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  • No benefit and potential harm with an educational and care management programme for chronic obstructive pulmonary disease

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Prevention
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

https://doi.org/10.1136/eb-2012-100873

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    Commentary on: Fan VS, Gaziano JM, Lew R, et al. A comprehensive care management program to prevent chronic obstructive pulmonary disease hospitalizations: a randomized, controlled trial. Ann Intern Med 2012;156:673–83.OpenUrlCrossRefPubMedWeb of Science

    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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    Footnotes

    • Competing interests None.