Cited by 338Chronic Obstructive Pulmonary Disease (COPD) ResearchAsthma and respiratory diseasesNursing care and research

The DOI matches its Crossref record; 42 of the 43 references it cites were found in a registry or an index.

A Comprehensive Care Management Program to Prevent Chronic Obstructive Pulmonary Disease Hospitalizations: A Randomized, Controlled Trial

Fan, Vincent S., Gaziano, J. Michael, Lew, Robert, Bourbeau, Jean, Adams, Sandra G., Leatherman, Sarah, Thwin, Soe Soe, Huang, Grant D., Robbins, Richard, Sriram, Peruvemba S., Sharafkhaneh, Amir, Mador, M. Jeffery, Sarosi, George, Panos, Ralph J., Rastogi, Padmashri, Wagner, Todd H., Mazzuca, Steven A., Shannon, Colleen, Colling, Cindy, Liang, Matthew H., Stoller, James K., Fiore, Louis, Niewoehner, Dennis E.·2012·Annals of Internal Medicine

DOI 10.7326/0003-4819-156-10-201205150-00003

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Abstract

BACKGROUND: Improving a patient's ability to self-monitor and manage changes in chronic obstructive pulmonary disease (COPD) symptoms may improve outcomes. OBJECTIVE: To determine the efficacy of a comprehensive care management program (CCMP) in reducing the risk for COPD hospitalization. DESIGN: A randomized, controlled trial comparing CCMP with guideline-based usual care. (ClinicalTrials.gov registration number: NCT00395083) SETTING: 20 Veterans Affairs hospital-based outpatient clinics. PARTICIPANTS: Patients hospitalized for COPD in the past year. INTERVENTION: The CCMP included COPD education during 4 individual sessions and 1 group session, an action plan for identification and treatment of exacerbations, and scheduled proactive telephone calls for case management. Patients in both the intervention and usual care groups received a COPD informational booklet; their primary care providers received a copy of COPD guidelines and were advised to manage their patients according to these guidelines. Patients were randomly assigned, stratifying by site based on random, permuted blocks of variable size. MEASUREMENTS: The primary outcome was time to first COPD hospitalization. Staff blinded to study group performed telephone-based assessment of COPD exacerbations and hospitalizations, and all hospitalizations were blindly adjudicated. Secondary outcomes included non-COPD health care use, all-cause mortality, health-related quality of life, patient satisfaction, disease knowledge, and self-efficacy. RESULTS: Of the eligible patients, 209 were randomly assigned to the intervention group and 217 to the usual care group. Citing serious safety concerns, the data monitoring committee terminated the intervention before the trial's planned completion after 426 (44%) of the planned total of 960 patients were enrolled. Mean follow-up was 250 days. When the study was stopped, the 1-year cumulative incidence of COPD-related hospitalization was 27% in the intervention group and 24% in the usual care group (hazard ratio, 1.13 [95% CI, 0.70 to 1.80]; P= 0.62). There were 28 deaths from all causes in the intervention group versus 10 in the usual care group (hazard ratio, 3.00 [CI, 1.46 to 6.17]; P= 0.003). Cause could be assigned in 27 (71%) deaths. Deaths due to COPD accounted for the largest difference: 10 in the intervention group versus 3 in the usual care group (hazard ratio, 3.60 [CI, 0.99 to 13.08]; P= 0.053). LIMITATIONS: Available data could not fully explain the excess mortality in the intervention group. Ability to assess the quality of the educational sessions provided by the case managers was limited. CONCLUSION: A CCMP in patients with severe COPD had not decreased COPD-related hospitalizations when the trial was stopped prematurely. The CCMP was associated with unanticipated excess mortality, results that differ markedly from similar previous trials. A data monitoring committee should be considered in the design of clinical trials involving behavioral interventions.

