A Comprehensive Care Management Program to Prevent Chronic Obstructive Pulmonary Disease Hospitalizations

Fan, Vincent S.; Gaziano, J. Michael; Lew, Robert A.; Bourbeau, Jean; Adams, Sandra G.; Leatherman, Sarah; Thwin, Soe Soe; Huang, Grant D.; Robbins, Richard; Pothapregada, Sriram; Sharafkhaneh, Amir; Mador, M. Jeffery; Sarosi, George A.; Panos, Ralph J.; Rastogi, Padmashri; Mazzuca, Steven A.; Shannon, Colleen; Colling, Cindy; Liang, Matthew H.; Stoller, James K.; Fiore, Louis D.; Niewoehner, Dennis E.

doi:10.7326/0003-4819-156-10-201205150-00003

Cited by 318 publications

(238 citation statements)

References 38 publications

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“…37 Not all interventions based on self-management education have yielded positive outcomes. 30,38 In addition, it isn't yet clear why such interventions fail when they do, or whether social determinants of health are more important than diagnostic considerations in some clinical settings.…”

Section: Discussionmentioning

confidence: 99%

Implementing a Palliative Care Trial in Advanced COPD: A Feasibility Assessment (The COPD IMPACT Study)

Horton

Rocker

Dale

et al. 2013

Journal of Palliative Medicine

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Providing home-based palliative care services for patients with advanced COPD is feasible but completing repeated questionnaires is impractical. Despite significant palliative supports, managing terminal symptoms exceeded caregivers' capacity to cope and forced hospital admission. Insights into systemic barriers and limitations of current palliative care service models can provide opportunities for local program innovation aimed at improving care for advanced COPD.

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Section: Discussionmentioning

confidence: 99%

Implementing a Palliative Care Trial in Advanced COPD: A Feasibility Assessment (The COPD IMPACT Study)

Horton

Rocker

Dale

et al. 2013

Journal of Palliative Medicine

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“…Patient education accompanied by instruction for self-management and individualized, written action plans can improve the outcome of exacerbations [48]. Although there are studies that show a beneficial effect of disease self-management in COPD [48], a study with negative results concerning patient’s self-management and COPD-related hospitalizations was recently published [49]. Quality assessment in patient instruction and survey by specially trained medical staff is therefore crucial.…”

Section: Management Of Copdmentioning

confidence: 99%

Diagnosis and Management of Chronic Obstructive Pulmonary Disease: The Swiss Guidelines

Russi

Karrer²,

Brutsche

et al. 2013

Respiration

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The new Swiss Chronic Obstructive Pulmonary Disease (COPD) Guidelines are based on a previous version, which was published 10 years ago. The Swiss Respiratory Society felt the need to update the previous document due to new knowledge and novel therapeutic developments about this prevalent and important disease. The recommendations and statements are based on the available literature, on other national guidelines and, in particular, on the GOLD (Global Initiative for Chronic Obstructive Lung Disease) report. Our aim is to advise pulmonary physicians, general practitioners and other health care workers on the early detection and diagnosis, prevention, best symptomatic control, and avoidance of COPD as well as its complications and deterioration.

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“…In COPD, this approach has in some studies resulted in reduced healthcare costs [68], a lower rate of hospitalization due to COPD exacerbations as well as for other reasons [69]. In contrast, other well-designed studies have found excess mortality in self-help plan groups [70] and no effect of nurse-controlled interventions [71]. These contradictory results illustrate the complexity of severe chronic lung disease and highlight the need for personalized management.…”

Section: Overall Approachmentioning

confidence: 99%

Danish respiratory society position paper: palliative care in patients with chronic progressive non-malignant lung diseases

Marsaa

Gundestrup

Lange

et al. 2018

European Clinical Respiratory Journal

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Background: Chronic non-malignant lung diseases such as chronic obstructive pulmonary disease (COPD) and interstitial lung diseases (ILD) result in reduced quality of life (QoL), a high symptom burden and reduced survival. Patients with chronic non-malignant lung disease often have limited access to palliative care. The symptom burden and the QoL of these patients resembles patients with cancer and the general palliative approach is similar. However, the disease trajectory is often slow and unpredictable, and the palliative effort must be built on accessibility, continuity and professional competences. The Danish Health Authority as well as the WHO recommends that there is access to palliative care for all patients with life-threatening diseases regardless of diagnosis. In 2011, the Danish Health Authority requested that the national medical societies would to formulate guidelines for palliation. Methods: In 2015, a group of members of the Danish Respiratory Society (DRS) was appointed for this purpose. It was composed of experienced ILD and COPD researchers as well as clinicians from different parts of Denmark. A literature review was made, a draft was prepared, and all recommendations were agreed upon unanimously. Results: The Danish version of the position paper was finally submitted for review and accepted by all members of DRS. Conclusion: In this position paper we provide recommendations on the terminology of chronic and terminal lung failure, rehabilitation and palliative care, advanced care planning, informal caregivers and bereavement, symptom management, the imminently dying patient, and organization of palliative care for patients with chronic non-malignant lung diseases.

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A Comprehensive Care Management Program to Prevent Chronic Obstructive Pulmonary Disease Hospitalizations

Cited by 318 publications

References 38 publications

Implementing a Palliative Care Trial in Advanced COPD: A Feasibility Assessment (The COPD IMPACT Study)

Implementing a Palliative Care Trial in Advanced COPD: A Feasibility Assessment (The COPD IMPACT Study)

Diagnosis and Management of Chronic Obstructive Pulmonary Disease: The Swiss Guidelines

Danish respiratory society position paper: palliative care in patients with chronic progressive non-malignant lung diseases

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