Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review

Dennett, Emma; Janjua, Sadia; Stovold, Elizabeth; Harrison, Samantha; McDonnell, Melissa; Holland, Anne E

doi:10.1002/14651858.cd013384.pub2

Cited by 14 publications

(14 citation statements)

References 224 publications

(14 reference statements)

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“…A Cochrane review of interventions for patients with COPD and long-term conditions including CVD, found insufficient RCTs to guide recommendations although pulmonary rehabilitation (PR) and multicomponent interventions may improve quality of life and functional status 104. Several features of PR such as exercise and nutritional interventions have the potential to have an impact on CV risk.…”

Section: Treatment Of Concurrent Cvd and Copdmentioning

confidence: 99%

Cardiovascular disease in chronic obstructive pulmonary disease: a narrative review

Balbirsingh

Mohammed

Turner

et al. 2022

Thorax

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Patients with chronic obstructive pulmonary disease (COPD) are at increased risk of cardiovascular disease (CVD) and concomitant disease leads to reduced quality of life, increased hospitalisations and worse survival. Acute pulmonary exacerbations are an important contributor to COPD burden and are associated with increased cardiovascular (CV) events. Both COPD and CVD represent a significant global disease impact and understanding the relationship between the two could potentially reduce this burden. The association between CVD and COPD could be a consequence of (1) shared risk factors (environmental and/or genetic) (2) shared pathophysiological pathways (3) coassociation from a high prevalence of both diseases (4) adverse effects (including pulmonary exacerbations) of COPD contributing to CVD and (5) CVD medications potentially worsening COPD and vice versa. CV risk in COPD has traditionally been associated with increasing disease severity, but there are other relevant COPD subtype associations including radiological subtypes, those with frequent pulmonary exacerbations and novel disease clusters. While the prevalence of CVD is high in COPD populations, it may be underdiagnosed, and improved risk prediction, diagnosis and treatment optimisation could lead to improved outcomes. This state-of-the-art review will explore the incidence/prevalence, COPD subtype associations, shared pathophysiology and genetics, risk prediction, and treatment of CVD in COPD.

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Section: Treatment Of Concurrent Cvd and Copdmentioning

confidence: 99%

Cardiovascular disease in chronic obstructive pulmonary disease: a narrative review

Balbirsingh

Mohammed

Turner

et al. 2022

Thorax

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“…Regrettably, specific organizational models addressing sustainable PR strategies to treat frail patients are lacking. However, telemonitoring systems are currently being proposed to precisely address the homecare needs of frail patients with potential advances in hospital and home care networking promoting both healthcare and PR delivery at home [ 55 ].…”

Section: Sustainable Strategies In the Comprehensive Management Of Fr...mentioning

confidence: 99%

Closing the Gap between Inpatient and Outpatient Settings: Integrating Pulmonary Rehabilitation and Technological Advances in the Comprehensive Management of Frail Patients

Lippi

D’Abrosca

Folli

et al. 2022

IJERPH

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Pulmonary rehabilitation (PR) is a well-established intervention supported by strong evidence that is used to treat patients affected by chronic respiratory diseases. However, several barriers still affect its spreading in rehabilitation clinical practices. Although chronic respiratory diseases are common age-related disorders, there is still a gap of knowledge regarding the implementation of sustainable strategies integrating PR in the rehabilitation management of frail patients at high risk of respiratory complications. Therefore, in the present study, we characterized the effects of PR in frail patients, highlighting the evidence supporting its role in improving the complex rehabilitative management of these patients. Moreover, we propose a novel organizational model promoting PR programs for frail patients in both inpatient and outpatient settings. Our model emphasizes the role of interdisciplinary care, specifically tailored to patients and environmental characteristics. In this scenario, cutting-edge technology and telemedicine solutions might be implemented as safe and sustainable strategies filling the gap between inpatient and outpatient settings. Future research should focus on large-scale sustainable interventions to improve the quality of life and global health of frail patients. Moreover, evidence-based therapeutic paths should be promoted and taught in training courses promoting multiprofessional PR knowledge to increase awareness and better address its delivery in frail patients.

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“…There have been big promises made for the use of eHealth, with the rapid development of information and communication technologies for the management of chronic diseases. Specifically, in the field of respirology, COPD has been the most studied chronic respiratory disease at a distance [ 11 , 12 , 30 , 31 ]. Considering the tracking of COPD patients for earlier detection of exacerbations as well as early interventions to minimize the deterioration that so frequently results in the need for hospitalizations, have the promises been delivered?…”

Section: Self-management Over Time and At A Distancementioning

confidence: 99%

“…Management at a distance seems to be a promising way for healthcare professionals to interact and support patients and their families [ 9 ]. After more than two years of navigating the changes to health care brought on by the pandemic crisis, we have built and leveraged on our learnings and clinical experience of doing self-management at a distance, supported by growing literature on the subject [ 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

eHealth in Self-Managing at a Distance Patients with COPD

Kermelly

Bourbeau

2022

Life

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Worldwide, healthcare delivery for chronic diseases has been challenging due to the current SARS-COV-2 pandemic. The growing use of information and communication technologies via telehealth has gained popularity in all fields of medicine. In chronic respiratory diseases, self-management, defined as a structured but personalized multi-component intervention with the main goal of achieving healthy behavioral change, is an essential element of long-term care. Iterative interventions delivered by a well-trained health coach in order to empower and provide the patient with the tools and skills needed to adopt sustained healthy behaviors have proven to be effective in chronic obstructive pulmonary disease (COPD). Benefits have been shown to both improve patient quality of life and reduce acute exacerbation events and acute healthcare utilization. In COPD, the evidence so far has shown us that remote technologies such as telemonitoring or remote management may improve patient-reported outcomes and healthcare utilization. However, clear limitations are still present and questions remain unanswered. More and better designed studies are therefore necessary to define the place of eHealth in self-managing at a distance in patients with COPD.

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Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review

Abstract: Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review (Review)

Cited by 14 publications

References 224 publications

Cardiovascular disease in chronic obstructive pulmonary disease: a narrative review

Cardiovascular disease in chronic obstructive pulmonary disease: a narrative review

Closing the Gap between Inpatient and Outpatient Settings: Integrating Pulmonary Rehabilitation and Technological Advances in the Comprehensive Management of Frail Patients

eHealth in Self-Managing at a Distance Patients with COPD

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