SynthesisChronic respiratory disease2017
Clinical-effectiveness of self-management interventions in chronic obstructive pulmonary disease: An overview of reviews.
Synthesis in Chronic respiratory disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.
- Nudge theories and strategies influencing adult health behaviors and outcomes in COPD management: a systematic review.Frontiers in public health · 2024Pooled it
- The Effect of Telehealth on Hospital Services Use: Systematic Review and Meta-analysis.Journal of medical Internet research · 2021Pooled it
- A Systematic Review and Meta-Analysis of Telemonitoring Interventions on Severe COPD Exacerbations.International journal of environmental research and public health · 2021Pooled it
- Health outcomes of self- and family management programs among community-dwelling older people with chronic obstructive pulmonary disease: a randomized controlled trial.BMC geriatrics · 2026Trial
- Primary care patients with mild or stable chronic obstructive pulmonary disease need more support in disease management: a secondary analysis of a cluster randomized controlled trial.Scandinavian journal of primary health care · 2023Trial
- Use and usability of the dr. Bart app and its relation with health care utilisation and clinical outcomes in people with knee and/or hip osteoarthritis.BMC health services research · 2021Trial
- A Smart Mobile Health Tool Versus a Paper Action Plan to Support Self-Management of Chronic Obstructive Pulmonary Disease Exacerbations: Randomized Controlled Trial.JMIR mHealth and uHealth · 2019Trial
- Nursing Roles and Responsibilities in Outpatient Bronchiectasis Care: A Scoping Review.Nursing reports (Pavia, Italy) · 2026Review
- Challenges and Opportunities for the Management of COPD: A Narrative Review of Patient and Health Care Professional Perspectives.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025Article
- Digital Health Education for Chronic Lung Disease: Scoping Review.Journal of medical Internet research · 2025Article
- The State of the Art of eHealth Self-Management Interventions for People With Chronic Obstructive Pulmonary Disease: Scoping Review.Journal of medical Internet research · 2025Article
- The Potential Use and Value of a Wearable Monitoring Bracelet for Patients With Chronic Obstructive Pulmonary Disease: Qualitative Study Investigating the Patient and Health Care Professional Perspectives.JMIR formative research · 2024Article
- Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis.BMC cardiovascular disorders · 2023Review
- Engaging Ethnically Diverse Populations in Self-Management Interventions for Chronic Respiratory Diseases: A Narrative Review.Pulmonary therapy · 2023Review
- Budget impact analysis of providing hospital inpatient care at home virtually, starting with two specific surgical patient groups.BMJ open · 2022Article
- Evaluation of myCOPD Digital Self-management Technology in a Remote and Rural Population: Real-world Feasibility Study.JMIR mHealth and uHealth · 2022Article
- Telemedicine as a Means to an End, Not an End in Itself.Life (Basel, Switzerland) · 2022Article
- The Importance of Self-Management in the Context of Personalized Care in COPD.International journal of chronic obstructive pulmonary disease · 2022Review
- Economic Aspects of Delivering Primary Care Services: An Evidence Synthesis to Inform Policy and Research Priorities.The Milbank quarterly · 2021Article
- Enabling patients in effective self-management of breathlessness in lung cancer: the neglected pillar of personalized medicine.Lung cancer management · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
Abstract
Self-management (SM) is defined as the provision of interventions to increase patients' skills and confidence, empowering the individual to take an active part in their disease management. There is uncertainty regarding the optimal format and the short- and long-term benefits of chronic obstructive pulmonary disease (COPD) SM interventions in adults. Therefore, a high-quality overview of reviews was updated to examine their clinical effectiveness. Sixteen reviews were identified, interventions were broadly classified as education or action plans, complex interventions with an SM focus, pulmonary rehabilitation (PR), telehealth and outreach nursing. Systematic review and meta-analysis quality and the risk of bias of underlying primary studies were assessed. Strong evidence was found that PR is associated with significant improvements in health-related quality of life (HRQoL). Limited to moderate evidence for complex interventions (SM focus) with limited evidence for education, action plans, telehealth interventions and outreach nursing for HRQoL was found. There was strong evidence that education is associated with a significant reduction in COPD-related hospital admissions, moderate to strong evidence that telehealth interventions and moderate evidence that complex interventions (SM focus) are associated with reduced health care utilization. These findings from a large body of evidence suggesting that SM, through education or as a component of PR, confers significant health gains in people with COPD in terms of HRQoL. SM supported by telehealth confers significant reductions in healthcare utilization, including hospitalization and emergency department visits.
Indexed as
Identifiers
What OpenQuestion holds
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.