Evidence map›Paper›PMID 12399344›Full record

SynthesisBMJ (Clinical research ed.)2002

Randomised controlled trial of home based care of patients with chronic obstructive pulmonary disease.

Oshana Hermiz, Elizabeth Comino, Guy Marks, Kathy Daffurn, Stephen Wilson, Mark Harris

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMeta-AnalysisRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04119856 (Outgoing Lung Team - a Cross-sectorial and Preventive Intervention in Patients at Risk of Hospitalisation Due to Exacerbation of COPD), which is not on this map. Cited by 45 papers, 20 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 20 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04119856 nacompletednot on this mapstarted 2017, after this paper: background citation

Outgoing Lung Team - a Cross-sectorial and Preventive Intervention in Patients at Risk of Hospitalisation Due to Exacerbation of COPD

TypeinterventionalSponsorUniversity of AarhusRan2017 to 2020Enrolled144ConditionsCOPD, COPD ExacerbationArmsAffiliation with the outgoing lung team
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 20 syntheses or guidelines pooled it, 188 citations in OpenAlex.

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  10. Self-management of health care behaviors for COPD: a systematic review and meta-analysis.International journal of chronic obstructive pulmonary disease · 2016
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  16. Home care by outreach nursing for chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2012
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  17. Avoiding hospital admission through provision of hospital care at home: a systematic review and meta-analysis of individual patient data.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009
    Pooled it
  18. Guideline
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  20. Guideline
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Oshana HermizSchool of Community Medicine, University of New South Wales, Sydney 2052, Australia.
Elizabeth Comino
Guy Marks
Kathy Daffurn
Stephen Wilson
Mark Harris
UNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate usefulness of limited community based care for patients with chronic obstructive pulmonary disease after discharge from hospital.

designRandomised controlled trial.

settingLiverpool Health Service and Macarthur Health Service in outer metropolitan Sydney between September 1999 and July 2000.

participants177 patients randomised into an intervention group (84 patients) and a control group (93 patients) which received current usual care.

interventionsHome visits by community nurse at one and four weeks after discharge and preventive general practitioner care.

main outcome measuresFrequency of patients' presentation and admission to hospital; changes in patients' disease-specific quality of life, measured with St George's respiratory questionnaire, over three months after discharge; patients' knowledge of illness, self management, and satisfaction with care at discharge and three months later; frequency of general practitioner and nurse visits and their satisfaction with care.

resultsIntervention and control groups showed no differences in presentation or admission to hospital or in overall functional status. However, the intervention group improved their activity scores and the control group worsened their symptom scores. While intervention group patients received more visits from community nurses and were more satisfied with their care, involvement of general practitioners was much less (with only 31% (22) remembering receiving a care plan). Patients in the intervention group had higher knowledge scores and were more satisfied. There were no differences in general practitioner visits or management.

conclusionsThis brief intervention after acute care improved patients' knowledge and some aspects of quality of life. However, it failed to prevent presentation and readmission to hospital.

Indexed as

AftercareAdultAgedCommunity Health NursingEnglandHome Care ServicesHumansMiddle AgedNew South WalesPatient Acceptance of Health CarePatient Education as TopicPhysician-Patient RelationsPulmonary Disease, Chronic ObstructiveQuality of Life

Identifiers

PMID12399344
PMCPMC130059
OpenAlexW2090242336

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.