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Acceptability, Appropriateness and Feasibility of a Nurse-Led Integrated Care Intervention for Patients with Severe Exacerbation of COPD from the Healthcare Professional’s Perspective – A Mixed Method Study
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eHealth in Self-Managing at a Distance Patients with COPD
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Background
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“In all studies except one ((64)), there was group education, in some cases there was an additional individual plan (n=9) (45,46,48,55,60,64,71,73,74) , use of leaflets to enhance the education (n=8) ((5,45,48,53,54,60,67,71)), telephone follow-up (n=3) Publication with key words “COPD” and “EDUCATION” N=321”
BackgroundInfluential
Effects of a Comprehensive Care Program on the Readmission Rate and Adherence to Treatment in Elderly Patients with Chronic Obstructive Pulmonary Disease.
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Background
Retracted
Rebuttal From Drs Fuhrman and Aranson
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“10, 13 , 14 A possible weakness of the study is that 37% of the eligible participants refused to participate, which could potentially influence the generalizability.”
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“Regarding health-related quality of life, the SF-12 physical and mental domain scores in the intervention group also showed significant improvements, but contradictory results were observed in prior studies using the same quality-of-life instrument following 3-to 12-month follow-up programs [45–47].”
Result
Tele-assistance Respiratory Card: Feasibility of Self-Reporting in Patients with Severe COPD
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Should GPs be fined for rises in avoidable emergency admissions to hospital? No
Nagpaul, C. (2013) · BMJ · doi:10.1136/bmj.f1391 · Cited by 5
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de Boer, G. M., Mennema-Vastenhout, T. H., van Noort, E., Chavannes, N. H., Birnie, E., & Veen, J. C. C. M. I. ’. (2018) · ERJ Open Research · doi:10.1183/23120541.00011-2018 · Cited by 5
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“On the contrary, a study by Fan et al., evaluated the efficacy of a comprehensive care management program (CCMP) on reducing COPD hospitalization risk, found an unexpected excess in mortality among patients with severe COPD assigned to the CCMP intervention.”
ResultInfluential
Developments in respiratory self-management interventions over the last two decades
Effing, T. (2023) · Chronic Respiratory Disease · doi:10.1177/14799731231221819 · Cited by 4
“28 Available data could not fully explain the excess mortality 28 but the fact that COPD-speci ﬁ c action plans were used in a severe COPD population with frequently existing comorbidities may have played a part.”
Background
Four patients with a history of acute exacerbations of COPD: implementing the CHEST/Canadian Thoracic Society guidelines for preventing exacerbations
Tsiligianni, I., Goodridge, D. M., Marciniuk, D. D., Hull, S., & Bourbeau, J. (2015) · npj Primary Care Respiratory Medicine · doi:10.1038/npjpcrm.2015.23 · Cited by 4
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“Furthermore, as with every chronic disease, COPD health outcomes and care costs are determined not only by the healthcare system and its available offerings, but also by the behaviors of patients.(17) In the context of this complexity, the task force felt that it was critical to ground CHA's program design in an under…”
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“For example, Fan et al. [27] conducted a study of 426 patients who had been hospitalized for an acute exacerbation of COPD within the previous year.”
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Point: Should Storefront Clinics Provide Case Finding and Chronic Care for COPD? Yes
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BackgroundResultInfluential
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“GOLD Estadio I 16 (13,3) 8 (10,7) 0,006 12 (11,5) 18 (19,1) 0,009 NS NS Estadio II 63 (52,5) 31 (41,3) 57 (54,8) 36 (38,3) Estadio III 35 (29,2) 20 (26,7) 31 (29,8) 26 (27,7) Estadio IV 6 (5,0) 16 (21,3) 4 (3,8) 14 (14,9)”
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Kurpas, D., Szwamel, K., Lenarcik, D., Guzek, M., Prusaczyk, A., Żuk, P., Michalowska, J., Grzeda, A., & Mroczek, B. (2017) · Advances in experimental medicine and biology · doi:10.1007/5584_2017_84 · Cited by 3
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Readmissions After Hospital Discharge With Acute Exacerbation of COPD: Are We Missing Something?
Gaurav, K., Vaid, U., Sexauer, W. P., & Kavuru, M. S. (2014) · Hospital Practice · doi:10.3810/hp.2014.04.1104 · Cited by 3
Comparative impact of two continuing education activities targeted at COPD educators on educational outcomes: protocol for a non-randomized controlled study using mixed methods
Gagné, M., Moisan, J., Lauzier, S., Hamel, C., Côté, P., Bourbeau, J., & Boulet, L. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3284-6 · Cited by 5
“[7] was terminated before its planned completion date, due to the excess mortality estimated within the participants allocated to TPE, compared to guideline-concordant usual care.”
