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Randomised controlled trial
No benefit and potential harm with an educational and care management programme for chronic obstructive pulmonary disease
  1. Charlotte S Ulrik
  1. Correspondence to: Charlotte S Ulrik
    Hvidovre Hospital & University of Copenhagen—Respiratory Diseases, Kettegård Alle 30 Hvidovre, 2650, Denmark; csulrik{at}dadlnet.dk

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Context

Hospital admissions for chronic obstructive pulmonary disease (COPD) contribute substantially to the burden of COPD, both for the individual patient and for society, not least with regard to health-related quality of life and mortality.1 Evidence-based measures to reduce admissions for COPD would therefore yield important benefits, with regard to morbidity, mortality and economic burden.

Methods

Fan and colleagues conducted a large-scale randomised trial to determine the efficacy of a comprehensive care management programme in reducing the risk for COPD admissions in comparison with guideline-based usual care. The intervention consisted of an educational programme, a written individualised …

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