, Wood-Baker R. Action plans for chronic obstructive pulmonary disease. Cochrane Database ofSystematic Reviews 2005, Issue 4. Art. No.: CD005074. DOI: 10.1002/14651858.CD005074.pub2.

    This version first published online: 19 October 2005 in Issue 4, 2005.

    Date of most recent substantive amendment: 23 July 2005

    A B S T R A C T

    Background

    The effectiveness of action plans as treatment for chronic obstructive pulmonary disease (COPD) is not known.

    Objectives

    To assess the efficacy of action plans in the management of COPD.

    Search strategy

    We searched the Cochrane Airways Group Specialis