Result
Assessment of a Domiciliary Integrated Pulmonary Rehabilitation Program for Patients with a History of Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Retrospective 12-Month Observational Study
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“A recently published clinical study, which included patients with AECOPD, showed that the use of multidisciplinary integrated PR programs did not show clinical effectiveness, and the study was terminated due to increased patient mortality [13].”
Background
Patient-Centered Televisit for Chronic Obstructive Pulmonary Disease Discharge Transitions: User-Centered Design Study
Abraham, J., Meng, A., Caravelli, N., Traeger, L., NGUYEN, M., Arora, V. M., & Press, V. G. (2025) · JMIR Human Factors · doi:10.2196/77953 · Cited by 2
“Despite this disproportionate effect, very few studies examining the implementation and effectiveness of COPD DTOC interventions have explicitly included Black populations [41].”
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The efficacy and safety of antibiotics and glucocorticoids in the treatment of elderly patients with chronic obstructive emphysema: systematic review and meta-analysis
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“Antibiotics have a wide clinical application rate (31).”
Background
Contextual, Ecological, and Organizational Variations in Risk-Adjusted COPD and Asthma Hospitalization Rates of Rural Medicare Beneficiaries
Wan, T. T. H., Lin, Y., & Ortiz, J. (2016) · Emerald Group Publishing Limited eBooks · doi:10.1108/s0275-495920160000034008 · Cited by 2
Rationale and development of a patient-tailored complex intervention of case management for patients suffering from chronic obstructive pulmonary disease
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“, 2011) COPD self-management education 12 (Bird et al., 2010; Bourbeau et al., 2003; Bucknall et al., 2012; Casas et al., 2006; Efraimsson et al., 2008; Fan et al., 2012; Leung et al., 2004; Moullec et al., 2012; Newcomer et al., 2004; Poole et al., 2001; Rice et al., 2010; Trappenburg et al., 2011) Smoking cessation…”
BackgroundMethodResultInfluential
Implications of DRG Classification in a Bundled Payment Initiative for COPD.
Parekh, T. M., Bhatt, S. P., Westfall, A. O., Wells, J. M., Kirkpatrick, D., Iyer, A. S., Mugavero, M. J., Willig, J. H., & Dransfield, M. T. (2017) · PubMed · Cited by 2
Sputum Inflammometry to Manage Chronic Obstructive Pulmonary Disease Exacerbations: Beyond Guidelines
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Exploring the interactional sphere of a systemic self-management intervention for chronic obstructive pulmonary disease (COPD)
Farver-Vestergaard, I., Early, F. H., Fuld, J. P., & Pedersen, C. G. (2014) · The International Journal of Person Centered Medicine · doi:10.5750/ijpcm.v3i4.438 · Cited by 2
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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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Could digital health applications improve the health of COPD patients?
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“In at least one study, enhanced COPD education not only failed to achieve the goal of reduced hospitalizations and emergency room visits, but actually resulted in just the opposite effects [7].”
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Can we reduce the risk of readmission for a patient with an exacerbation of COPD?
Ayache, M. B., Boyaji, S., & Pile, J. C. (2014) · Cleveland Clinic Journal of Medicine · doi:10.3949/ccjm.81a.13139 · Cited by 2
Interventions to reduce rehospitalizations following COPD exacerbations: a systematic review
Prieto-Centurion, V., Markos, M. A., Ramey, N. I., Gussin, H. A., Nyenhuis, S. M., Joo, M. J., Prasad, B., Bracken, N. E., DiDomenico, R. J., Godwin, P. O., et al. (2014) · Cited by 2
Integrating the care of the complex COPD patient
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111 Can early introduction of specialized palliative care limit intensive care, emergency and hospital admissions in patients with severe and very severe COPD? A pilot randomized study
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“No randomised early palliative care intervention studies are available for this particular population, although it has been shown that it is feasible to provide palliative care interventions in this population [11-15] A study conducted in the UK found that patients with COPD are much less likely to die at home and to…”
Background
8th international conference on management and rehabilitation of chronic respiratory failure: the long summaries – part 1
Ambrosino, N., Casaburi, R. H., Chetta, A. A., Clini, E. M., Donner, C. F., Dreher, M., Goldstein, R. S., Jubran, A., Nici, L. L., Owen, C. A., et al. (2015) · Multidisciplinary Respiratory Medicine · doi:10.1186/s40248-015-0026-z · Cited by 2
Self-Management in Pulmonary Rehabilitation
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Self-medication as Part of Self-management Plans for Patients With COPD
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Self-medication as Part of Self-management Plans for Patients With COPD—Reply
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Improving Outcomes after a Chronic Obstructive Pulmonary Disease Hospitalization: Lessons in Population Health from the U.S. Department of Veterans Affairs
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“Not only has it been difficult to identify effective strategies for preventing readmission, but prior delivery system innovations that have used nurse care managers have, in some instances, led to paradoxically worse clinical outcomes (5, 6).”
Background
COPD Action Plans: Gaps in Development Methods, Content, and Format
Yusup, I., Tang, R., Kouri, A., Sin, D. D., Marciniuk, D., & Gupta, S. (2026) · International Journal of COPD · doi:10.2147/copd.s571223 · Cited by 1
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COPD: Recent Updates and Role of Chronic Disease Management and Protocolized Management
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“In addition, a study involving 20 Veterans Affairs (VA) hospitalbased patients led to concerns of increased mortality with the use of a comprehensive care management program, which resulted in early termination.(11) The following is a review of management options available for COPD with a focus on current evidence of…”
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Distributed Cognition for Improving Cancer Care Coordination
Hazlehurst, B. L., Randhawa, G. S., Gorman, P., & Xiao, Y. (2018) · Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care · doi:10.1177/2327857918071008 · Cited by 1
Integrated disease management: good news but more work to do
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“16 The majority of patients in this study had severe COPD (60% were on domiciliary oxygen and 40% had two admissions in the previous year) and there was no reduction in COPD hospitalisations while an excess of deaths occurred in the intervention arm.”
Background
Comparing community models of COPD care
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Quelle est la place de l’éducation thérapeutique dans la prévention des exacerbations ?
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El modelo de atención a crónicos en la EPOC
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“Indeed, realist approaches could have helped address unexpected outcomes in one US-based Veterans’ Administration multi-centric RCT where a COPD chronic management program led to more deaths in the intervention arm [6].”
Background
Rehabilitación respiratoria
Stelianides, S., & Grosbois, J. (2018) · EMC - Tratado de Medicina · doi:10.1016/s1636-5410(18)89314-x · Cited by 1
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Where's the beef? Progress on reducing readmissions
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“Another RCT at 20 sites evaluated a comprehensive care management program to prevent hospitalizations among 960 VA patients with COPD.(25) It had to be stopped early due to elevated all-cause mortality in the intervention group, and there was no difference in hospitalization rates.”
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Authors: Fan, V. S., Gaziano, J. M., Lew, R., Bourbeau, J., Adams, S. G., Leatherman, S., Thwin, S. S., Huang, G. D., Robbins, R., Sriram, P. S., Sharafkhaneh, A., Mador, M. J., Sarosi, G., Panos, R. J., Rastogi, P., Wagner, T. H., Mazzuca, S. A., Shannon, C., Colling, C., Liang, M. H., Stoller, J. K., Fiore, L., & Niewoehner, D. E.
Affiliations: Brigham and Women's Hospital (US)
ORCID: Fan, Vincent S.
Lew, Robert
Bourbeau, Jean
Leatherman, Sarah
Huang, Grant D.
Sriram, Peruvemba S.
Sharafkhaneh, Amir
Mador, M. Jeffery
Sarosi, George
Panos, Ralph J.
Wagner, Todd H.
Liang, Matthew H.
Stoller, James K.
Fiore, Louis
Venue: Annals of Internal Medicine
Publisher: American College of Physicians
Published: 2012-05-15
Volume: 156
Issue: 10
Pages: 673-683
ISSN: 0003-4819 (ISSN-L)
1539-3704
DOI: 10.7326/0003-4819-156-10-201205150-00003
OpenAlex: W2036326371
Cited by: 338
References: 43
Citations by year: 2026: 5 · 2025: 6 · 2024: 7 · 2023: 7 · 2022: 16 · 2021: 15 · 2020: 19 · 2019: 22 · 2018: 26 · 2017: 40 · 2016: 36 · 2015: 35 · 2014: 49 · 2013: 38 · 2012: 17
FWCI: 35.79
Type: journal article
Language: en
Open access: closed
Licence: www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations: Annals of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
Health Sciences › Nursing › Research and Theory › Nursing care and research
Keywords: chronic obstructive pulmonary disease, care management programs, patient education, self-management, veterans, COPD guidelines, all-cause mortality, health-related quality of life, patient satisfaction, disease knowledge, self-efficacy, health care utilization, trial termination
MeSH terms: Aged, Anti-Inflammatory Agents, Anti-Bacterial Agents, Cause of Death, Depression, Female, Follow-Up Studies, Hospitalization, Humans, Male, Middle Aged, Patient Education as Topic, Prednisone, Quality of Life, Self Care, Telephone, Proportional Hazards Models, Patient Satisfaction, Case Management, Pulmonary Disease, Chronic Obstructive

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A Comprehensive Care Management Program to Prevent Chronic Obstructive Pulmonary Disease Hospitalizations: A Randomized, Controlled Trial

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